Jacksonville Vein Treatment doctors

	Scott Trimas, MD Jacksonville Facial Plastic Surgeon 1361 13th Ave South Suite 125, Jacksonville Beach		3 answers
	Armando Soto, MD Orlando Plastic Surgeon 7009 Dr. Phillips Blvd. Suite 100, Orlando		2 answers
	A. H. Nezami, MD Jacksonville Plastic Surgeon 820 Prudential Drive Suite 702, Jacksonville
	Richard Sadove, MD Gainesville Plastic Surgeon 101 NW 75th Str Suite 3, Gainesville
	Clarence Boudreaux, MD Jacksonville Dermatologist 103-B Solana Road, Ponte Vedra Beach

Recent Answers

I Have a Painful Vein Under my Breast. I Am Very Busty. What Are My Options? I Have a Painful Vein Under my Breast. I Am Very Busty. What Are My Options?

A: Painful Vein under Breast

Hi there-

Without knowing more about the circumstances of your complaint, and without an exam, it would be very difficult to give you a responsible answer...

Visit with a Board Certified Plastic Surgeon for a consultation.

Armando Soto, MD

Orlando Plastic Surgeon

What is Polidocanol? i have spider veins and vascular lines on my legs. I've tried scleratherapy in the past but dont like the *shadowing*. Is Polidocanol better, can I get it in the US?

A: Polidocanol is a sclerosant used to treat leg veins.

There are several ways to treat spider veins in the legs.

The most common, and still considered the 'gold standard', is with sclerotherapy.

Laser can also be a good option if the vessels are so tiny that it is nearly impossible to cannulate them with a needle and sometimes as an option when treating large, bulging vessels by entering inside of the vessel and sealing them from within.

There are several sclerosants available and all will adequately do the job. Sometimes it is just personal preference from the clinician.

Polydoconol can be obtained and used in the U.S. This is actually the choice method in our office. The average normal concentrations can be 0.25% to a 1.0% solution, depending on vessel size being treated. The shadowing that you are referring to is actually an increase in the pigment of the skin that can occur after the procedure. One significant way to minimize this is to be as sun-free as possible prior to the treatment. Bleaching creams can also help to reduce this effect. By applying the cream prior to the procedure and afterwards can help reduce the chance that the pigment cells will be activated as strongly, and thereby reduces the 'shadowing effect'.

Armando Soto, MD

Orlando Plastic Surgeon

Electrodessication for Facial Capillaries I consulted with a prominent plastic surgeon about using electrodessication for my facial capillaries. I have tried many of the usually recommended treatments without positive results. Anyhow, this doctor said that although electrodessication is effective, it can leave enlarged pores. Is this correct?

A: Treatment for facial blood vessels

Small capillaries or telangectasias of the face can be treated with a variety of different measures. For small ones that are not diffuse spot treatment with a needle tip electorcautery on low power can be effective. However, I have seen over the years patients treated this way that end up with white spots or enlarged pores or depressions in the skin. The safest way in my opinion is still laser treatments with a KTP 532 laser, ND:YAG 1064 or IPL treatments. Another very effective option includes the use of a pulsed dye laser but more bruising may result. I would personally exhaust those options first before treating with an electrocautery. I hope this information helps.

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon