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Varicose Veins: How To Avoid Them And 7 Ways To Treat Them

varicose veins vs healthy veinsVaricose veins can be brought under control in several ways, including with simple lifestyle changes and with medical procedures. The goal of any treatment is to ease symptoms, prevent additional complications and also improve the way the bulging and discolored areas look.

When varicose veins are causing few symptoms, doctors often suggest only lifestyle changes. When symptoms interfere with daily life, a doctor may suggest having one or more medical procedures to ease pain, blood clots or skin disorders that are linked to the vein condition. You may also choose to move forward with a medical procedure for purely aesthetic reasons.

While treatment won’t stop new varicose veins from forming, it can dramatically improve those already present.


Making Lifestyle Changes

A first line of treatment for varicose veins, lifestyle changes can keep vein issues from worsening, reduce the amount of pain you experience and delay the formation of other varicose veins. Changes to consider include:

Avoiding standing or sitting for a long time without a break. And when you do sit, try not to cross your legs. It also helps to raise legs when sitting, sleeping or resting. When possible, raise legs above your heart to reduce stress on your veins.

Partaking in physical activity. When you can keep get your legs moving more often and improve your musculature, this makes it easier for blood to move through your veins.

Losing weight. Easier said than done, being overweight or obese contributes to varicose veins. Ease press and improve the flow of blood by shedding some pounds.

Avoiding tight clothing. When you wear clothes that are tight at the waist, in the upper thigh or around the legs, you’re worsening your varicose vein situation.

Avoiding high heeled shoes. Lower heels improve the toning of calf muscles, and toned muscles have better blood flow. If you must wear heels, wear them only for short times and only occasionally.

Trying compression stockings. If your doctor recommends them, compression stockings can help by putting gentle pressure on the legs that prevents blood from pooling and decreases swelling in the lower extremities.


More About Compression Hose

There are three primary types of compression stockings. The first is a kind of support hose and offers very little pressure, so these may not help you. A second is an over-the-counter solution that provides more pressure than support pantyhose. If you can’t find these at your usual stores, try medical supply stores or specialty pharmacies.

Prescription-strength compression stockings are also available for added support. Providing the greatest amount of support and pressure, these are available at pharmacies and in medical supply stores. Because of risks involved in using these incorrectly, you need to have them fitted by specially trained people.


Medical Procedures For Varicose Veins

With medical procedures, it’s possible to remove varicose veins or close them so they are no longer an issue. These procedures don’t usually cause problems with blood flow since the blood can reroute itself through other veins nearby.

Procedures that may be used include the following:



Involving a liquid chemical to close a vein, sclerotherapy is the injection of the chemical into the vein so that there is irritation and scarring that effectively closes it. Once it closes, it fades away. Used mostly for small varicose veins and spider veins, it can be performed in a doctor’s office while standing. Several treatments may be required for complete closure, done at 4 to 6 week intervals. The treated leg is wrapped in an elastic bandage after treatment to assist with healing and decrease swelling. Business owners or health practitioners that would like to offer Sclerotherapy, see this course.


Used for treating small varicose veins and spider veins, microsclerotherapy involves very small amounts of liquid chemicals that are injected into small veins with a fine needle. The chemical creates scarring inside the vein that closes it off.

Laser Surgery

The process of applying light from a laser to a varicose vein, laser surgery can quickly and effectively make the vein vanish. Used mostly for small veins, there’s no cutting and no chemicals are involved.

Endovenous Ablation Therapy

Using lasers or perhaps radio waves, it’s the heat that closes off the varicose veins in this case. When administered by a doctor with proper training, it can work wonders. A tiny cut is made near the vein, then a small tube-like catheter is inserted into the vein. At the tip is a heat-generating device that heats up and closes off the vein. While you’re awake, you’re simply numbed locally, and you can usually go home the same day.

Endoscopic Vein Surgery

Also involving a small cut through the skin near the vein, a tiny camera is used in this case to guide the procedure, then a device on the end of the insertion tube is used to close up the vein. Used only in severe cases when the veins are causing skin ulcers, it may be a few weeks before you can return to normal activities.

Ambulatory Phlebectomy

Involving a small cut in the skin once again, ambulatory phlebectomy is the physical removal of veins that are causing problems by a doctor with special skills and training. Usually used for veins near the surface, you remain awake during the vein removal with only some local numbing needed. In most cases, you can go home on the same day you have the procedure.

Vein Ligation Or Stripping

Done only in the severest cases, this involved tying closed and then removing veins through a series of small cuts in the skin. Medicine is usually given to patients to put them to sleep temporarily so there’s no pain. Done as an outpatient, the recovery time can vary from 1 to 4 weeks. Posing the greatest risk of side effects of any vein procedure, pain, blood clots and infections are possible but very rare.

