Cotofana Sebastian, Mehta Tristan, Davidovic Kristina, Swift Arthur, Rohrich Rod J, Biesman Brian S, Gold Michael, Nikolis Andreas, Dayan Steven, Alfertshofer Michael
Aesthet Surg J. 2024 Sep 16;44(10):1105-1117. doi: 10.1093/asj/sjae096.
In 2022, the US experienced a significant increase in demand for minimally invasive aesthetic procedures, underscoring its rising acceptance amid an unregulated educational environment for practitioners. The absence of standardized educational pathways and quality control in aesthetic medicine, primarily provided by nonacademic institutions, highlights a critical need for establishing educational standards to ensure practitioner competence and patient safety.
The aim of this study was to identify levels of competency for the aesthetic practitioner and necessary achievement milestones during the educational path from novice to expert injector.
A total of n = 386 international study participants responded to an online questionnaire regarding their experience in aesthetic medicine practice. The questionnaire comprised 58 questions focusing on professional data, the perceived difficulty of injection, and risk for the occurrence of adverse events for specific facial regions in soft tissue filler and toxin injections.
Regardless of medical specialty and experience level, averages of 3.85 (1.8) years, 786.4 (2628) filler injections and 549.9 (1543) toxin injections were estimated to progress from novice to advanced injector, while averages of 6.10 (3.7) years, 1842.2 (4793) filler injections, and 1308.5 (3363) toxin injections were estimated to advance from advanced to expert injector. The nose and the perioral region have been ranked as the facial regions where it is most difficult to achieve a perfect aesthetic outcome and with the greatest risk for the occurrence of adverse events for filler and toxin injections, respectively.
In this study we establish an educational framework in aesthetic medicine by defining the progression from novice to competent and expert injector levels, suggesting 4 years of practice and over 790 filler and 550 neuromodulator injections for competence, and at least 6 years with 1840 filler and 1310 neuromodulator injections for expertise. We also identify critical facial regions for targeted treatments by different expertise levels.
2022年，美国对微创美容手术的需求显著增加，这凸显出在从业者教育环境缺乏规范的情况下，该手术的接受度不断上升。美容医学主要由非学术机构提供，缺乏标准化的教育途径和质量控制，这凸显了制定教育标准以确保从业者能力和患者安全的迫切需求。
本研究的目的是确定美容从业者的能力水平以及从新手到专家注射师的教育过程中必要的成就里程碑。
共有n = 386名国际研究参与者回复了一份关于他们美容医学实践经验的在线问卷。该问卷包含58个问题，重点关注专业数据、注射的感知难度以及软组织填充剂和毒素注射中特定面部区域出现不良事件的风险。
无论医学专业和经验水平如何，从新手成长为高级注射师估计平均需要3.85（1.8）年、786.4（2628）次填充剂注射和549.9（1543）次毒素注射，而从高级注射师成长为专家注射师估计平均需要6.10（3.7）年、1842.2（4793）次填充剂注射和1308.5（3363）次毒素注射。鼻子和口周区域分别被列为最难实现完美美学效果以及填充剂和毒素注射出现不良事件风险最高的面部区域。
在本研究中，我们通过定义从新手到合格和专家注射师水平的进展，建立了美容医学教育框架，表明需要4年实践以及790多次填充剂和550多次神经调节剂注射才能达到合格水平，至少6年以及1840多次填充剂和1310多次神经调节剂注射才能达到专家水平。我们还确定了不同专业水平进行靶向治疗的关键面部区域。
