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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.

Sign up for our Botox Training Course here. (online format)

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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In Los Angeles, Online Botox Training Makes More Sense Than Going In Person

Online Botox learningIt may not make much sense to you at first. Why does online Botox training in Los Angeles make more sense than going to a training center or university? After all, this largest city in California has plenty of institutions of higher education nearby. Why take any kind of course online when you go in person to the University of California Los Angeles, USC or Cal State Los Angeles?

Online training is often more economical, but that’s not the only reason to turn to online Botox training. You’ll get better training when you choose the close connection you get with online ecucation — and you can work with the very best instructor in the business even if he isn’t in town at the moment.

In the case of Botox training for medical professionals, the best instructor is Dr. Howard Katz of Dentox. He paved the way for others, and you can have him as your trainer.

Online Training Is A Sensible Alternative To Crowded Classes

There’s a reason that almost half of all higher learning institutions offer some kind of online learning opportunities. That’s because these large and slow-moving colleges and universities are finally understanding what many training centers and business trainers have known for years: in many ways, training online is more sensible than training in person. That includes the following important ways:

You can make a smarter connection. It’s easy to feel disconnected from the trainer and your environment when you train online. But online trainers have special skills that make them experts on teaching individuals by speaking to the camera, which allows every student an up-close and personal view. Individual student connections work better when the instructor is connected to the camera — just as popular news anchors and TV hosts connect with viewers by understanding how the camera creates a strong connection.

Your class is never really over. When you train with an instructor in person, that valuable time drifts away very quickly. But Dentox offers you something extra and something very valuable when you train online with their team: the ability to rewatch your class whenever you want — even months or perhaps years later. It’s like taking a refresher course whenever you want, and there’s no extra charge.

You’re tested privately. When you train in person, everyone watches you practice — and perhaps fail. When you take an online Botox training course from Dentox, testing is done through photos and other materials that assess your progress. Since you’re at your own location, there’s never a need to stand up in front of any class and do anything. For many students, that fits their personality quite well.

You can access the instructor later on. Dr. Katz goes out of his way to make himself available to previous students for email consultations. Not many college professors make such an offer of a continued connection. Keeping in touch with his online students allows Dr. Katz to keep up with how they’re impacting the world.

Smarter Than Any Competitor

Not only is training online smarter than training in person, choosing Dentox is smarter than choosing any local competitor here in Los Angeles. That’s because Dr. Katz is a leading expert on Botox who actually has his name on the Botox application for patent. He also has years of experience training people like you.

When you choose intelligent, affordable and fun Los Angeles Botox training from Dr. Katz, you’re choosing to enhance your reputation, your status in the field and the bottom line of your practice, so why not make the smart choice and sign up for online Botox training now? This smart decision is one you’ll never regret.

Learn more about our online botox training program

If you are set on a live program, continue to our Botox training program in Los Angeles.

Pain Treatments & Clinics

Pain managementLiving with chronic pain can be extremely upsetting, and it can sometimes feel totally impossible that you will lead anything like a normal life again. Thankfully, modern medicine and sympathetic understanding has moved forward so much in the last twenty years that there are now special clinics being created called ‘pain clinics’ (see how to legally offer pain treatments). They have been created to help people that are struggling to live full and happy lives because of the pain they are in, and although pain clinics can offer no promises, they can offer a wide range of solutions that may be able to help you.

What is a pain clinic?
Each and every pain clinic is slightly different. Some are designed to help patients with one or two particular illnesses, such as cancer pain clinics. Others are more generalist, and welcome absolutely anyone who is having to live with chronic pain on a day to day basis. What is so wonderful about pain clinics is that they take a multidisciplinary approach – and that means, in practice, that there will be many different specialists with huge amounts of experience who can all put their efforts into helping you manage your pain.

What does a pain clinic actually do?
As we have said, no two pain clinics are exactly the same, but there are some common themes that run throughout all of them. A pain clinic will have permanent full time members of staff that are dedicated to talking through with a patient exactly how they are feeling, and then putting together an action plan of treatments to help to alleviate that pain – or remove it altogether. If you visit a pain clinic, you may find that you have appointments with physical therapists and psychologists, just as often as you see alternative therapists. For example, massage therapists are proving each and every day that if the muscles and nerves are treated right, a huge amount of pain and discomfort can be removed.