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In Historic Philadelphia, Going Modern For Botox Training Saves Times And Hassles  

online botox certificationThe reasons for choosing online Botox training over stale, old-fashioned in-person classes are many — like fewer hassles and less time away from your work. It may seem counterintuitive to choose a modern and cutting-edge approach to training here in Philadelphia where so much is based on this nation’s rich history. But you’re already a modern type, aren’t you? Your practice is filled with modern advances that make your version of medicine superior to the way it was when this nation was first founded.

It only makes sense for your Botox training to be as modern as your other methods of treating patients.

When you choose online training, you can forget about parking issues, freezing cold meeting facilities and eating food from a convention center snack bar. And if there’s anyone rude or annoying at your home or office while you’re taking online Botox training here in Philadelphia, it’s your own fault.

The Dentox Program Is Best

Dr. Howard Katz founded the Dentox training company and is the creator of online Botox training. When you choose training with Dentox, you’re choosing to work online directly with Dr. Katz, an innovator and world leader in Botox whose name is on the patient application for many related products. With years of experience in training Philadelphia medical professionals and others around the world, he’s the best choice for you. And his online training program means you don’t have to wait until the next time he’s in the area to benefit from his expertise.

Specifically, Dentox is a sensible training choice because:

  • It brings online technology to proven teaching techniques to make sure you completely learn and understand every aspect of the material. You even learn how to get patients to choose your services instead of others — and incur very few startup costs.
  • Your certification really means something in the industry because it comes from a man and a company with such high name recognition and respect in the industry. You can’t do better than Dr. Katz and Dentox.
  • No other online Botox program in Philadelphia or anywhere else is both interactive and hands-on — ensuring you learn real, useful techniques and not just empty theories.
  • You can get a refresher from the Dentox team anytime you’re in San Diego. All you have to do is arrange a visit to Dentox headquarters.
  • You get AGD Continuing Education credit that you may need anyway. Even if you don’t need the credit, the training will pay for itself after just a few patients.

Online Courses Are Almost Always Superior

When you take your Botox and dermal filler training from Dr. Katz at your home or practice in Philadelphia, you get complete information and all the materials you need to prove yourself to Dr. Katz. You even get resource materials and form samples that will help you down the road. But those things aren’t the only reasons the Dentox program is such a good choice. Online training is simply better than in-person training for the following reasons:

  • When the instructor talks to the camera instead of a huge room, you can connect better and therefore understand better.
  • When you train online, you test in private by providing documentation to the Dentox team. There’s no room of people you have to stand up in front of.
  • The high-quality class recording is available for you to look at again and again, even years later. That means you can refresh your skills anytime.
  • Dr. Katz remains available to you for email consultations indefinitely. Most in-person instructors don’t offer that level of follow-up guidance.

Choose modern and sensible online Botox training from Dentox here in Philadelphia, and say goodbye to all the hassle of training in person. For you and for others who choose online Botox training, hassles are history.

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What Everyone Looking To Reduce The Signs Of Aging Should Know About Wrinkle Fillers

Dermal filler injectionYou can achieve a more youthful look for just a fraction of what a facelift costs when you turn to injectable wrinkle fillers. In most cases, these products can fill wrinkles and fine lines in just 30 minutes or less and can last from as little as four months to as much as more than a year.

These injectable fillers don’t work like Botox, which relaxes muscles under a wrinkle. Instead, they fill the crease, line or other area with a substance that nearly instantly corrects the trouble spot and makes it disappear.

The same products can be used to add volume to lips, cheeks, jaw lines and temples as well. Even sagging hands can be plumped out with wrinkle fillers.

When a practitioner has proper training (see how to offer dermal fillers in your business), treatment is quick and easy. But no matter the training and no matter the product, there are downsides of wrinkle fillers, most notably a risk of allergic reaction and the possible forming of small bumps under the skin, which may become permanent. In some cases, bluish discoloration called the Tyndall effect can also occur. This color change can remain for months, but treatments to lessen it are available.

In some rare cases, skin cells can even die when wrinkle fillers are used incorrectly. Even blindness and paralysis of nerves can result. It is usually the longest-lasting wrinkle fillers that have the greatest number and severity of side effects.

Note that not all wrinkle fillers are right for all wrinkles. That’s why its essential to only have wrinkle fillers injected by people with the right training and experience. The lowest risk results from using the right choice for the purpose.

Here is some information about the available wrinkle fillers, including their basic ingredients, how they work and the pros and cons of each type. Remember that your doctor will assist you in making the right choices.

