DR HOTAKI’S
AUTHOR-LED ACADEMY
World-renowned proprietary lifting system

A new level of aesthetic medicine

Master Dr Hotaki’s proprietary system of permanent non-surgical lifting — from patient assessment to clinical outcomes. Train personally with the system’s creator and international educator.

Not simply learning how to place an implant. Learning how to assess, plan and perform lifting as an integrated clinical system. Professional training for doctors in Dr Hotaki’s proprietary methods of permanent non-surgical lifting for the face and body.

Standardised Aesthetic Facial Assessment (SAFA) • Universal Positioning System (UPS) • Topographical anatomy • Cadaveric training • Ultrasound guidance • Training with live models
Train personally with the creator — only in Moscow
Results comparable to surgery
Aesthetic medicine
does not begin with a procedure
It begins with an accurate patient assessment.
Because technical skill alone is not enough. A doctor must understand:
What has changed in the patient’s face
Where tissue displacement has occurred
01
02
How pronounced the changes are
03
The direction in which the tissues have moved

04
Which anatomical structures require support
The safe anatomical plane for implant placement
05
06
Which vector will achieve natural tissue repositioning
07
Where the fixation point should be located
08
When the procedure is indicated
09
When a different treatment should be selected
10
When an aesthetic intervention should not be performed
11
During the programme, you do not simply learn a standardised pattern. You develop a structured process of clinical reasoning:
Why should two patients with similar concerns not receive the same treatment plan?

Why does one vector genuinely reposition tissue while another creates only superficial tension?
Why does a technically correct implant placement not always produce an aesthetically correct result?
  1. ASSESS
2. CLASSIFY
3. PLAN
4. POSITION
5. PERFORM
6. REASSESS
Over five years, Dr Hotaki developed far more than a new lifting technique
Not a single procedure,
but a complete proprietary system
Each component was developed not in isolation, but as part of one integrated sequence.
This is not an adaptation of a conventional thread-lifting protocol, nor does it rely on a pre-existing universal marking system.
It is an independent, proprietary clinical system in which patient assessment, the direction of tissue repositioning, anatomy, instrument design and procedural technique function as one.
He created a comprehensive clinical system integrating:
the Standardised Aesthetic Patient Assessment (SAPA);
the Standardised Aesthetic Facial Assessment (SAFA);

the Universal Positioning System (UPS);
proprietary methods of permanent non-surgical lifting;
a soft, flexible, non-absorbable implant;
a specially invented proprietary needle;
anatomically informed principles of implant placement;
patient-selection protocols;
a system for planning and constructing vectors;
clinical photography and documentation;
post-procedure monitoring;
clinical outcome assessment.
Six training
directions
Each direction is delivered as an independent five-day educational module.
01
02
03
04
05
PERMANENT FACE LIFT

Correction of midface and lower-face ptosis, soft-tissue displacement, jowls and loss of facial definition. Training includes individualised assessment, vector planning, identification of fixation points and creation of an internal tissue-support system.
PERMANENT NECK LIFTING
Assessment of the soft tissues of the neck, identification of the nature of the changes, selection of the corrective direction and creation of an individualised support system.
PERMANENT BROW LIFTING
Correction of brow position, particularly the lateral brow, opening of the periorbital region and creation of a cat-eye or fox-eye effect when clinically indicated.
NON-SURGICAL ALARPLASTY
Correction of the position of the nasal alae without surgical skin excision, external incisions or visible sutures.
NON-SURGICAL GLUTEOPLASTY

Mechanical repositioning and support of the soft tissues of the gluteal region without fillers or fat transfer.
There are contraindications. Consultation with a specialist is required. Results vary individually and are not guaranteed.
Doctors may complete one selected direction or progress through all six modules.

06
PERMANENT UPPER-LIP LIFTING
Repositioning of the upper lip without surgical skin excision or the creation of an external scar.
Punctures up to 5 mm
Local anesthesia only
No skin incision
Target layer control

Six training areas — expand your practice and gain a distinctive competitive advantage

New procedures — grow revenue from your existing patient base

Potential for a return many times greater than the cost of training

Proprietary lifting — results comparable to surgery

Clinical results vary. Return on investment depends on patient volume and practice economics.