What options are there for me at a pain clinic?
Every patient is individually assessed, so we cannot say for sure exactly what treatment plans would be offered to you if you went to a pain clinic. However, we can give you a quick overview of the types of pain management treatments that most pain clinics will offer to their patients:

1. Medication.
Medication is often the best place to start, because they can often be the easiest cure. That is why many pain clinics will start of with some medication to see exactly how the pain responds. There are many different types of medication that a pain clinic could prescribe, including non-aspirin pain relief that can be combined with others, non-steriodal anti-inflammatory drugs, which are often available over the counter, corticosteroids which will require a prescription, and opiod pain medications which are the most heavy duty pain reliefs available. You may also find that in conjunction with these pain medications, you may be prescribed anti-depressants. The more we learn about them, the more we realise that as well as treating depression, anti-depressants can relieve some kinds of pain, and can aid you to sleep better.

Of course, most people have tried a variety of these treatments before they attend a pain clinic, and if that includes you then your pain clinic specialist will probably try out something a little different.

2. Injections.
Local anaesthetic can be injected around muscles or nerves that are giving you the most pain, and can therefore dull the pain for a time. Injections are particularly powerful when it comes to relieving swellings, which will almost certainly help your pain to reduce in the long run.

3. Nerve blocks.
Sometimes an entire group of nerves could be causing you chronic pain, and if this is true then your pain clinic specialist may suggest that you receive nerve blocking treatment. This is particularly useful if you have pain in one specific body part or body area. Local anaesthetic will be injected directly into the nerve, and many people have been amazed at the difference that it can make.

4. Physical therapy and aquatic therapy.
Few of us like the idea of exercise, but sometimes a little gentle movement done right can transform the way that you feel. If your pain clinic specialist believes that this is the right route to take, then a special unique personalised physical therapy treatment plan will be drawn up for you. This treatment plan will aim to increase your ability to move, walk, and continue a normal life, as well as diminish the pain that you feel. However, physical therapy does not always mean exercise: it can also mean ultrasound therapy and deep muscle massage. Aquatic therapy is often prescribed to those that will need a little extra physical support which the water can provide.

5. Electrical stimulation.
This may sound a bit frightening, but it is scientifically proven to have a huge effect on the way that some people experience their chronic pain. A small device will stimulate the nerve fibers that lie just underneath your skin, and this can transform the way that your nerves respond to pain.

This is just a small snapshot of the treatments that are available within a pain clinic – even more include acupuncture, counselling, and relaxation techniques. The staff at a pain clinic are fully trained in helping you to discover a way to live with your pain, and help you gain a normal life once more.

Pain clinics

The idea of a pain clinic can be a little frightening, but do not worry – they are not clinics where pain is administered! In fact, they are quite the opposite: they are places where chronic pain is relieved. For those that live in almost constant pain, life can be very tiring and very depressing, especially if that pain prevents them from doing all of the things that they would like to do. That is why pain clinics were created, and they have become more and more popular the more people realise that they exist.

Some pain clinics are created specifically for a type of illness, such as cancer, or a particular body area, such as the spine. When you attend a pain clinic, a pain clinic specialist will talk you through the different options that will be available to you. Obviously, no one is exactly the same, and that means that everyone’s treatment plan will be slightly different. A pain clinic will hold a large number of specialists in different fields so that they will always be on hand to help out. Some of the different pain relief options are well known. Pain medication will often be prescribed, and patients will be taught relaxation techniques and receive counselling. However, some other treatments are much less well known, such as electrical stimulation, acupuncture, and local anaesthetic injections into the nerves.

If you are living in constant chronic pain, and it is preventing you from leading the life that you want, then it is probably time to make an appointment at the pain clinic. You do not have to accept any treatment that you do not want to, but sometimes just talking about it with a professional who truly understands can make a huge difference. Now is the time to reclaim your life back, and say goodbye to pain.

Why not revitalize your practice with Botox Training?

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Even In New York City, Online Botox Training Makes More Sense Than In-Person Training

online botox trainingNew York has everything, doesn’t it? That includes Botox training courses. But did you know that it actually makes more sense to take an online Botox training program from the world’s most respected expert on the subject than to take one of the local courses from a wannabe?

It always makes sense to go to the source for your training, even if the source isn’t located here in New York. For the best Botox training course, that means turning to Dr. Howard Katz, a man whose name is actually on the patent application for Botox and other similar products.

Sure, you can get training of just about any kind you want in New York, but it may not always be the very best.

Online Training Is Superior To Taking A Class In Person

Are you aware that about half of the nation’s respected educational institutions offer some online learning programs? The reason is clear: these universities and colleges are starting to understand what a variety of high-profile business trainers have known for years: online training is really better than training in person for a variety of reasons.