Hyaluronic Acid Dermal Fillers

The most popular of all, hyaluronic acid fillers rarely have side effects, and any that do occur are usually mild. These include redness and swelling at the injection site and possible bruising. Tiny lumps can also form under the skin in some cases, but this side effect often lessens over time.

The length of time that the results last varies from a few months to more than year. The latest research indicates that repeated injections may also stimulate your body to produce more natural collagen and improve results. Fewer wrinkles and other lines will therefore develop and less filler is needed in the future to get similar results.

Hyaluronic wrinkle fillers include the following product brands:

  • Belotero Balance
  • Captique
  • Elevess
  • HylaForm
  • Juvederm
  • Perlane
  • Prevelle Silk
  • Restylane
  • And others.

Synthetic Dermal Fillers

A relatively small category of wrinkle filler products, these lab-made substances are not like anything that’s found naturally in skin. They have side effects similar to natural fillers plus other effects that can include nodules under the skin that are visible and can be felt. In some cases, surgery may be necessary to remove these lumps.

But benefits are dramatic and long-lasting, sometimes offering permanent filling of wrinkles and lines into which the material is injected. While there is a slight risk of permanent disfigurement from side effects, positive results can also be permanent.

Synthetic dermal filler products include the following brands:

  • Radiesse
  • Sculptra
  • Silicone

Collagen Dermal Fillers

Originally made from purified collagen from cows and refined in a lab, collagen wrinkle fillers now last longer than those original products and work better. Original collagen injections started to break down in as little as a month after an injection, and since they came from animal sources allergy testing was required in advance because of a risk of allergic reaction.

But better ways of processing collagen have resulted in lower risks. And new synthetic collagens are safer and work well for a wider range of people. Results still don’t last as long as with other fillers, but some people think the results are more natural in appearance.

Collagen injection side effects in addition to allergic reaction when cow-derived products are used include bruising and redness at the site of the injection.

Collagen injection products have the following brand names:

  • ArteFill
  • Cosmoderm
  • Evolence
  • Fibrel
  • Zyderm
  • Zyplast

Autologous Dermal Fillers

In this category, fat is the most commonly used source of the filler. In general, fat from your own body is removed from your stomach, butt, thighs or other locations, then treated and injected as filler. This means you have to have both a removal procedure and an injection procedure, but both can be done in a single visit. There are significant costs involved for the fat purification steps done in the lab, and this takes time. Results are often semi-permanent, but you may need a series of injections performed on separate visits over time.

So called “vampire lifts” involve the injection of platelet-rich plasma and are also a type of autologous wrinkle volumizer. In this case, blood is taken from the arm and injected into the face, generating results that can last up to 18 months.

Risks are similar to other dermal fillers and are usually limited to redness, bruising and swelling. And since the material comes from your own body, FDA approval is not required.

Minimizing Risk, Maximizing Outcomes

Wrinkle fillers are safe in general, but there are some things you can do to make sure your treatment is as safe as possible:

Don’t buy based on price. If a wrinkle treatment you’re offered is available for significantly less than standard pricing, some compromises are surely being made. This means either the practitioner doesn’t have adequate training or the product is of inferior quality. It doesn’t make sense to try to get a bargain when dealing with your face.

Make sure the setting and instruments are right. All dermal fillers should be injected in a medical environment using sterile instruments. Don’t allow treatments to be performed at home, in a hotel, at a spa or anywhere else that standard protocols may not be followed.

Don’t get filler products from anyone but the source. Know what a doctor is injecting into you, and ask if the product is FDA-approved and being purchased directly from the company that makes it. Everything from industrial-grade silicon to baby oil has been injected into the faces of unsuspecting and unquestioning patients.

Use sunscreen at all time. After having dermal filler injected, using sunscreen can help preserve the product and protect against inflammatory pigment changes and other side effects. Plus, it’s always a good idea anyway.

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San Jose- Online Botox Training Is Smarter Than Trying To Go In Person

botox e-learningIt’s one hassle after another if you try to go for in-person training in the San Jose area. That’s among the many reasons that online Botox training makes so much more sense than visiting a training center or university for the training you need to move forward.

Sure, there are plenty of institutions of higher learning in the area and dozens more training centers, but online training costs less — and provides a better experience. Just ridding yourself of traffic and parking hassles has to be worth quite a lot.

Perhaps the most compelling reason for online Botox training is the ability to work with the best trainer in the industry, even if he isn’t in town at the time you want to take your training. That means working with the innovator and inventor who founded Dentox, Dr. Howard Katz.