The exact day-by-day schedule is confirmed once a cohort is formed and may vary by treatment area
Five days,
that transform clinical thinking
DAY 1
ASSESSMENT AND PLANNING
The first day establishes the foundation for all subsequent training
• the history and development of the method;
• the structure and properties of the implant;
• the design of the proprietary needle;
• introduction to SAPA and SAFA;
• standardised patient assessment;
• diagnosis of ptosis;
• evaluation of tissue displacement;
• classification of asymmetry;
• the UPS system;
• construction of individualised vectors;
• identification of fixation points;
• indications and limitations;
• patient selection;
• principles of local anaesthesia;
• principles of preparing a tumescent solution;
• clinical photography protocols;
• informed consent;
• standardised clinical documentation.
The programme includes:

DAY 2
TOPOGRAPHICAL ANATOMY AND CADAVERIC DISSECTION
Training is delivered with the involvement of experts and professors of anatomy
The objective of Day 2 is to teach doctors to see beyond the surface and understand the structures through which, or close to which, the instrument passes.
• layered anatomy of the face or selected treatment area;
• fasciae;
• retaining ligaments;
• fat compartments;
• anatomical spaces;
• arteries;
• veins;
• nerves;
• high-risk anatomical zones;
• the temporal region;
• fixation points;
• anatomical justification of the implant trajectory;
• cadaveric dissection.
The programme includes:
DAY 3
AUTHOR-LED DEMONSTRATION AND ULTRASOUND GUIDANCE
Dr Hotaki demonstrates the proprietary technique on cadaveric material
Ultrasound enables participants to connect theoretical anatomy and cadaveric dissection with the actual position of the implant.
• the actual anatomical plane of the implant;
• its relationship to surrounding structures;
• the correct placement trajectory;
• changes in depth across different anatomical regions;
• potential technical deviations;
• criteria for safe performance of the procedure.
Using ultrasound visualisation, participants observe:
DAY 4
SUPERVISED PRACTICAL TRAINING
The implant plane and trajectory are subsequently verified using ultrasound.

Errors are not simply corrected. Their causes and potential clinical consequences are analysed in detail.
Each participant performs the principal stages of the method on cadaveric material under direct supervision
• handling the proprietary needle;
• selecting the entry point;
• controlling the direction of movement;
• following the planned trajectory;
• reaching the required anatomical plane;
• creating the tissue-support system;
• working with fixation points;
• following the safety algorithm.
Doctors practise:
DAY 5
CLINICAL DEMONSTRATION ON LIVE MODELS
The final day takes place in a licensed clinic
• medical history-taking;
• patient assessment using SAFA;
• identification of indications and limitations;
• standardised clinical photography;
• construction of the UPS markings;
• vector selection;
• identification of fixation points;
• patient preparation;
• performance of the procedure by Dr Hotaki;
• explanation of each clinical decision;
• post-procedure management;
• patient aftercare instructions;
• outcome assessment and documentation.
It brings together every component of the programme:
The five-day programme creates one integrated pathway
from the initial patient assessment to safe performance and subsequent monitoring

ABOUT THE AUTHOR DR HOTAKI

An accredited aesthetic doctor, Member of the Royal College of General Practitioners and creator of an integrated system of permanent non-surgical lifting for the face and body.

Dr Hotaki is:

  • the creator of the Standardised Aesthetic Patient Assessment (SAPA);
  • the creator of the Standardised Aesthetic Facial Assessment (SAFA);
  • the developer of the Universal Positioning System (UPS);
  • the author of six directions of permanent non-surgical lifting;
  • the inventor of a specialised needle for performing his proprietary methods;
  • the author of a professional book on aesthetic medicine;
  • one of the first specialists to develop the concepts of reverse and three-dimensional thread lifting;
  • a practising doctor with more than ten years of experience in aesthetic medicine;
  • a specialist who has performed more than 500 procedures using his proprietary method;
  • an educator of doctors from different countries.

Dr Hotaki’s professional background includes work within British medicine in emergency medicine, cardiology, endocrinology, rheumatology and geriatric medicine, followed by many years of practice in aesthetic medicine and the treatment of patients on Harley Street in London.

