MD Codes™
MD Codes is a scientific, specialised approach to using dermal treatments to achieve subtle, restorative results. It was brought to Australia by Dr Mauricio de Maio (Key opinion leader and consultant for Allergan, one of the leading organizations for Dermal and Anti-Wrinkle Treatments). The codes are designed to consider each patient’s facial attributes, such as looking tired, sad, saggy, angry, etc.
Each MD Code includes information about the target depth of application, the proper delivery tool, and the delivery technique used to enhance positive facial attributes.
The MD Codes provide the technique for facial reshaping by lifting (#liftit) and volumizing the cheeks and sculpting (#sculptit) the lower face (jawline and chin) to achieve a refreshed look. Tear troughs, lips, and temples can also be approached in a very systematic and precise way, allowing for very consistent and reliable results.
Each patient receives a total face consultation with Dr. Shobhna Singh during which:
- A detailed medical and aesthetic history is taken
- Analysis of the facial thirds is conducted
- A detailed history of the patient’s aesthetic concerns is noted
- A plan for systematic treatment is created
Who Created MD Codes
MD Codes were created by Dr Mauricio De Maio, a leading, globally recognized plastic surgeon from Brazil who specializes in advanced restorative techniques using dermal treatments and anti-wrinkle treatments.
Dr De Maio educates and mentors practitioners worldwide. He regularly trains members of the Allergan Medical Institute (AMI), and the AMI faculty members further provide ongoing training to other doctors and nurses.
What are MD Codes
The MD Codes is a treatment guide of precise sites, represented by letters and numbers. The letters represent the anatomical site, such as ‘Ck’ for cheeks, and the numbers represent the units in the anatomical area. For example, “CK1= zygomatic arch”
Every patient may have a specific sequence, but may not need all the MD codes.
Each patient is assessed and treated individually.
Why The MD Codes
The MD Codes are designed to help patients understand their treatment motivations. When applied by the practitioner, the MD Codes can help a patient understand why and how an improvement in a target area can be achieved.
MD Codes provides a universal symbolic language for reducing variability in application technique. The platform offers user-friendly algorithms to help clinicians increase patient satisfaction by going beyond treating lines and folds and focusing on lowering unfavourable facial attributes.
The MD Codes can also be used for financial planning of aesthetic treatments and follow-up reviews.
What areas do they address
Dermal Treatments are used for facial rejuvenation. There are specific MD Codes for treating all key areas of the face, such as Cheeks, Under Eyes, Brow, Chin, Temple, Lips, and the Jawline. Generally, the midface is approached first if necessary to achieve the best results.
MD Codes for treatment of the midface are known as the foundation codes. With advanced restorative techniques, subtle positive results are achievable.
What Products Are Used
At Nitai, we only use clinically approved premium products that have undergone robust development and rigorous testing to ensure their suitability for aesthetic use. Furthermore, the most appropriate dermal enhancements are selected for each target area based on their intrinsic quality.
For example, a durable, robust dermal enhancement is required to achieve volume in the cheek. Lip enhancement requires products that are silkier and refined. Similarly, under-eye treatment requires products that are malleable.
Why Nitai Clinic
Nitai Medical and Cosmetic Centre offers the widest range of aesthetic consultations and treatments in Melbourne. We constantly adjust our restorative options to offer our clients the most advanced approaches.
Beyond her basic Medical training, Dr. Shobhna Singh has completed numerous training programs specific to our services. She is highly regarded for her work in Aesthetic Treatments and is one of a select group of highly trained Educators in the field. She is on the Advisory Board of Cynosure for Radio Frequency treatments.
More About MD Codes
The MD Codes are a precise guide for applying dermal treatments. The type of enhancement, volume, and location of the application are documented and taught to achieve consistent and reliable results.

The MD Code Ck4 is one of Dr Shobhna’s favourite areas to treat and is often under-treated in most patients. This area sits under the cheekbones and in front of the ear. Fat pads are lost in this area with age, and are more extreme in lean patients.

The lower face consists of the MD Codes™ for chin, jawline, lips, nasolabial fold, and marionette lines. The chin and jawline codes are responsible for the facial shape and, therefore, are the contouring codes.