Other Sensible Reasons To Choose Online Training

You may not know that about half of all universities and colleges now provide some online training programs. That’s because they’ve seen how well they work for these institutions and for their students. Of course, business trainers have know the benefits of training online for years. Here in San Jose, it makes sense to take your medical training updates and skills courses online because:

Better connection is possible. To really learn, you need a strong connection with the instructor. That isn’t possible if you’re sitting at the back of lecture hall or meeting room. Online trainers like Dr. Katz are experts in communicating with the aid of the camera so that all students get a close look at them and at what they’re trying to show. When the instructor is connected with the camera, students like you can better connect with the instructor. It works for news anchors and TV hosts, and it works for online trainers too.

Unlimited review is possible. When you train at an in-person class, time may pass quickly, then it’s all over. You either learned the material or you didn’t. Dentox allows you to review a recording of your class long after the class is done, so the learning never really ends. And that’s smarter than a one-time event that ends before you’ve really mastered the material. Reviewing the video is like getting a free refresher anytime you want.

Private testing decreases discomfort. Training in person means everyone watches as you practice and test. When you choose a San Jose online Botox training course through Dentox, your testing is handled with photos and other materials that are sent to Dr. Katz and his team directly. There’s no class to stand up in front of.

Dr. Katz is available later on. When you train online with Dentox, Dr. Katz is available to you indefinitely for email consultations. Most in-person trainers don’t make this bold and valuable offer. But Dr. Katz goes out of his way to contribute to your continuing success for as long as necessary.

More Intelligent Than Competing Training

Choosing Dentox for online Botox training makes more sense that choosing a local competitor or any other online program. That’s because Dr. Katz is one of the world leaders and innovators in Botox injections and the inventor of online Botox training.

When you choose smart and sensible San Jose Botox training from Dr. Katz, you’re siding with the very best — as so many others already have. Enhance the money-making potential of your practice and enhance your status within your field when you train online with the very best. It just makes sense for the advancement of your career and for so many other reasons.

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Is Your Medical Study Group Interested In Offering Botox Training?

Medical Association Botox Training

Why not offer the best available Botox training course to your medical study group? When you select Botox and dermal filler training from Dr. Howard Katz, you’re choosing to be trained by one of the inventors of cosmetic and therapeutic Botox — and it really makes good sense to get your training from the source rather than from a johnny-come-lately with inferior skills and a reputation that does him no credit.

Selecting Dr. Katz as your Botox trainer means that your medical study group can have the world’s leading expert on Botox come to you with comprehensive training that you’ll find fun, easy to following and complete in every way. It may even be possible for you to practice the skills you’re learning on real people, depending on your state’s regulations and the status of your license.

Hundreds have already been trained by Dr. Katz, and these people have gone on to become experts in their own right thanks to the high-quality education he has provided them. They use Botox for medical and cosmetic purposes as a regular part of their medical and dental practices and routinely satisfy patients while enhancing the bottom lines of their practices. Wouldn’t that be great for you and your medical study group too?

One you’ve been through the course, you’ll understand the following with complete confidence:

  • how to evaluate a patient to see if he or she is an acceptable candidate for treatment with Botox
  • how to explain to patients the benefits of Botox and dermal fillers for their overall wellbeing how to recognize and understand contraindications and side effects of Botox
  • how the anatomy of the face and neck are involved in choosing the right injection sites, depth of needle insertion and insertion angle for the very best results
  • and much more.

You’ll also be able to speak with confidence about how injectable products like Botox and dermal fillers work for cosmetic and therapeutic purposes and how dermal fillers work to enhance the benefits your patients get from Botox.

But the learning process doesn’t stop there. Your medical study group will also learn about:

  • how Botox can be used for migraines, habitual muscle clenching, face pain, TMD and more
  • how lifting the corners of the mouth can provide aesthetic benefits and prevent inflammation as well
  • how dermal fillers can work with or instead of Botox to treat smoker’s lines
  • how undesirable outcomes from Botox can be prevented and avoided.

In addition, you’ll learn practical matters about adding Botox to an established practice, like how to sell and get paid for services, how to complete documentation properly and how to choose the right malpractice insurance coverage.

Dr. Katz is known today as the founder of Dentox, a company that teaches Botox training to doctors and others around the world. As one of the most sought after Botox training course providers, he offers a level of training that will help set you and those in your medical study group apart from others.

When you work with Dr. Katz, you can be sure you’re working with a respected name whose presence in your career will add to the respect and attention you get.

Because he’s a busy man, it makes sense not to delay in engaging Dr. Katz to bring his Botox training course to your medical study group. His schedule fills quickly, and missing the opportunity to be trained by the best means missing your opportunity to get the highest quality Botox training possible. And you don’t want that to happen.

