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New Procedure Treats Severe Migraines without Endoscope

woman headache

Study at Massachusetts General finds migraine symptoms eliminated in more than half of sufferers

A new version of an existing surgical procedure used to treat severe chronic migraines offers some degree of relief in more than 90% of patients who underwent the procedure at Massachusetts General Hospital.  Doctors at the hospital’s division of Plastic and Reconstructive Surgery found that more than half of the 35 patients who are treated with the non-endoscopic version of the procedure to treat migraine headaches caused by compression of craniofacial nerves were completely free of their migraine symptoms a full year after the procedure. The study can be found in the Journal Plastic and Reconstructive Surgery.

William G. (Jay) Austen, Jr., MD, chief of Plastic and Reconstructive Surgery at MGH, who led the study, said that his team found the surgery using the same incisions used in cosmetic procedures were highly effective for treating many cases of severe migraine. Formerly, this procedure involves using an endoscope, which often made it impractical as some surgeons lack access to the equipment or are inexperienced with the equipment. The team hopes the non-endoscopic version will lead to wider availability of the treatment.

Dr. Bahman Guyuron, MD, a plastic surgeon in Cleveland, found that many patients with migraines who underwent cosmetic procedures involving the forehead experienced relief of their migraine symptoms. A number of studies by him and other researchers support the idea that compression certain terms can be an important factor in migraine symptoms for some patients. That some patients experience temporary relief after injections of botulinum toxin (Botox), which tends to release pressure and overactive muscles, offers additional support.

While the original version this procedure involved use of an endoscope to remove certain muscles, the Massachusetts team has focused on developing alternative methods for accessing specific areas of nerve pressure using the same types of incisions frequently used in cosmetic procedures.

Participants in the study all experienced chronic migraines confirmed by a thorough neurological exam and had not been able to get relief from more conventional therapies. All participants had experienced temporary symptom relief from Botox or nerve blocks. Trigger point specific to the patient’s were identified based on each individual symptoms and histories. The procedure was used to release the specific sites from muscles, connective tissue, bony structures, and blood vessels.

For the study, researchers looked at 35 patients who underwent 43 total procedures. Of the 43 procedures, 90.1% provided relief of symptoms defined as at least 50% improvement in frequency, duration, and severity. And 51.3% of the procedures patients experienced complete elimination of their symptoms, 28.2% of patients experienced at least 80% improvement, while the remaining 20.5% experienced between 50 and 80% improvement.

Austen points out that patient selection is crucial. Patients should undergo a thorough neurological evaluation prior to having the surgery. The procedure is still relatively new and studies are underway to develop better ways of determining which patients are good candidates for the procedure. The researchers are hoping to establish stronger evidence that the procedure will be successful when performed by other surgeons at other centers. It is too early to call this procedure a migraine cure, but the results do suggest that it can improve the quality of life for many patients.

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Dermal Fillers & Botox Training Review

Botox and How it Works

doctor botoxBotulinum toxin, more commonly known as Botox, is a neurotoxin created by the Clostridium botulinum bacteria.  Botox is used to treat some types of muscle-related conditions and to remove wrinkles by temporarily paralyzing the tiny muscles in the face.  While Botox is the most well-known form of botulinum toxin type A, it is also available under the names Dysport and Bocouture.  A second type of botulinum toxin, type B, is available under the name Myobloc.

Some important points about Botox

Botox is used more than 6 million times every year in cosmetic procedures, making it the most popular cosmetic treatment.  It works by paralyzing the small muscles responsible for formation of wrinkles.

Botox can also be used to treat migraines, excessive sweating, some muscle-related  disorders, and some bladder and bowel conditions.

The bacteria that produces botulinum toxin is found in the environment, especially the soil.  Environmentally, it is largely inactive.  However, it can cause botulism, a potentially fatal infection that causes respiratory failure.  A single gram can kill more than a million people, while two kilograms would be sufficient to kill the entire human population.

History of Botox

The bacteria that produces botulinum toxin is found in an inactive state in the soil and in sediment of untreated bodies of water.  It also lives in the intestinal tracts of many mammals, in the gills of fish, and in the organs of many shellfish.  The bacteria and its spores are generally harmless.  They only become a problem when the bacteria cells begin producing the toxin, usually when cell populations increase to a certain point.

Neurotoxins are so named because they target the nervous system and disrupt communication between the neurons.  botulinum toxin is divided into eight different types.  Of those, subtypes A, B, E, and occasionally F are the types that cause botulism in humans, while the others illness in other animals.

Botulinum toxin is thought to be among the most highly poisonous substances known.  It has been estimated that one gram could be lethal to approximately a million people.  Untreated, botulism can cause respiratory failure and can be fatal.

Botulinum toxin is a classic example of the idea that it is the dose that makes a substance poisonous.  Botulinum toxin has been used to treat a variety of muscle-related conditions, including cerebral palsy, as well as migraines and certain bladder and bowel conditions.  However, the most popular use of the toxin is to paralyze the small muscles under the skin of the face to minimize wrinkles.  

Clinical use of botulinum toxin is based on the ability of the toxin to block nerve signals from reaching the targeted muscles so they are unable to contract.

Muscle contraction is caused when nearby nerves release the neurotransmitter acetylcholine.  The acetylcholine binds to receptors on the cells of the muscle, telling it to shorten.  Botulinum toxin prevents the neurons from releasing acetylcholine.

Uses of botulinum toxin

Most people know of Botox as a cosmetic procedure for reducing wrinkles, especially around the eyes, but Botox has been approved for many other uses, including:

  • Eyelid spasms,
  • Muscle spasms in the neck or shoulder, especially when the cause is unclear,
  • Migraines, especially those linked to craniofacial nerve compression,
  • Excessive sweating,
  • Leaky bladder,
  • Crossed eyes,
  • Spastic limbs after a stroke
  • Some cases of urinary incontinence, and
  • Overactive bladder.

Aside from these FDA approved uses, botulinum toxin has also been used off-label for:

  • Difficulty swallowing due to Achalasia (a problem with the esophagus,
  • Anal fissures and dysfunction,
  • Excessive salivation,
  • Nasal allergies,
  • Dysfunction of the Sphincter of Oddi (a band of muscle that controls flow of juices from the liver and pancreas into the intestines)
  • Muscle spasticity associated with cerebral palsy, and
  • Uncontrolled spasms in the jaw, face, tongue, or vocal cords.

Botulinum toxin powder is given in minute doses.  A powder is diluted in saline and injected directly into the target muscles.  In most cases, the toxin begins to work in 24-72 hours, though in rare cases it can take up to 5 days before the full effects are noticed.  Botulinum toxin is not recommended for use in women who are pregnant or breastfeeding, or by anyone who has previously experienced an allergic reaction to botulinum toxin.

Safety and side effects

Treatment with botulinum toxin is usually well-tolerated by most people with few side effects.  In rare cases (about 1%), patients develop antibodies that make further treatments ineffective.  Some patients may experience additional side effects after treatment, including:

  • Discomfort, swelling, redness, or fluid retention near the injection site,
  • Numbness,
  • General feeling of illness,
  • Nausea,
  • Temporary weakness or paralysis of muscles beyond the treated area,
  • Temporary drooping of the upper eyelids,
  • Temporary weakness of the lower eyelid or muscles controlling eye movement,
  • Difficulty swallowing,
  • Weakness in the neck,
  • Flu-like symptoms,
  • Damage to the nerves in the neck,
  • Dysfunction of the gall bladder,
  • Double or blurred vision,
  • Bleeding,
  • Vision problems,
  • Dry mouth,
  • Rash or hives,
  • Fatigue, or
  • Wheezing.

New research is being conducted and new uses for Botox are being discovered all the time.  Following are some recent developments on Botox.

Botulinum toxin offers some relief to migraine sufferers, but does not seem to be quite the miracle cure that some believe, according to researchers from the Medical College in Milwaukee, WI in a study published in the (JAMA) Journal of the American Medical Association.  The researchers noted that Botox was not significantly more effective than a placebo.

Researchers in Australia have discovered a new way to block the toxin’s action, which could lead to the development of new treatments for botulism.  The study is published in the International Journal of Biological Chemistry, August online edition.

The journal JAMA Facial Plastic Surgery recently published a study that found Botox may effectively improve skin elasticity for as long as 4 months.

Botulinum toxin has been steadily increasing in popularity as a minimally invasive cosmetic procedure.  Since 2000, procedures have increased 700%.  In 2013, Botox was administered 6.3 million times for cosmetic procedures alone.

Read about our Botox Training Course.