Does that sound unbelievable? Online training is superior because:

You’re actually more connected to the trainer. When you’re in a meeting room or lecture hall, you can feel like just one of many. But Dr. Katz and other online trainers in other fields are experts at connecting with their students through the camera. No matter how far away students actually are, you’re all directly connected to Dr. Katz. The fact that he and his Dentox training company are the most respected online Botox training course provider proves his ability to make a connection.

Classes are available to watch over and over. When you’re in a lecture hall, you may forget the information as soon as you hear it — or fail to hear it altogether. But since your online Botox class is completely captured on camera, Dentox can provide you with unlimited future access to it so you can watch it over and over — even years later. Your single class will continue to serve you indefinitely.

There’s no peer pressure. In your Dentox Botox training program, the assessment of your learning is made through photos and other materials that you turn in to the company. There’s never any standing up in front of anyone. You only need to prove your skill to Dr. Katz and his team. You might even be able to practice on real people at your location during training, if you want and if the law allows.

The instructor is available long after the class is over. Dr. Katz makes himself available for consultation by email to past students. How many professors at in-person colleges can make a promise of being available in the future? But keeping in touch is just one more amenity that an online trainer can make to his students.

Dentox Exceeds The Quality Of All Competitors

Even here in New York where educational opportunities seem unlimited, there’s no better Botox training program than the one offered by Dentox. That’s because Dr. Katz is the world’s leading expert on this topic and the world’s leading Botox trainer too. And he’s not even from this fair city.

When you choose to take Botox training through the very best online training course New York has to offer, you’re choosing to enhance the bottom line of your practice and make yourself more valuable in the marketplace too. No other New York Botox training program makes more sense when you need dependable training that will serve you well for years to come.

Why not take our online Botox Training Course?

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If you are set on a live program, continue to our Botox training program in New York.

Chemical Peels: The Basics

Woman getting chemical peelIf you have been thinking of having a chemical peel, you are in luck – because we have just put together your perfect guide to chemical peels, and exactly what you need to know before you have one. If you are a medical professional or business person looking to offer clients chemical peels, see this course.

What are chemical peels?

Our skin is actually made up of many different layers, rather than just one, and sometimes the very top layer that meets the air can get tired, old, wrinkly, and a bit grotty and disgusting. A chemical peel can remove this top layer of skin, and reveal the healthy, new, glowing, and clean layer of skin underneath. It is possible to have a chemical peel done on your face, which is the most popular place to have a chemical peel, but you can also have a chemical peel on your neck or on your hands.

What are the benefits of having a chemical peel?

There are so many different benefits of having a chemical peel that we found it rather difficult to narrow them down, but here are our favourites. For a start, a chemical peel will give you the feeling and look of healthy glowing skin, better than any look that make up can achieve. Secondly, a chemical peel will reduce the fine lines that may have developed around your eyes and around your mouth, which makes you instantly look younger. If you have wrinkles that have been created because of sun damage, they will be gone as well. Thirdly, any scars that you have on your face, neck, or hands will be greatly reduced in appearance, which can make people feel a lot better about them. Fourthly and lastly – for now – a chemical peel will reduce age spots and freckles, as well as any melasma or dark patches that have developed because of changing levels of hormones due to pregnancy. No other beauty treatment can offer so much!

Can I have a chemical peel?

Fair skinned and light haired people are the best for a chemical peel. Those of you with darker skin could still benefit from a chemical peel, as long as the person carrying out the chemical peel is careful. However, some people with darker skin tones have found that they actually have uneven skin tone after a chemical peel.

As wonderful as chemical peels are, they are not miracle workers. Deep wrinkles and skin sagging cannot be cured through a chemical peel – although if you talk through your concerns with a trained dermatologist, they will be able to recommend other procedures and treatments that would benefit you.

How do I prepare for a chemical peel?

First of all, you need to be totally honest with your doctor about any cold sores, facial X-rays, and your history of scarring. These factors are necessary before you have any chemical peels. You will also need to be open about any medication that you are taking, and you may be given some medication to have to prepare your skin for the chemical peel. Secondly, you need to discuss with your doctor how deep you want your chemical peel to go. This is different for everyone, depending on their skin condition, and what you are hoping to get out of your treatment. It is advised that you have someone to drive you home after your chemical peel.

What sort of aftercare will I have after a chemical peel?