To invite Dr. Katz to teach Botox injection to your medical study group, call (858) 550-9533

Houston Online Botox Training Respects Your Time And Your Needs

online botox certificationDid you know that more than 130,000 people in the Houston area are going to school for something right now? Most are at the city’s nearly 60 colleges, but many more are crammed inside training centers picking up skills they need to enhance their careers.

If you went to the University of Houston, Texas Southern or another university in Houston, that’s great. But for Botox training, what you really needs is a great course from a respected instructor that will give you the skills you need quickly and efficiently. You need online Botox training from Dr. Howard Katz and his team at Dentox.

What Makes The Dentox Botox Training Program Best

Led by an industry-leading expert with years of experience training people like you, the Dentox online Botox training program makes sense for Houston medical professionals like you who don’t want to waste your time. Here are some of the things that make it so great:

  • You learn proven techniques that will help you bring in new patients but don’t cost you much in startup expenses.
  • You get certified from the inventor named on the application for patent for many products, including Botox and Xeomin.
  • You experience the world’s only fully interactive and completely hands-on online Botox training.
  • You can get free local refresher courses when you happen to be at Dentox headquarters in San Diego.
  • You get AGD Continuing Education credit you can use.

What’s Included In The Dentox Program

When you take online Botox training from Dentox at your Houston home or office, you get detailed information on how to inject Botox, when dermal fillers can help your patients and are even taught how to help your patients understand the benefits of coming back to you — and only you — for this cosmetic procedure. It’s complete proficiency plus a whole lot more.

As a course participant, you get all course manuals as well as useful resource lists, samples of consent forms and treatment forms and, of course, proof of your training. You also get the materials you need to prove your competence to Dr. Katz. All the details of how to do that quickly and easily will be explained to you.

Better By Far Than In-Person Classes

In-person classes don’t necessarily respect your time. There’s all the parking hassles, the time away from your practice, patients and colleagues and so many other inconveniences. Plus, learning is actually easier and better when you train online. That’s because:

  • It’s easier to connect because the camera brings you in closer than you could ever be in a crowded lecture hall or meeting room.
  • You can review the recording of your class whenever you want, even months later if you like.
  • Your testing is handled privately at your location, so you don’t have to worry about peer pressure.
  • Dr. Katz is available for consultation later by email, so you’re never really alone or on your own unless you want to be.

Make The Smart Choice For Houston Botox Training

It turns out that the best choice for Houston Botox training is a trainer based in California. After all, he’s the world’s foremost expert in Botox training — and you don’t have to wait until he happens to be in town to benefit from his experience and expertise.

You can choose online Botox training from your home or office and get the very best training from the very best source. Whether you’re in Houston or anywhere else, it makes sense to go right to the source and get the very best training available. What’s holding you back?

Details about our online botox training here

The Basics of Teeth Whitening

whitened teeth

Tooth Whitening With Trays

Bought over the counter at a drugstore or from a dentist, tray-based tooth whitening kits revolve around filling a tray similar to a mouth guard with a gel solution that contains a peroxide-based bleaching agent. The tray is worn as directed, usually for two hours or more a day or even all night for up to a month or longer, depending on how much discoloration is present and how much whitening is desired. We offer a course for business owners who are not dentists, but would like to offer teeth whitening.

In-Office Teeth Whitening

Bleaching procedures performed in the dental office are the fastest method of teeth whitening. In the dental office, a whitening product is directly applied to teeth. This product may be used along with heat, special lights or a laser to enhance results, which can be visible after a single session of 30 minutes to one hour. With several appointments, dramatic results are possible. On the downside, this is the most expensive way to whiten teeth.

How Long Are The Effects Of Teeth Whitening Visible?

It should be understood that no method of teeth whitening is permanent. People expose their teeth to staining substances daily in many cases, causing the whiteness to fade. For some, this can happen in as little as a month. It makes sense to avoid food and drink that cause the worst staining so that results can remain visible for a year or longer, perhaps with touch ups. The degree of whiteness achieved can vary from one person to another depending on factors like how stained the teeth are at the start to what type of bleaching program is used.

Whitening At Home vs. Dentist-Supervised Whitening

Having teeth whitened at a dentist’s office varies from having them whitened at home in a number of ways, including the following:

Bleaching agent strength. OTC and at-home products usually have lower-strength solutions than those used at the dentist’s office. At-home products usually use 10 to 22 percent peroxide while those used in dental offices often contain a product with a concentration of 15 to 43 percent peroxide.

Trays. Dentist-supervised at-home bleaching products are applied with custom-made mouthpieces. The dentist takes an impression so that the trays fit precisely to give maximum benefit by providing maximum contact with the whitening gel. The trays also limit contact of the gel with sensitive gum tissue. OTC products also involve a tray, but these are one-size-fits-none trays that don’t fit anyone very well. This can lead to irritation of the gums and other soft tissue as the bleaching agent gets to areas it should not. When performed in office, bleaching agents are carefully applied directly to the teeth being whitened.