Dr Hotaki’s proprietary permanent non-surgical lifting methods and specially designed needle are currently undergoing the patenting process.

Dr Hotaki

“I did not create one isolated procedure. I created an interconnected system: SAFA helps the doctor identify and classify the problem, UPS provides an individualised plan, and the proprietary method and purpose-designed needle enable that plan to be implemented precisely in clinical practice.”

Harley Street Practice Experience
Royal College of General Practitioners
Accredited in Russia
Author of a Book for Physicians
500+ Procedures Performed

WHO IS THE PROGRAMME FOR?

The programme is not intended for practitioners seeking a short masterclass without fundamental training, anatomical practice or personal responsibility for patient care.

The programme is designed for aesthetic doctors and plastic surgeons who wish to:
  • progress beyond standardised thread-lifting patterns;
  • work with pronounced ptosis and tissue displacement;
  • develop a deeper understanding of topographical anatomy;
  • learn to justify every vector;
  • standardise patient assessment;
  • improve the quality of clinical documentation;
  • increase the reproducibility of outcomes;
  • identify unsuitable patients correctly;
  • understand the causes of technical errors;
  • expand the range of non-surgical procedures they offer;
  • establish an expert clinical practice;
  • become part of a professional community.

WHAT YOU  WILL GAIN

After completing the selected module, you will have not only a new technique, but an integrated system of clinical practice.

The programme provides you with:
  • a structured consultation algorithm;
  • the SAFA assessment system;
  • a standardised patient chart;
  • principles of clinical coding;
  • the UPS marking algorithm;
  • a system for vector selection;
  • an understanding of anatomically justified planes;
  • knowledge of fixation points;
  • experience working with cadaveric material;
  • experience using the proprietary needle;
  • an understanding of ultrasound anatomy;
  • a patient-selection algorithm;
  • analysis of indications and limitations;
  • an understanding of potential complications;
  • principles for preventing technical errors;
  • a clinical photography protocol;
  • a clinical documentation system;
  • a post-procedure monitoring algorithm;
  • educational materials for future clinical practice;
  • access to a private professional community of graduates;
  • the educational documents provided under the programme.
The principal outcome is the ability to assess a patient independently, justify the treatment plan and understand the reasoning behind every stage of the procedure.

TRAINING DOES NOT END AFTER DAY FIVE

A private professional community for graduates

Following successful completion of the programme, doctors receive access to a private professional group for graduates.

01
Day 1
02
Day 2
03
Day 3
04
Day 4
05
Day 5
A private professional
community for graduates
support • experience exchange • growth
This is a space for continuing professional development where participants can:
  • present their own clinical cases;
  • discuss complex and unusual cases;
  • analyse outcomes and recovery;
  • review patient assessments using SAFA;
  • discuss UPS markings;
  • evaluate vector selection;
  • identify potential technical errors;
  • discuss the prevention and management of complications;
  • exchange professional experience;
  • receive information about updates to the method;
  • learn about new educational protocols.

Graduates will be able to receive professional guidance and educational support from Dr Hotaki within the professional community.

This is particularly valuable during the first months of independent practice, when newly acquired knowledge is being converted into consistent clinical competence.

You receive more than training. You become part of a private professional community in which complex cases do not remain undiscussed.

THE PRINCIPAL OUTCOME OF THE PROGRAMME

After completing the programme, the doctor should be able to answer seven questions:
01
What exactly has changed in the patient’s face or body?
02
Where is the principal problem located?
03
How pronounced are the changes?
04
In which direction have the tissues moved?
05
Which corrective approach is anatomically and aesthetically justified?
06
How can it be performed safely?
07
How should the result be documented and reassessed?

If the doctor cannot justify the decision, the technique remains merely a sequence of movements.

We teach the clinical reasoning behind every movement.

12

WHY DOCTORS CHOOSE THIS PROGRAMME

01

Not a one-day demonstration, but five consecutive stages of professional development.

02

Not a large audience, but no more than four doctors per group.

03

Not automatic admission, but a strict professional selection process.

04

Not one universal pattern for every patient, but an individualised assessment.

05

Not a preselected procedure, but the treatment-independent SAFA system.

06

Not subjective markings, but the proprietary UPS positioning system.