Immediately after your chemical peel you will not feel pretty – the feeling is a little bit like sun burn. Your skin will go red, and then scale over before falling off. It will take around a week for those scabs to fall off and reveal your beautiful and radiant new skin. You should not go out in bright sun for several months after your chemical peel, and you should always ensure that you wear plenty of suncream.

Why not revitalize your practice with a Botox Training Class?

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Choose Dallas Online Botox Training That Respects Your Busy Schedule

Online Courses For BotoxDallas is a big city, of course, with dozens of respected educational institutions and even more training centers of various sorts, and that means that people all over Big D are going to school at this moment for a variety of reasons. But many are uncomfortably crammed into meeting rooms, hotel ballrooms or lecture halls that don’t take their comfort and convenience into consideration.

Don’t worry with parking hassles, rude classmates or having to find an obscure training center miles from your practice when you take your Botox training. Instead, choose an online Botox training program that gets you the education and certification you need without a lot of hassles.

The right choice for training is Dentox and the world’s foremost expert on Botox, Dr. Howard Katz.

Why The Dentox Program Is Best

The online Botox training program from Dentox is the best available largely because of Dr. Katz. His years of training experience mean you get the best training when you choose him, just like so many other Dallas medical professionals have. Here are some of the things that set the Dentox program apart from copycat programs:
• Dr. Katz teaches proven, tested techniques that help you get new patients for your practice without spending a lot on startup.
• Your certification comes from a man who is an innovator in the field of Botox training and whose name is on the patent application for many such products.
• There’s really no other completely interactive and hands-on type of online Botox education.
• Local refresher courses are always available to you for free at the Dentox facility in San Diego.
• Your class fee includes AGD Continuing Education credit you need.

Everything’s Included In Dentox Training

When you choose to take online training for Botox and dermal filler injection from your Dallas office or home, you get complete details on how to use Botox for the benefit of your patients. You even learn how to explain Botox to patients for maximum benefit to everyone involved. Essentially, it’s complete proficiency you get, so you can’t go wrong.

The class includes detailed course manuals, useful resource lists for later and sample forms you can use. Plus, you get the materials you need for your hands-on testing from your location to prove mastery of the material.

Online Courses Are Simply Better

In-person classes waste time. When you learn online:
• you connect better with your instructor because he talks directly to you
• you can look back on the class recording anytime you want for years
• your testing happens privately, so there’s no peer pressure
• you can consult with Dr. Katz by email later on any tough cases.

Great connection, the ability to look back, private testing and consultations later aren’t usually included with in-person training.

Make An Intelligent Dallas Botox Training Choice

The smartest choice for Dallas Botox education is a guy from California, as it turns out. He’s the best in the world at what he does, and you’ll know from the first moment you experience his teaching that he’s the right trainer for you. Why not contact us now to get the ball rolling?

Choose to bring online Botox training to your office or home and get the best possible training. When you go to the source, you get first-class training that will serve you well for many years to come.

You’ll never regret getting your Botox and dermal filler training from Dr. Howard Katz -• a respected private practice dentist and longtime trainer who created online Botox training. Why settle for a latecomer when you can choose the original?

Sign up for online Botox training here

Sleep Apnea 101

sleep apnea coupleYou may have heard of sleep apnea on a health program, or on a radio program, or even just heard people talk about it, and not really been sure what on earth they were talking about – but you were too shy to ask at the time. That is how most people hear about sleep apnea, but it can be very difficult to simply ask people what it means. We want to encourage people to learn more about sleep apnea, which is why we have put this guide together – to help people like you, as well as people who have been told by their doctor that they could have sleep apnea, learn a lot more about this medical condition.

What is sleep apnea?

Put very simply, sleep apea – or to give it its full name, obstructive sleep apnea – is a sleep disorder. That means that it is a medical condition that interrupts the natural flow of sleep. With obstructive sleep apnea, an individual’s breathing will stop for a moment, and then re-start again, but this will happen several times in one sleep session. A person is diagnosed with obstructive sleep apnea if these apneas, or pauses in breathing, last for ten seconds or more.

There is another type of sleep apnea called central sleep apnea, which is much more serious, although the symptoms are exactly the same as obstructive sleep apnea.

How does sleep apnea even happen?

The difficulty is that breathing is one of the unconscious things that our bodies do. Another example of this is blinking – we don’t even have to think about it for it to happen. When we are asleep, these processes are supposed to continue because our unconscious is in charge of them. Obstructive sleep apnea is quite simple biologically: it happens when the muscles that lie at the very back of your throat struggle to keep your airwaves open, despite the fact that your brain is telling your body to breathe. In cases where the sleep apnea is actually central sleep apnea, that is much more serious, because it shows that the brain itself is forgetting to tell your body to breathe. Thankfully, obstructive sleep apnea is much more common than central sleep apnea.