Protective measures. When whitening is performed in a dental office, a gel or rubber shield is put over the gums before treatment so that gums and other parts of the mouth are protected from the bleaching solutions effects. OTC products do not come with this kind of protection.

Costs. OTC products are the least expensive way to whiten teeth while in-office teeth whitening is the most expensive.

Supervision. With supervised at-home treatments and in-office procedures, an oral exam is performed and your medical history is taken into consideration. The dentist can even help you determine if bleaching is a good course of action in your case considering the kind of staining you have and how many restorations you have that won’t respond to bleaching. A dentist can also match your type of staining with the right treatment, if appropriate at all, to reduce the staining. The dentist will also follow-up to make sure you’re performing at-home procedures correctly, to make sure any trays involved fit right and to make sure gums are not being irritated. A general progress check is also usually performed. When you use OTC products, you have no help or support.

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Chicago Students Learn Better When They Take Online Botox Training Instead Of An In-Person Seminar

online botox educationIt may seem counterintuitive to take Botox training online in Chicago since there are at least 75 schools and universities in the area and many more individual trainers and training centers. Why would it be necessary to turn online with all these options here in the area?

Actually, you can learn better when you choose an online Botox training course because of the many advantages of online training. If you don’t believe that, keep reading.

The University of Illinois at Chicago provides great educational opportunities for some, as does DePaul, Loyola and the Illinois Institute of Technology. But for learning Botox to benefit your resume or your practice, it makes sense to choose the very best in the field — even if he doesn’t happen to be visiting the area when you’re ready for your training.

Learn The Most With Online Training

Institutions of higher learning in the Chicago area that truly value learning have learned something themselves: online training works. That why at least half of all bricks-and-mortar learning institutions now offer online training in one form or another. They’re finally learning what Dr. Howard Katz of Dentox and many trainers in the business field already know: online training increases learning. Here are some of the reasons it’s a great idea:

Greater connection. It’s easy to get lost inside a big lecture hall — and there all those hassles with parking if you go to a training center. But when you train online with Dr. Katz, you feel an instant connection. That’s because he’s experienced at using the camera to create a strong connection with his students — just like news anchors and talk-show hosts do with their audiences. You’re much more connected than if you were sitting at the back of a meeting room for training.

Class never ends. The actual time commitment is very small, but your class is always available for your review. When you train in person, it’s once and done. When you train online, you get unlimited access from Dentox to the recording of your class, so you can rewatch it again and again, picking up additional nuances every time.

No peer pressure. Why do your assessment in front of everyone when you can do it with a series of photos and additional materials privately? Dr. Katz and his team will guide you individually to complete success without you having to perform in front of everyone, causing you unnecessary anxiety.

Access later. When you training elsewhere, you may never see or hear from the professor again. Dr. Katz is available for email consultation long after the training, so you can benefit from his expertise again and again. Keeping in touch with your expert source makes sense for you and for the success of your practice.

Learn More Than With Any Competitor

Learning online makes the most sense, and it also makes sense to choose Dentox and Dr. Howard Katz for your online training. That’s because he’s the best in his field — a creator of his own teaching methods and someone who has proven himself at the top of his field again and again. He actually trained many of the other trainers out there today.

If the object of taking online Botox training here in Chicago is to boost your skills and increase your earning potential, it only makes sense to get your training from the very best. That means choosing Dr. Katz and Dentox for the online training program you can trust to respect your time and give you the most complete training available anywhere. It’s an intelligent career move no matter where you stand today.

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How To Provide Botox Services

botox patientYou made the right choice deciding to make Botox available to patients at your practice. It’s a great draw for any practice, and the small amount of time needed per patient, and the cost effectiveness, makes it incredibly time effective too. It’s an all around win, but you need to know the basics of how to provide Botox services, before you make it a staple offer at your clinic.

Most States have specific terms about the practice and establishment that provides Botox. While Botulinum toxins like Botox and Restylane can be administered by medical practitioners, physicians, cosmetic surgeons, nurses and physician assistants too, informed patients will seek out an experienced and careful provider. So your priorities are important. If you’re aiming for the low end of the market, you can rush through the patients who simply cover the expense, but that sweatshop approach won’t take you too far. Instead, if you start off allotting more time and detail per patient, you will build a strong patient base that will expand through recommendations and referrals- and after the initial slow period, you’ll be seeing even more patients. Because even spas and massage centers offer Botox, under a figurehead physician’s name, and while some patients might fall for that level of negligence, most will not. Especially in States like Florida, a medical background is essential to obtain a license to legally be permitted to administer Botox injections and fillers like Restylane.