Botox: Effective at Treating Chronic Migraine

depressedWhile there have as yet been no double-blind, placebo-controlled studies proving the effectiveness of Botox as a treatment for severe chronic migraine, Botox may well be one of the best preventive treatments for severe chronic migraine sufferers.  This opinion is based on a number of small controlled trials combined with a large number of anecdotal reports, and extensive clinical observation.

A person with chronic migraines is defined as having headaches at least 15 days out of the month, with actual migraine symptoms at least 8 days a month.  In one clinic, over the course of 13 years, nearly 2,000 patients were treated with Botox, and it is estimated that, of those, 60-70% got relief from Botox.  Many of those had tried multiple other therapies to no avail.

One of these patients was a 76 year old woman who had endured migraines for 60 years.  After dozens of different medications, nerve blocks, and other therapies, she saw a neurologist, who recommended Botox.  After a single treatment, she experienced three months of total relief from her migraines.

One of the most interesting things about Botox is that it is quite safe.  This is probably due to the fact that it is a local injection, rather than a systemic treatment like medication, and that it is used in minute doses.  Botox is used for so many different conditions that it has been used in millions of times in the past 20 years.  Botox is a bit pricy, but studies have shown that it actually reduces healthcare costs in migraine patients, not to mention the costs attributed to time off work and reduced productivity.

Recent reports have raised concerns regarding FDA review of the safety of Botox.  It is important to note that the safety issues were related to two very specific groups of patients.  The first group was children with cerebral palsy who received Botox to treat spasticity.  There is a concern that they could receive too many doses leading to system toxicity.  The second group of concern is patients who were treated with Botox for torticollis, a condition where tightened or spastic neck muscles prevent normal head movement, who developed trouble swallowing.

There was also a case of an unlicensed practitioner who injected himself and three others with a dose 3,000 times higher than normal with commercial grade botulinum toxin.  All victims spent several months on a respirator, but ultimately recovered.  

Though generally safe, Botox is just like any other drug in that it does carry some risk of side effects.  Most side effects are temporary and usually mild.  These include worsening of pain immediately after the injections, bruising, redness, and undesirable cosmetic outcomes (such as mismatched eyebrow height).  Injections in the trapezius muscles can lead to a collapsed lung, and injections in the neck muscles can cause weakness requiring a soft collar temporarily.  Most side effects, especially the more serious ones, are generally avoidable through proper technique.

While it is possible to have an allergic reaction to Botox, severe reactions are extremely rare, probably because the dosage is so minute.  The typical dose for treating headaches is only 5 nanograms, or 5 billionths of a gram.  For those not familiar with the metric system, there are more than 28 billion nanograms in an ounce.

Myobloc, another botulinum toxin product, is available, but with some disadvantages.  It has a very low pH (is quite acidic), so injections are more painful.  It takes effect a little faster, but doesn’t last quite as long as Botox.  The risk of it spreading beyond the treated area is also higher, increasing the risk of muscle weakness near the treated area.  Despite the disadvantages, in those rare instances when a patient develops antibodies to Botox, Myobloc may still be effective.

It is important that Botox only be used in patients who have undergone thorough evaluation.  It is important to rule out factors that may be contributing to headaches, such as too much caffeine, too little magnesium, or hypothyroidism, as eliminating contributing factors may be sufficient to offer relief.  Then, triptans or other therapies, including medication, exercise, nutrition, and supplements should be tried.  Anticonvulsant medication or a β-blocker may also be considered prior to Botox.

Botox has not been approved for use in women who are pregnant or breastfeeding, but is appears to be safer than many other migraine medications, many of which are also not approved.  Just because it isn’t approved does not mean pregnant women cannot receive Botox.  Many have, and with excellent results.

After so many years of using Botox for so many different conditions, why have there not been more studies to prove the safety and efficacy of Botox?  There are a couple of reasons.  

One of the biggest reasons is the difficulty in conducting double-blind trials of injectable medications because placebos produce a response so frequently.  While there have been a number of small trials that support the efficacy of Botox in treating chronic migraines, large studies have failed to reduce the number of headache free days.  However, when patients using prophylactic medications are eliminated, the difference becomes more significant.  This difference clarifies why it is important to exclude patients on prophylactic medications from migraine trials.

Another trial was poorly designed because the injections were only given in the front of the head.  In that study, patients given 25 units of Botox showed improvement, while those receiving 75 units did not.  It is possible that patients with strictly frontal headaches were more concentrated in the lower dose group than in the higher dose group.