07

Not a standard instrument, but a specially invented proprietary needle.

08

Not anatomy taught only through slides, but cadaveric dissection.

09

Not an assumed implant plane, but ultrasound visualisation.

10

Not passive observation, but supervised practical training.

11

Not the end of contact after the course, but a private professional community.

12

Not the mechanical imitation of movements, but an understanding of anatomy, risk and clinical decision-making.

Frequently asked questions:

The difference lies in the material, retention mechanism, and lifespan. Absorbable threads biodegrade over 6–18 months and hold tissue using barbs, which additionally traumatise it during placement. This method uses a smooth, non-absorbable implant made of surgical suture material that forms a supporting framework, distributing the load along its entire length.
Terms are discussed during a personal consultation after the application is reviewed. In terms of investment, it is comparable to purchasing a device for a clinic rather than a course on a single technique.
Each area has its own anatomy, repositioning vectors, and target anatomical layer. Therefore, each direction is covered in full: anatomy with professors, ultrasound guidance, practice on biomaterial, and observation on live models.
The implant is not placed within the muscle; its target plane lies within the superficial soft-tissue complex. If body weight decreases by more than 10%, the visibility of the result may diminish; in this case, an additional support is placed.
Publications on the method are being prepared. The evidence base is Dr. Hotaki’s clinical series: more than 500 procedures with no recorded cases of infection, implant migration, or implant removal.
No more than four.

This format is necessary to allow personal supervision of every participant and detailed discussion of clinical and technical questions.
No. Candidates undergo a professional selection process before admission.

We assess medical education, qualifications, clinical experience, anatomical knowledge, professional motivation and readiness to follow safety protocols.
Complication management is covered separately; the doctor receives a written protocol of actions, patient selection criteria, and stop signals. After training, questions are discussed in the alumni chat.
Four doctors per cohort ensures a small number of trained specialists per region, and the implant is closed to those who have not completed the training. Terms for territorial exclusivity are discussed individually.
Following successful completion of each direction, the doctor receives a named certificate for the proprietary programme, a diploma and a certificate issued in accordance with the applicable state educational standard, with registration in the relevant state register.
No.

The programme is intentionally divided into five consecutive days: assessment and planning, topographical anatomy, author-led demonstration, supervised cadaveric practice and a clinical day.

Removing any of these stages would reduce the completeness of the training.
The implant is manufactured at a Russian factory with a registration certificate and license. The full document package is provided to the candidate when the application is reviewed, before the deposit is made.
The candidate is placed on the waiting list for the next cohort or receives feedback on what practical experience needs to be gained before reapplying.
Yes. Cadaveric dissection and supervised practical work are mandatory components of the programme.
Yes. Ultrasound visualisation helps participants identify the actual anatomical plane and trajectory of the implant in relation to surrounding structures.
The clinical day includes procedures performed by Dr. Hotaki on carefully selected live models, with a detailed explanation of every stage.

The extent of participant involvement is determined by the structure of the individual module and applicable safety requirements.
Yes. Face, neck, brow, upper lip, alarplasty and gluteoplasty are offered as separate five-day modules.

Read more about face lift training, neck lifting training, brow lifting, upper lip lifting, non-surgical alarplasty and gluteoplasty. Facial assessment is described on the SAFA page.
Yes. Graduates receive access to a private professional community where complex cases, outcomes, markings, technical questions and updates to the method are discussed.
Admission depends on the applicant’s basic medical education, current professional documentation, clinical experience and the outcome of the preliminary selection process.
Your next procedure should not begin with the choice of an implant.
Places are limited: each group includes a maximum of four doctors.
It should begin with understanding the patient. Submit an application to receive:
the complete programme for your chosen direction;
upcoming training dates;
information about joining the graduate community.
a list of the documents awarded;
fees and booking terms;
information about the training venue;
participant requirements;
professional selection criteria;
Do not begin with the procedure. Begin with the patient assessment.
From a preselected procedure to assessment, classification and a clinically justified decision.