And it’s all about your skill and expertise. You may have a wall full of degrees, but if you fail to reassure your patients, or explain to them the procedure and the action of the products that you are going to inject, then patients will not be satisfied- in fact, it is ethical to make sure that your patients are informed.  This is only possible if you undertake a full fledged training course, with adequate trials and practice, before you start working with patients. Another thing is that you should always to remember to work from a clinical setting, or at least, a fully equipped location that can deal with any previously undetected allergic reactions or emergencies with the procedure. Also, be sure to inform patients about potential adverse effects, common to rare. Regardless of whether you’re a doctor, surgeon, nurse or dentist – these rules are applicable. Not only does this cover the medicolegal aspect of informed consent, but well, patient satisfaction is key, too, especially in cosmetic procedures like Botox.

Another important consideration is staying up to date. Take online refresher courses if your schedule does not permit workshops, but stay up to date. This offers you the double opportunity to upgrade your skill set and improve your standing with patients and bring new patients in too, through networking and referrals. Most services receive online reviews – make sure yours stay positive. And this will be improved by patient feedback after the Botox has been administered too – your job does not end with the syringe.

It’s not just who provides the Botox that matters to patients. It’s how the Botox service is provided, that’ll tip the patient scales in your favor.

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Sclerotherapy: The Basics

Varicose Veins / sclerotherapy  treatmentSclerotherapy is a medical procedure that’s beneficial in treating many types of blood vessel problems, vascular malformations and some lymphatic system issues. A medication or solution is injected into a vessel or other area to cause it to shrink or close. It can used for vascular and lymphatic malformations in children and young adults. In adults, it is most often used as a treatment for varicose veins, spider veins and even painful hemorrhoids.

Along with surgery, laser ablation, radiofrequency treatment and other methods, sclerotherapy is one recommended method of treating spider veins and sometimes varicose veins and vein malformations (medial professionals see how to offer Sclerotherapy treatment).

In the case of ultrasound-guided sclerotherapy, duplex ultrasound is used to see the vein so the physician can monitor and deliver the medication injection with complete accuracy. This type of ultasound-guided procedure when used along with microfoam sclerosants has proven more effective in reflux control than other methods. Some researchers have, however, indicated that sclerotherapy is not the right choice for veins with reflux at the saphenous junction or with axial reflux.


For more than 150 years, sclerotherapy has been used for treating spider and varicose veins. As you might expect, techniques have changed and evolved greatly with time and technological advancements. Today’s techniques involve ultrasound guidance and foam solutions that provide better and more accurate results than ever before.

The first recorded sclerotherapy effort was performed by Zollikofer in 1682 in Switzerland. This practitioner injected a sort of acid into a vein to cause a thrombus formation. Both Cassaignaic and Debout reported having success with treating varicose veins with a perchlorate or iron in 1853. In 1854, Desgranges cured 16 varicose vein cases with injections of iodine and tannin.

Twelve years before that, in 1844, Madelung invented the saphenous vein stripping procedure, temporarily causing a loss of interest in this procedure. Early sclerotherapy procedures had high rates of side effects, and sclerotherapy was all but abandoned by 1894. As surgical techniques improved and anesthetics got better too, stripping became preferred over sclerotherapy.

Work to develop alternative sclerosants continued in the early 20th century. Perchlorate of mercury and carbolic acid were tried and worked well, but unexpected and unacceptable side effects caused these solutions to be abandoned. Sicard and some other French doctors developed the idea of using sodium carbonate and later sodium salicylate as sclerosants after World War I. Quinine was also effective in the early twentieth century. In 1929, Coppleson advocated the use of sodium salicylate and quinine.

Work to improve the technique and develop better sclerosants continued during and after the Second World War. Particularly important was the development of STS in 1946, the product still widely used for sclerotherapy. In the 1960s, George Fegan reported that he treated more than 13,000 people with sclerotherapy, advancing the technique significantly and focusing on vein fibrosis rather than thrombosis, controlling significant reflux points and emphasizing how important adequate compression is to the treated leg in the days after treatment. In mainland Europe, the procedure gained acceptance during that time. It was not well understood or accepted in the United States or England at that time, however, something that is still the case in some under-educated subsections of the medical community.

The invention of duplex ultrasound in the 1980s was the next development in the evolution of sclerotherapy. A decade later, the two practices were integrated. Knight was an early advocate for this new way of doing sclerotherapy and presented it at some conferences in the United States and Europe. Thibault wrote the first paper on the topic to be published in a peer-reviewed journal.

Cabrera and Monfreaux contributed to the use of foam sclerotherapy, and Tessari developed a three-way tap method for foam production that further impacted positively the treatment of large varicose veins with this procedure.