What are the symptoms for sleep apnea – how can I tell if I have it?

One of the easiest ways for people to tell if they have sleep apnea, and how most referrals occur, is because a bed partner has noticed that someone is not breathing at certain points during the night. This can be very frightening for the partner of the person with sleep apnea, and that is often how a person comes to a doctor for help and advice. However, there are many other symptoms of sleep apnea, which you can keep an eye out for even if no one has mentioned to you that you are not breathing continuously when you are sleep.

Fragmented sleep is the main symptom of sleep apnea; people with sleep apnea will wake up tired every morning, even if they have been in bed sleeping for many hours. Sleep apnea will also lead to low blood oxygen levels early in the morning, because your body has been starved of oxygen. Over time, a person with sleep apnea will start to have problems with their memory, can develop heart disease, and even suffer from hypertension, otherwise known as high blood pressure. Sleep apnea can be very dangerous for people when they drive, as they will often be in a drowsy state.

Am I likely to have sleep apnea?

Sleep apnea is actually remarkably common, even if people do not talk about it very much. Believe it or not, there are more than eighteen million people in the United States of America alone that have some form of sleep apnea. It is difficult to tell how many children have sleep apnea because children are often very light sleepers, but specialists currently believe that between two to three percent of all children will have sleep apnea – and for children that snore, it is believed that as high a figure as ten percent of them could have undiagnosed sleep apnea. Although the stereotype of snorers are overweight, middle aged men, sleep apnea can actually affect any person at any age.

What causes sleep apnea – and can I avoid it?

Sleep apnea does not have one single cause, which means that it has incredibly complex reasons why a person could develop it. There are some particular risk factors that you can look out for. People that have small airways are more likely to have sleep apnea, as are those with a recessed chin, small jaw, or a large overbite as this affects the way that your windpipe develops. Someone with a large neck is much more likely to develop sleep apnea, so you should measure your neck if you believe that you are within the risk group. If you are a man, a neck size of seventeen inches or wider puts you within the risk group; if you are a woman, a neck size of sixteen inches of wider puts you within the risk group. Of course, there are very few things that you can do about these genetic biological factors. There are other environmental factors that you do have control over. People that are overweight are much more likely to develop sleep apnea, as are those people who smoke, or abuse alcohol. Sleep apnea seems to run in families because body types are generally inherited. Lastly, there are certain ethnicities that seem to be much more prone to developing sleep apnea, such as African-Americans, Pacific-Islanders, and Hispanic people.

How is sleep apnea treated?

It can be very frightening to be told that you or a loved one has sleep apnea, but thankfully being told this is not a death sentence. Instead, you can now start to thinking about the wide range of treatments and therapies that are now available to you. Most treatments will begin with behavioral therapy. This type of treatment attempts to remove any risk factors from you, to try to reduce the number of reasons why you could be experiencing sleep apnea. It is likely that you will be told not to drink any alcohol or smoke, and to avoid absolutely all sleeping pills and sedatives. You will also be taught the best sleeping positions to help your airways to breathe naturally; most people find that sleeping on their side helps to keep their airways open at all times (health practitioners should look at our course on how to add sleep apnea treatment to their business).

If you have been told that you have central sleep apnea, that can be even more frightening, because it can feel that your brain has been letting you down. Although no one is entirely sure exactly why, sleeping on your side has proven to be very effective in treating central sleep apnea.

After these changes have been made to your life, you may find that your problems with sleep apnea have disappeared anyway. If you discover that sleep apnea is still proving to be a problem, then the next step is to start to bring technology into your treatment plan. There are devices calls CPAPs and APAPs that you can use – your doctor will tell you which they think is the best one to start with. CPAP stands for Continuous Positive Airway Pressure, and APAP stands for Automatic Positive Airway Pressure. These two machines make it possible for your airway to stay open throughout the time that you are asleep. Although they may sound a little odd, all you will have to do is wear a plastic facial mask while you are asleep. They are not uncomfortable, and although you may look a little strange, they will help keep you breathing throughout the time that you are asleep.

The CPAP and APAP masks will come in all different shapes and sizes, and if you have been told that you should use one of them to sleep with to help treat your sleep apnea, then you should make sure that you spend an awful long time choosing the mask that you are going to have. Remember, you will be sleeping in this mask, so it is essential that you feel comfortable in that mask. Every patient will suit a different mask, and sometimes it is only through trial and error that a person really discovers which is the best fit for them.