Two other medications, topiramate (Topamax) and gabapentin (Neurontin), have proven moderately effective, but have not received FDA approval for migraine treatment.  

There is some concern that Botox has become a popular treatment due to higher reimbursement rates by insurance companies than some other treatments.  While a valid concern, nerve blocks are also reimbursed at a high rate, without gaining the popularity that Botox has achieved.

Another round of trials in progress will hopefully persuade the FDA of the safety and efficacy of Botox for chronic migraines.  

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Botox Use for Medical Conditions

botox injectionMillions of people are using Botox to get rid of wrinkles and fine lines. Common names for botox include Dysport, Xeomin, Vistabel, and Myobloc. The demand for botox injections increased by 700 percent over the past 15 years, while reconstructive surgeries increased by only two percent. The world’s most popular cosmetic treatment works by temporarily paralyzing muscles. Its benefits go beyond a younger looking skin.

Botox Isn’t Just Skin Deep

Botox has the ability to improve skin appearance, reduce fine lines, and treat medical conditions like hyperhidrosis, incontinence, migraines, difficulty swallowing, and muscular disorders. The results can be life changing. Many people have successfully used botox to treat excessive sweating in their hands, underarms, and feet. Some have struggled with this problem their entire lives before discovering botox.

A good example is JoAnn Kemist who receives botox injections in her hands every three months. JoAnn has been suffering from hyperhidrosis since her teenage years. Now she is able to control this problem and lead a normal life without having to worry about sweat stains and odor. Her treatment costs almost $10,000 a year, but it’s worth the price. Botox injections block the signals sent to the sweat glands, which helps stop sweating.

Botox Could Change Your Life

Beyond cosmetic applications, botox helps is treating over 20 health conditions, such as:

• Hemifacial spasms
• Overactive bladder
• Urinary incontinence
• Chronic migraines
• Blepharospasm
• Post-stroke upper limb spasticity
• Strabismus
• Shoulder and neck muscle spasms

Many physicians also recommend botox for allergic rhinitis, laryngeal dystonia, cerebral palsy, hypersalivation, anal fissures, and achalasia. Researchers are currently testing a new injectable version with longer lasting results. Clinical trials have already been performed in Mexico and Canada. This revolutionary product could save millions of lives, from Parkinson’s patients to stroke patients and people dealing with chronic pain.

Health professionals can see our Botox Training Program here.

How Botox Can Change Your Life

botoxMore than 11 million people receive Botox injections every year. This popular treatment is performed by physicians, dermatologists, dentists, and even nurses. Even though botox is used mostly for cosmetic purposes, it has the ability to treat a wide range of disorders, from migraines and excessive sweating to strabismus. For many patients, it’s a life changing treatment that restores their confidence.

What Is Botox Used for?

This medical and cosmetic treatment is made with Botulinum toxin, a poisonous substance that paraluzes the muscles. Despite its high toxicity, this substance has proven to be a valuable therapeutic aid when used in small doses. Botulinum toxin can help in treating uncontrollable blinking, crossed eyes, cerebral palsy, multiple sclerosis, stroke, overactive bladder, cervical dystonia, severe sweating, chronic migraines, and allergic rhinitis.

Besides its cosmetic uses, Botox is a valuable treatment for hyperhidrosis. This medical condition causes excessive sweating, affecting people of all ages. Botox injections can temporarily block the signals from the nerves stimulating the sweat glands. Most times, botulinum toxin is injected in the armpits. However, it can also be used on other areas of the body, such as the feet or palms of the hands.

https://youtu.be/9RGDfUa7USs

Gain Control over Your Life

This treatment helped millions of people get rid of chronic migraines, repetitive neck spasms and other debilitating conditions. When injected into the forehead, botox helps relieve tension headaches while smoothing out frown lines. Botulinum toxin can also be injected into the masseter muscles for treating bruxism, a disorder that causes excessive clenching and grinding of teeth.

Many adults, especially women, request botox injections for overactive bladder, which affects over 20 percent of people. This treatment is also used on patients with abnormal spasms of the eyelids, abnormal head position and neck pain, increased muscle stiffness, and tennis elbow. Botulinum toxin seems to justify its title as “the poison that heals,” offering relief for a variety of medical conditions that are unresponsive to standard treatment.

Interested in offering Botox to your patients? Check out our Botox Training Program.