Unwanted veins are injected with a special solution that causes them to quickly shrink, close off and eventually dissolve over the coming weeks or months as part of the body’s natural healing process. Sclerotherapy is considered non-invasive and can often be completed in 10 minutes or so. For the patient, downtime is minimal, if any, and therefore much shorter than with invasive vein surgery.

For getting rid of larger spider veins and small to moderate varicose veins, this procedure is the most commonly used and is preferred over laser treatment. Several injections of sclerosant are shot into abnormal veins of the leg. Once the leg is properly treated, the leg is compressed with a compression bandage or a compression stocking. Some kind of compression treatment is usually worn for one to two weeks following treatments. Patients are encouraged to walk to aid in healing but discouraged for strenuous and aerobic activities. In many cases, two or more treatments several weeks apart are necessary for complete results.

The procedure can also be done using foam sclerosants and the use of ultrasound guidance when larger varicose veins, including the small and great saphenous veins, are involved. First, a map of a patients varicose veins is made using the ultrasound technology, then the appropriate veins are injected while ultrasound is used to guide the procedure. Ultrasound allows the doctor to see the sclerosant going into the vein, and as many veins as necessary can be treated. Later, ultrasound scans are done during follow-up appointments to confirm that the veins are properly closed. Residual problem veins can be located and treated during this appointment.

Foam Sclerotherapy

Foam sclerotherapy involves injecting a foamy sclerosant into a blood vessel using a syringe. This drug is usually polidocanol or sodium tetradecyl sulfate and is mixed with air, carbon dioxide or another gas inside the syringe using a mechanical pump, effectively increasing the area of the drug coverage. Foam is more effective than liquid in causing the desired sclerosis — or thickening of the blood vessel and sealing of the blood flow. The foam does not mix with the blood within the vessel and actually does a good job of displacing it, reducing dilution that can cause the sclerosant not to work very well. This means the foam can be used in longer and larger diameter veins. There is a thick, toothpaste-like version of a foam sclerosant available that has revolutionized the treatment of varicose veins, vein malformations and Klippel Trenaunay syndrome.

Clinical Observations

In 1996, a study by Kanter and Thibault noted a three-quarters success rate after 24 months from sclerotherapy with a 3 percent solution used to treat saphenofemoral junction and great saphenous vein incompetence. Further, Padbury and Benveniste determined that sclerotherapy guided by ultrasound is effective for treating all sizes of varicose veins and leads to improved quality of life as well as high patient satisfaction.

A review of medical literature by the Cochrane Collaboration determined that there is evidence to support the current use of sclerotherapy in today’s clinical practices for recurrent varicose vein issues following surgery. A second review by the same organization concluded that this procedure has short-term benefits over surgery but that surgery works best in the long term, in many cases. Sclerotherapy was determined to be best in terms of success, complication rates and cost after a year, but surgery performed better over a five-year period. These reviews did not have entirely good data upon which to rely, however.

A Health Technology Assessment showed that this procedures offers fewer benefits than surgery but is to be expected to provide some benefit in varicose veins that do not have reflux from the sapheno-femoral or sapheno-popliteal junctions. It did not include a study of the benefits of surgery compared to sclerotherapy in varicose veins with this type of reflux.

In 2003, the European Consensus Meeting on Foam Sclerotherapy determined that foam sclerotherapy allows a practitioner with the right training and expertise to treat large veins effectively. A second meeting in 2006 has also been published.

Potential Complications

Complications are rare but can occur. These include vein thromboembolism, allergic reactions, skin necrosis, thrombophlebitis, redness and hyperpigmentation of the area around where treatment is performed.

When the sclerosant is properly injected into the vein, no damage should be expected to surrounding skin. When the solution is injected incorrectly and not within the vein, necrosis and scarring can happen. Necrosis is rare, but it can have devastating cosmetic impact and take months for complete healing. It is even more rare with dilute STS than with a 3 percent solution. Skin blanching is common with STS when used in small artery branches. Tiny red vessel development at the surface near injection can happen and may require treatment later with a laser or additional sclerotherapy.

The majority of complication happen because of an inflammatory reaction to the soluton in the area of the injection site. There can also be systemic complications that aren’t well understood. These happen when the drug in the solution moves through the veins and to the heart, brain or lungs. One report links strokes with foam sclerotherapy treatment. Additional reports have determined that bubbles from the solution rapidly travel to the lungs, brain and heart, but the significance of this fact is not yet known or understood.

Sclerotherapy is an approved treatment in the United States and is also approved in many other nations around the world. While this fact alone does not prove that it is safe, it has been widely used and widely studied for decades.

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