Learn the proprietary technology directly from its creator.
Four doctors. Five days. One integrated clinical system.
From standardised patient assessment and cadaveric anatomy to ultrasound guidance, clinical demonstration and continuing professional support after training.
SAFA
→
UPS
→
ANATOMY
→
PROPRIETARY NEEDLE
→
TECHNIQUE
→
OUTCOME
A method developed over five years.
The methods are intended to:
Correct and prevent ptosis;
Preserve the patient’s individuality.
Preserve natural facial expressions;
Reduce the recovery period;
Minimize tissue trauma;
Prevent further tissue descent;
Create stable internal support;
Restore proportions and contours characteristic of a younger face;
Reposition descended soft tissues and prevent further tissue displacement;
Dr Hotaki’s proprietary methods and specially designed needle are currently undergoing the patenting process.
It is a proprietary technology combining diagnosis, anatomy, positioning, a purpose-designed instrument and an individualised procedural technique. This is not a conventional thread-lifting procedure.
The implant does not excise skin and is not intended to create an artificial-looking face. Its purpose is to form a mechanical support system and return displaced tissues to a more aesthetically favourable position.
At the centre of the method is a soft, flexible, non-absorbable, barb-free polypropylene implant and a specially invented proprietary needle designed to enable controlled implant placement.
Dr Hotaki’s proprietary methods were created to provide mechanical repositioning and long-term support of soft tissues without surgical skin excision.
Four Proprietary Components

FOUR PROPRIETARY COMPONENTS
WITHIN ONE PROGRAMME

01
SAFA
02
UPS
03
Proprietary Technique
04
Proprietary Needle
01

Standardised Aesthetic Facial Assessment (SAFA)

A comprehensive system integrating all principal aspects of aesthetic facial assessment

Dr Hotaki created the Standardised Aesthetic Patient Assessment (SAPA), which was subsequently developed into the Standardised Aesthetic Facial Assessment (SAFA).

SAFA was designed as a standardised, structured and procedure-independent system for patient assessment in aesthetic medicine.

Unlike many existing aesthetic assessment scales that evaluate only a specific area, a single ageing sign or the result of one procedure, SAFA integrates multiple clinical components into one unified assessment protocol.

SAFA integrates into one clinical protocol:

Skin condition and quality
Volume deficiency or excess
Volume distribution
Soft tissue position
Direction and degree of displacement
Degree of ptosis
Soft tissue asymmetry
Skeletal asymmetry
Dynamic asymmetry
Combined asymmetry
Facial contours
Muscular component
Skeletal support
Area and side of the changes
Nature of identified abnormalities
Correction priorities
Possible treatment options
Clinically justified decision not to perform a procedure

SAFA creates a unified clinical language for examination, classification, documentation and reassessment of the patient.

The system helps the doctor consistently answer:

What has changed?
Where did the change occur?
How significant is the change?
In which direction have the tissues shifted?
What approach is clinically justified?

SAFA teaches doctors to first identify and describe the clinical problem and only afterwards select the appropriate method of correction.

It represents a transition from procedure-oriented aesthetic medicine towards patient-assessment-based aesthetic medicine.

Do not start with a procedure.
Start with patient assessment.
02

Universal Positioning System (UPS)

A proprietary positioning system developed specifically for Dr Hotaki's techniques

UPS is not a borrowed or universal thread-marking scheme.

Dr Hotaki developed UPS specifically for his own methods of permanent non-surgical lifting.

The system connects SAFA assessment results with a specific technical procedure plan.

UPS helps the doctor:

Determine the initial position of tissues
Identify standardised anatomical landmarks
Define the direction of tissue displacement
Choose a clinically justified vector of movement
Determine working lines
Calculate fixation points
Adapt markings to individual anatomy
Account for differences between the right and left sides
Document the selected strategy
Compare planned and achieved results
Marking stops being a subjective drawing "by eye".
It becomes a clinically justified map of the procedure.
SAFA determines what requires correction.
UPS shows the direction in which tissues should be moved.
The proprietary technique defines how this movement is achieved.
03

Proprietary Permanent Lift Technique

A proprietary method developed as part of the complete clinical system

During the programme, doctors study the complete logic behind the proprietary permanent lifting technique.