Change Your Life for the Better with Botox

applying botoxWith more people taking steps to look younger, botox is growing in popularity. This product is made from a purified neurotoxin called Botulinum Toxin Type A. Commonly referred to as “the poison that heals,” botulinum toxin is actually the deadliest substance known to man. In large doses, it can cause botulism, a life-threatening disease. When used in extremely small doses, botox relieves migraines, severe sweating, upper limb spasticity, pain from missing limbs, and muscle spasms.

How Poison Can Heal You

Botox injections have been used since the early 1970s. Most people receive botox treatment for crow’s feet lines, glabellar lines, and wrinkles. However, botulinum toxin products can be also used for a variety of medical disorders, such as:

  • Hyperhidrosis
  • Frey’s syndrome
  • Hemifacial spasms
  • Chronic migraines
  • Urinary incontinence
  • Bladder dysfunction
  • Tennis elbow pain
  • Cervical dystonia
  • Strabismus
  • Blepharospasm
  • Multiple sclerosis
  • Anal fissures
  • Pelvic muscle spasms
  • Difficulty swallowing
  • Hair loss

Medical professionals often recommend botox to patients with movement disorders, mental conditions, and chronic migraines. Botulinum toxin has been shown to be effective in treating headaches and leg stiffness in stroke patients. This product works by blocking chemical nerve signals to certain glands or muscles, limiting their activity.

New Uses for Botox

Every year, researchers are finding new uses for botox. This miracle cure does much more than removing wrinkles. The latest studies indicate that botulinum toxin could become a standard treatment for depression in the future. Currently, it’s being used for treating over 20 different medical conditions, from focal neuropathies to eye disorders and cerebral palsy.

When administrated by a knowledgeable professional, botox can be a valuable cure. Its effects last up to four months and can improve your quality of life. This product is a favorite choice for millions of patients who can not tolerate or don’t respond to other medications.

Health professionals interested in offering Botox, see our Botox Training Program.

How Can Dermal Filler Help Your Patients?

As a dental professional, you already work on people’s mouths and their heads and necks in general. But getting proper training to administer dermal fillers can allow you to perform cosmetic procedures on the face so you can keep more than just your patients’ teeth looking youthful and healthy.

A dermal filler is simply a material that is injected beneath the skin to fill out a wrinkled or hollow area, like around the marionette lines, oral commissures or nasolabial folds. It can also be used for lip augmentation and many other kinds of procedures.

And today, patients are increasingly turning to dentists and other healthcare professionals they’re visiting anyway to handle their cosmetic procedures like Botox and dermal fillers.

Many of today’s dentists are becoming right at home with handling cosmetic procedures as an extension of the services they’ve been doing to improve appearances — and therefore lives — for years. With the right training and a little experience, performing injectable cosmetic procedures can be a great way to help patients while enhancing the bottom line of any dental practice.

While some medical professionals may actually be a bit squeamish about performing procedures on the face, that’s nothing new for dentists and other dental professionals who make working on the face and head their life’s work.

There are many different kinds of fillers on the market, and there’s a good chance that many of your patients are already having dermal filler injections elsewhere and are familiar with many of the big brand names in the industry. Give them a new place to turn for these helpful procedures when you start offering cosmetic dermal fillers in your office — and add value to your practice. Doing so is an intelligent decision that will serve and your clients well for decades to come.

And what’s better than increasing your value in the eyes of your clients?

Sign up for Dr. Katz’s online dermal fillers course here.

Take A Shot At Greater Happiness With Therapeutic Botox Injections

womans depressionIt makes sense if you think about it: If a quick bit of lipstick can make you feel better, imagine how much better you’d feel if your facial muscles actually presented a positive and happy attitude. Beauty products like lipstick can’t help you beat serious depression, but Botox to get rid of frown lines might. And there’s research to back that up.

Have you been struggling with clinic depression for a while? Some people struggle with it for years. And they’ve notified their faces about how bad they feel. In some cases, the medications usually used to treat the condition don’t do any good — or don’t do enough good. Imagine feeling better by getting Botox injections that will make your face look better. You could start feeling better sooner than you ever thought possible.

A recent study has built upon a past study into the matter of whether eliminating the ability to frown can actually make you feel better. And the results are promising.