There are also different medications and stimulators that have been approved by medical boards and the U. S. Food and Drug Administration have approved to help treat sleep apnea from the inside out. You should make sure that you only take these medicines if they have been prescribed by your doctor, and you take them exactly as you were told to.

We hope that this information has been useful to you, and you now feel more prepared to talk and think about sleep apnea. Remember: if you have any concerns that you, or a loved one, may have sleep apnea, talk to a doctor about it.

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Understanding Laser Treatment For Varicose Vein Problems

Varicose VeinsA laser is very simply a focused light beam that performs a cutting or heating purpose. A specific sort of laser beam can be used by a doctor for treating varicose veins when he has had proper training and adequate experience. Laser heat can damage a vein in such a way that scar tissue is created, closing off the vein. A closed vein with no source of blood dies and can disappear in time, perhaps a year or more.

Simple laser treatment is performed outside the skin and is effective in treating spider veins and the smallest varicose veins located just beneath the skin’s surface. In most cases, more than one session is needed for good results. These sessions are scheduled at 6 to 12 week intervals at the discretion of the doctor. (Those with poor blood circulation to small veins must first have large feeder veins treated before this kind of simple laser treatment can be performed.)

Endovenous laser treatment treats large varicose leg veins. Using this method, a doctor with proper training passes a thin tube called a catheter into the vein itself. The doctor watches his or her work on a duplex ultrasound machine. This type of laser vein treatment is less painful than vein stripping or ligation and requires a shorter recovery time. Plus, only a local anesthetic is necessary (see how to offer laser therapy in your establishment).

What To Expect After Laser Treatment

You should be able to walk without a problem after treatment, and the recovery period is short. You can likely return to regular activities immediately after simple treatment.

After you have endovenous treatment, you are required to wear a compression stocking for a week. The doctor will then perform a duplex ultrasound procedure at a follow-up appointment to make sure the vein closed properly.

Why The Procedure Is Done

Simple laser treatment is performed to eliminate small spider veins and the smallest varicose veins. In some cases, this is a secondary treatment step after large varicose veins have been treated with surgery or other procedures.

Endovenous laser treatment is done to close large varicose veins instead of performing more painful and invasive surgery to close the vein.

How Well Laser Therapy Works

Simple laser treatment has proven very safe and exceptionally effective over more than 20 years of use.

Endovenous laser treatment averages a 94 percent success rate, meaning it fails about six time out of every 100 procedures performed.

In cases where endovenous laser treatment doesn’t properly close a vein, a second procedure is necessary. In consultation with your doctor, you may then choose to go with another laser procedure, with radiofrequency treatment or with sclerotherapy. Vein surgery may be recommended in some cases.

For the best possible results, choose a well-trained doctor with a lot of experience.

Risks Of Laser Treatment

Side effects are possible, including:

Coloring changing of the skin.
Nerve damage that includes a feeling of pain, burning or prickling after recovery.
Blood clots, either small or large, occurring in the treated vein.

These side effects are less likely than with vein stripping surgery. The more experienced your doctor is, the fewer the risks. Ask your doctor how often side effects are observed in his or her practice.

What To Consider

If you are considering laser treatment, there are some questions you must ask yourself. These questions include things like: How much experience and training does the doctor have with this specific kind of treatment? How much does the exam and the treatment cost overall? How many treatments will be needed to correct my varicose veins?

When considering laser therapy, it makes sense not to take the decision lightly and to consider all alternatives before deciding on any type of procedure.

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Facts About Dermal Fillers Without Any Hype

Dermal filler injectionDon’t believe the hype you see in those ads for wrinkle creams that offer an alternative to painful injections. Dermal fillers are products that work differently from Botox to correct deep lines, but injections are still required. Dermal fillers mean, however, that you don’t have to undergo cosmetic corrective procedures to get results for deep lines between brows, between the mouth and nose or even to correct a drooping jaw line.

No skin care products can do the job, but Botox and dermal fillers can.

That’s not to say that a good skin care regime doesn’t make a lot of difference, because it certainly does. But the effects of age, moving your muscles, loss of fat as well as sun damage and gravity contribute to a face that starts looking noticeably older around age 40 to 45. If nothing is done, it’s all downhill from there.

Dermal fillers are one way to take charge of your appearance and regain some youthfulness. In fact, when you see celebrities, models and others in their 40s who have skin that looks plump, smooth and young, dermal fillers are almost certainly the reason.

