Orlando Vein Treatment doctors

	Armando Soto, MD Orlando Plastic Surgeon 7009 Dr. Phillips Blvd. Suite 100, Orlando		2 answers
	Ross A. Clevens, MD Melbourne Facial Plastic Surgeon 200 South Harbor City Blvd First Floor, Melbourne
	Jeffrey Hartog, MD Orlando Plastic Surgeon 4355 Bear Gully Rd, Winter Park
	B. Pat Pazmino, MD Miami Plastic Surgeon 848 Brickell Avenue Suite 820, Miami
	Richard Sadove, MD Gainesville Plastic Surgeon 101 NW 75th Str Suite 3, Gainesville

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