In the most recent study, 74 people in total participated, all sufferers from major depression. Half of them were given Botox on the frown muscles located between their eyebrows and the other half were given only a saline solution that had no physical effect on them. When tested six weeks later, 52 percent of those injected with real Botox showed that they felt better while just 15 percent of patients who received the placebo saline solution saw any improvement. Of those who improved, their rating on a sophisticated depression rating scale went down almost 50 percent.

About half of participants were able to figure out whether they had received the real shot or not, yet this discovery didn’t change or taint the results in any way. Apparently, the study found, if you can’t physically frown, you’re less likely to feel down in the dumps.

Really, the idea that a smile or frown can influence your emotions isn’t new at all. Eric Finzi wrote about the subject and researched it several years ago. In 2013, he wrote a book called The Face of Emotion that explains how Botox injections impact emotion, mood and relationships.

And the idea goes back well before Finzi’s research. In the 1870s, Charles Darwin formed a theory that facial expressions don’t just show the world how we’re feeling but actually create or change mood.

There is even evidence that people who have a rare neurological issue called Moebius syndrome don’t have much capacity for sadness or happiness. Why? Because the condition makes it impossible for them to move certain facial muscles and show the emotions.

Some, of course, aren’t convinced, as is always the way. Depression is an extremely complex disease, they argue, and those with serious depression certainly shouldn’t toss away their medications or stop other therapies to try Botox for depression. But what does it hurt to have another tool in the arsenal of choices for treating this illusive and hard-to-treat condition?

In fact, lots of people apparently feel better after Botox, according to anecdotal evidence from doctors, dentists and others who administer it. Whether you have depression or not, you might feel a positive impact.

But this much is certain: nearly 15 million people in the United States have depression, and nothing since the advent of Prozac has shown so much promise with so little cost or effort. It could very realistically be a lifesaver.

It’s a real shame that no one thought to study this idea sooner. And it all comes from a little vial that’s been used safely and successfully for decades. Who would have imagined it?

Health professionals, is your interest piqued? Call (858) 550-9533 to inquire about our Botox training program

What are the Benefits of Botox Training for Nurses?

Fe,ale NurseAre you interested in adding new services to your business? Do you want more patients and higher profits? If so, consider taking botox courses. Nurses are very well suited to this field because they already possess the skills needed for giving botox injections. Since not all courses are created equal, it’s important to choose one that offers the best value for money. The botox training course designed by Dr. Howard Katz is based on the latest FDA approved botulinum toxins and takes place online. Students have 24/7 access to training materials and recorded classes, and receive a certificate of completion and education credits.

Join the Only Hands-on Online Botox Training Course

Botox training courses are more popular than ever. Every year, over five million botox treatments are performed in the United States alone. More and more people are using botulinum toxin to get rid of wrinkles, migraines, and hyperhidrosis. By offering this service, nurses can grow their patient base and meet the increasing demand for botox injections.

Dentox is the only hands-on botox training course. This easy to use, interactive learning system allows you to study from the comfort of your home. Students can attend online seminars and chat with their instructors in real time. All they have to do is to sign up for the course, watch the class live on their computers or tablets, and request their diploma upon completion.

Dr. Howard Katz, the course director, has over 35 years of experience as a private practice and international educator in aesthetics. He has also co-created the only FDA-approved human injectible of 2008-2009. After completing the course, students receive a physical certificate from Dr. Katz. He will answer your questions about botox and share his experience online and offline.

Why Take Botox Training Courses?

Botox training courses are designed for nurses who are eager to learn how to use botox for cosmetic and therapeutic purposes. By studying online, they can save thousands of dollars in travel expenses. The registration fee includes a free staff member’s attendance. Students receive individual guidance on botox and dermal fillers, Myoblock injections, and Dysport treatments. They also learn how to promote their services and increase patient loyalty.

By offering botox injections, you’ll supplement your income and build a profitable business. This treatment provides quick and effective relief from headaches, deep wrinkles, frown lines, and tensed facial muscles. Once you sign up for botox training courses, you’ll watch online videos that will give you the skills and knowledge needed to get started.

Most botox treatments take 15 to 40 minutes to perform, which means that you can see at least one patient per hour. This translates into higher profits and patient loyalty. By taking botox training courses, you’ll learn how to sell your services with minimal upfront costs and keep your patients coming back for more. Nurses receive continued education credit, which gives them a competitive edge on the job market. Botox training courses can change your life for the better and help you build a rewarding career.

Are you a Nurse interested in our Botox Training Course? If so, click here or call (858) 550-9533


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