All you have to do is get over any fear of needles, then stop wasting your money on lifting creams or wrinkle serums that don’t work and turn to safe and effective dermal fillers. Once you’ve made the decision to have this kind of corrective treatment, the next choice is deciding in consultation with your practitioner what kind of dermal filler is best for your situation (practitioners see our course on how to offer dermal fillers legally). Here’s some information and advice that may help.

How Dermal Fillers Help

Dermal fillers perform a very specific function that’s unlike what other corrective medical procedures do. When a natural or synthetic material is injected directly into an area like frown lines, lines at the corner of the nose or mouth, depressions along the jaw line or even sunken spots under the eyes or other hollow areas, wrinkles or lines are immediately filled in and the skin is immediately plumper than before, eliminating the problem completely in many cases. This improvement can be effective for 3 months to up to 2 years or more, depending on the filler that’s used, how your aging progresses and how you maintain your skin and overall health.

Take note this is something different from Botox. Although Botox also involves simple and relatively painless injections, it’s usually used around the eyes, on the forehead and in other locations where it’s desirable to stop muscle movement that causes wrinkles. There’s no plumping or smoothing involved with Botox. A lot of people choose to have both kinds of injections for the best possible results.

There’s No One Dermal Filler That’s Best

Many different kinds of dermal fillers are used, and when administered by people with proper training, all can be effective in certain circumstances. And all have risks, though complications are rare. Which filler is right for you depends on how the practitioner does the injections, how skilled they are, how much experience they have, what you need done and how tolerant you are of potential risks. Forget the headlines in the media and which company advertises the most and choose the filler that makes the most sense for you.

Dermal fillers once showcased have fallen out of favor through the last couple decades, so headlines aren’t necessarily what determine how good a filler is.

Natural And Synthetic Dermal Fillers

Dermal fillers can be divided generally into naturally derived fillers and synthetic ones.

Natural fillers include the widely know hyaluronic acid and others that have small risks of allergic reaction. They provide immediate results that last from three to 18 months or longer, but they break down eventually. When this starts to happen, you can go back to get more filler injected to maintain the positive results. Most people get at least one follow-up injection within the first year.

Risks from natural fillers include the occasional allergic reaction as well as lumping and migration of the material. But side effects go away as the filler’s effects wear off.

Synthetic fillers can last a lot longer and are often semi-permanent in nature. Some might call them permanent because they don’t dissipate. Wrinkles come back only as you continue to age, get additional sun damage or don’t take good care of your skin.

Side effects are similar to natural fillers, but since results are permanent or at least semi-permanent, any problems you encounter or undesirable outcomes can last forever as well and are difficult to correct without other procedures.

Dermal Filler Reviews

There are many different specific dermal filler products, including even ones harvested from your body or someone else’s. Each filler choice has its own list of pros and cons. Given the relatively small chance of complications and the potential reward of a more youthful appearance, you may decide that using a dermal filler is an easy choice for you.

Keep in mind that your practitioner may recommend using more than one product type in your case since there’s no filler that can take care of every possible concern. Be open to the suggestions of your practitioner, but before your visit you should be educated about these products:

Alloderm is a processed version of human cadaver tissue prepared so that it retains its structure but cannot cause rejection. It has been shown to be effective in a variety of reconstructive surgical procedures when tissue has been lost to disease or injury. It can also be used for wrinkles and can last for 1 to 2 years, although there are really no studies to substantiate this anecdotal evidence. (Cymetra is an micronized version of Alloderm that’s rehydrated in the doctor’s office right before injection and may be less painful.)

Artefill is made of a synthetic ingredient called polymethyl methacrylate or PMMA mixed with animal-source collagen. Results can be semi-permanent to permanent, so great skill and proper training must be used to inject it. Risks include lumps, inflammation, hardening, grainy nodules at the injection site and migration of the material. Any problems that happen do not dissipate in most cases and must be removed, which isn’t easy. These long-term side effects are a tradeoff of the long-term results. In addition, maintenance injections aren’t usually required as they are with naturally derived fillers.

Fat grafting or autololgous fat is taken from one part of the body by liposuction, and no allergy testing is needed since the material comes from your own body. The complicated process of harvesting fat is often done in the doctor’s office. While there’s no consensus on how long results will last, injections can be effective for filling wrinkles for 12 months or perhaps up to 24 months. Migration is a very real risk, and the material can clump or bunch up in one area, causing a bumpy appearance. This can be difficult to correct.

