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The Canadian Society of Skin Medicine fellowship is a paragon of expertise in the field of cosmetic procedures and skin surgery. Our fellowship designation is an official attestation that the doctor has completed a set of specialized training and successfully demonstrated the highest level of clinical competency of performing sophisticated cosmetic procedures and skin surgery. In addition, our advanced training opportunities are exclusively available to the CSSM fellows including cellular skin transplantation surgery, thread lifting, ultrasound-guided cosmetic injections, and minor cosmetic surgery of the face and neck.

The Canadian Society of Skin Medicine’s Fellowship is awarded to a fully practicing member with active license in his/her practicing jurisdiction who meets the following three eligibility requirements and passes the CSSM Fellowship Qualifying Examinations as described below. Fellowship examination is held at facilities in Vancouver, Canada . Upon meeting all the requirements and passing the examinations, the candidate is credentialed as a Fellow of the Canadian Society of Skin Medicine (FCSSM).  For details of examination dates, necessary application form and fees, please contact the CSSM office.

Fellowship Eligibility Requirements


Completion of Module 1 through 6, Canadian Society of Skin Medicine, Canada

Minimum 150 cases of dermatosurgery. Of those at least 50 cases must have been performed in the last 12 months.

Minimum 1825 patient contact hours in skin diagnosis, treatments, and surgery (including cosmetic services)

Minimum average of 30 patient contact hours weekly in skin diagnosis, treatments, and surgery (including cosmetic services) for the last 3 years

Minimum of 200 cases of neuromodulator injections in the last 12 months

Minimum 100 cases of filler injections in the last 12 months

Diagnostic & Interventional

(ONE of the following programs)

Completion of Diploma in Dermatology, Australian Institute of Dermatology, Australia

Completion of Diploma in Dermatology, National University of Singapore, Singapore

Completion of Diploma in Clinical Dermatology, Barts and The London School of Medicine and Dentistry, UK

Completion of Dermatology Board Certification, Recognizable by National Society of International League of Dermatological Societies.

Fellowship Qualification Examination

90% Passing Grade: Oral, Practical, Written & Cadaver

Oral and practical exam:

  • Submit, present, and defend 10 dermatosurgical cases to our board examiners. The five cases must include random flap, excision, and graft. The other five must include cosmetic injectables and energy-based devices.
  • Assess and plan sophisticated cosmetic treatments for 10 cases provided during the exam.
  • Perform double lobe flap repair of 2 cm diameter circular defect on fresh porcine foot.
  • Perform geometric broken line closure on 1cm by 5cm rectangular defect on fresh porcine foot.
  • Perform A-T flap repair of 1 cm diameter circular defect on fresh porcine foot.

Written exam:

  • 90 multiple choice and short answer questions on: physics (laser, RF, ultrasound, plasma, broad-band light), pruritus, papulosquamous dermatoses, eczematous dermatoses, occupational dermatoses, urticarias, erythemas/purpura, drug eruptions, dermatoses of pregnancy, vesciculobulous disorders, adnexal disorders, rheumatologic disorders, cutaneous manifestation of metabolic/systemic disorders, genodermatoses, pigmentosis, disorders of hair/nails/mucous membranes, infections/infestation/bites, solar/physical/chemical induced skin conditions, disorders of Langerhans cells/macrophages, adermal connective tissue disease, disorders of subcutaneous fat, ulceration, skin neoplasms, psychocutaneous disorders.

Cadaveric exam:

  • Cadaver injection of dye tinted filler via needle and cannula for facial and neck augmentations (nose, forehead, temple, superior palpebral sulcus, tarsus, tear trough, mid-cheek groove, subzygoma, lips, chin, and neck wrinkles). Demonstrate accurate depth selection including deep fat compartments and free spaces. Demonstrate safe injection technique based on anatomical knowledge including blood vessels, retaining ligaments, and compartments.
  • Cadaver injection of dye tinted botulinum toxin via needle to facial and neck muscles and salivary gland (frontalis, corrugator, depressor supercilii, procerus, transverse nasalis, temporalis, O. Oc, O. Or, LLSAN, LSS, LAO, Z. Mj, Z. Mn, DSN, Risorius, Buccinator, Masseter, DAO, DLI, mentalis, platysma, parotid, submandibular gland, sublingual gland) Demonstrate accurate injection technique.
  • Retrobulbar injection of tinted hyaluronidase to cadaver
  • Dissection is performed by the board examiner to grade injection accuracy.