The doctor learns:

Implant properties and characteristics
Patient selection principles
Indications and limitations
Anatomical levels of placement
Position of fixation points
Construction of individual vectors
Specific characteristics of each anatomical zone
The sequence of performing the procedure
Prevention of technical errors
Possible complications
Post-procedure management
Evaluation and documentation of results
The goal of the programme is not to mechanically repeat the movements of the teacher.

The doctor must understand the logic behind every stage:

Why a specific vector was selected
Why the implant passes at a particular anatomical level
Which structures are located near the trajectory
How implant positioning affects the final result
Which signs indicate a technical error
When it is necessary to stop and reassess the plan
If a doctor cannot justify a decision, the technique remains only a set of movements.
04

Specially Designed Proprietary Needle

An instrument developed simultaneously with the technique

To perform the proprietary techniques, Dr Hotaki developed a specially designed needle.

Its construction was created considering:

Properties of the implant used
Required anatomical level
Specific characteristics of soft tissue passage
Ability to control the direction of movement
Precision of exit at the planned point
Reduction of excessive tissue trauma
Technical requirements of each proprietary method

This is not a standard needle that was later adapted for a new technique.

First, the clinical challenge was defined.
Then the method, positioning system and instrument were created specifically to solve it.

The proprietary needle allows the doctor to:

Follow the planned trajectory precisely
Maintain control during tissue passage
Respect anatomical structures
Perform predictable fixation
Reproduce the planned vector strategy
Improve procedural consistency

The instrument is an integral part of the complete proprietary system together with assessment, positioning and technique.

Four components.
One integrated clinical system.

A complete methodology built around clinical thinking

The programme combines structured assessment, precise positioning, proprietary techniques and specially designed instruments into one unified approach.

Doctors learn not only how to perform a procedure, but how to analyse the patient, build a treatment strategy and make clinically justified decisions.

Assessment before intervention
Anatomy-based planning
Controlled tissue movement
Predictable methodology
Continuous clinical development
A maximum of four doctors per group.
Four doctors. Five days. Maximum focus on the development of every participant.
This is not high-volume training or a demonstration masterclass for a large audience.
No participant remains merely an observer

Each training group is limited to a maximum of four doctors. This small-group format allows Dr Hotaki to personally oversee the development of every participant:
answer individual questions.
examine complex clinical situations in detail;
confirm understanding of anatomical planes;
identify and analyse technical errors;
evaluate handling of the proprietary needle;
supervise work on cadaveric material;
review vector selection;
refine patient analysis;
assess clinical reasoning;
Strict professional selection.
We assess:
medical education;
professional motivation.
readiness to maintain standardised clinical documentation;
readiness to follow safety requirements;
experience with injectable or thread-based procedures;
knowledge of anatomy;
experience in aesthetic medicine;
clinical experience;
current professional documentation;
professional qualifications;
Places are limited to preserve the quality and safety of the training — not to create artificial scarcity.
A preliminary interview with Dr Hotaki may also be required.
All candidates therefore undergo a preliminary selection process before admission.
Admission to the programme is not automatic. These proprietary methods require a detailed understanding of anatomy, a responsible approach to patient safety and a commitment to following clinical protocols.
The purpose of selection is to form a small group of doctors who are prepared not merely to observe the technique, but to learn the complete proprietary clinical system.
Documentation awarded on completion.
Following successful completion of training, the doctor may offer the relevant procedure to patients, provided that they hold the necessary professional qualifications and comply with the regulatory requirements of the country in which they practise.
These documents confirm that the doctor has completed the theoretical, anatomical and practical stages of the programme and has learned the proprietary protocol for the selected direction.
Following successful completion of each individual direction, the doctor receives:
A named certificate confirming completion of training in Dr Hotaki’s proprietary method;
A diploma confirming completion of the relevant educational programme;
A certificate issued in accordance with the applicable state educational standard;
Registration of the awarded document in the relevant state register.
Completion is determined not simply by attendance, but by demonstrated achievement of the programme’s requirements.
Clinic address
115114 Moscow, Derbenevskaya Embankment 11,
BC POLLARS
Contacts
Training for cosmetic doctors in a patent-pending permanent lifting technique
Specialized modules, anatomy with professors, ultrasound guidance, and only four places per cohort
© 2026. All rights reserved
For medical professionals only. Contraindications apply.
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