Belotero Balance is another filler made with a basis of hyaluronic acid and is positioned in the industry as a multi-purpose filler because it can adapt and change within the skin for even correction. Softer and more malleable than some products, it’s good for nasolabial folds — or so-called smile lines — as well as vertical lines around the lips and at the mouth corners. Marionette lines — which run from the corners of the lips down to beside the chin — can also be treated effectively with this dermal filler. It’s used off-label in some cases for acne scar filling and on forehead lines. For deep lines, this filler may not be the best choice because there are thicker products with more crosslinking that can provide better results in these cases. Results from Belotero Balance can last up to 8 months, and some reports indicate results lasting as much as twice as long.

CosmoDerm 1 and 2 and CosmoPlast are products made from human collagen and widely considered safer than those made from cow collagen. CosmoDerm is best for shallow, superficial wrinkles while CosmoPlast is used for deep wrinkles. With this product, overcorrection is usually necessary for the best results, and touch-ups are required. Results from both products last from 3 to 9 months, a relatively short time. That means these fillers aren’t used as much as they once were.

Juvederm Ultra and Juvederm Ultra Plus are made from hyaluronic acid created in a lab. The Ultra Plus product is intended for deeper folds of skin while the Ultra product plumps and improves the look of fine surface lines. Both fillers last from 6 months to perhaps 2 years. Similar products Juvederm Ultra XC and Juvederm Ultra Plus XC include the addition of lidocaine to reduce the pain involve in having the injections.

Juvederm Voluma XC is yet another similar product but differs from the Ultra product because it contains a much thicker hyaluronic acid gel. It is used for filling volume loss in the cheekbones and chin caused by aging. It is not intended for use on the lips, in frown lines or around the eyes. Results can remain for up to 18 months, and your practitioner can help you decide if the product is right for you.

Perlane, a sister product of Restylane, is a transparent hyaluronic acid that is made in a lab from bacteria. Sometimes injected just under the skin, this product can also be used for adding volume. It can smooth wrinkles and folds and is especially helpful around the mouth, nose and under the edges of the mouth in the oral commissures. Because this product has a large particle size, it is better than Restylane for deep wrinkles and depressions. It can last from 6 months up to a year.

Radiesse is a synthetic dermal filler made from 30 percent calcium hydroxyapatite in a 70 percent cellulose gel carrier. Calcium hydroxyapatite is also used as a bone cement and has been used for a long time to correct skeletal defects. The material is stable, easy to use and had adapted well to use as a dermal filler. Because this product is thick, it’s perfect for use with deep wrinkles and not appropriate for finer lines. The results are semi-permanent.

Restylane, another hyaluronic acid filler derived from bacteria, is a smart choice for some superficial wrinkles, but research has proven that it can also work well as an overall filler for deep wrinkles and in cases where building up volume is desired. Sister product Perlane is intended for deep wrinkles. Results can last from 6 months to perhaps a year, and whether Perlane or Restylane is used is a choice your dermal filler practitioner will have to make.

Sculptra can’t technically be called a filler because it stimulates collagen production rather than adding volume where injected, but it still needs to be mentioned here. This synthetic filler is made from poly-L-lactic acid or PLLA and is related in some ways to alpha hydroxy acids or AHAs. The product can be used for indentations and wrinkles, ice-pick scars from acne and for general facial depression improvements where fat loss is an issue. Results don’t happen immediately and require multiple treatments every two weeks for the best results and then routine maintenance after that.

Zyderm I, Zyderm II, and Zyplast are all cow collagen products that deserve a mention. Zyderm holds the distinction of being the first injectable filler to gain FDA approval and has been used for over two decades, so the techniques and training for using this product have been perfected. Overcorrection is needed because the materials are absorbable, and results only last from 3 to 9 months. About 5 percent of patients experience hypersensitivity, so allergy testing is mandatory before use.

Risks From Wrinkle Fillers

Perhaps the biggest problem with dermal fillers is longevity. After that, it’s important to mitigate risks like migration and lumping, but a skilled practitioner with the right training can use the right amount of filler in the precise places for the very best results. No matter which material is used, there is a learning curve involved in injecting it correctly and understanding how the product interacts with the human body and impacts the skin. That’s why it’s always best to choose someone who has been injecting dermal fillers for a while and who has experience with more than one kind of product.

If you have visible signs of aging, there’s every good reason to consider using dermal fillers to correct them. When used along with well-made skin care products and proper skin protection in the form of sunscreen, hats and proper clothing, dermal fillers can be a sensible part of the anti-aging process and can contribute to keeping skin looking better and younger for many years to come.

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