Bellevue Sclerotherapy doctors

Richard P. Rand, MD, FACS Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
1135 116th Ave. NE Suite 630, Bellevue
4 answers
Henri P. Gaboriau, MD Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon
22840 NE 8th St. #103, Sammamish
Daniel Levy, MD Daniel Levy, MD
Bellevue Dermatologic Surgeon
4455 148th Ave NE, Bellevue
George Marosan, MD George Marosan, MD
Bellevue Plastic Surgeon
11820 Northup Way Suite E190, Bellevue
Sam Naficy, MD Sam Naficy, MD
Seattle Facial Plastic Surgeon
1110 112th Ave NE Suite 150, Bellevue

Recent Answers

A: Complications from hand sclerotherapy

This is an unusual procedure generally limited to other parts of the body.  Also, hand veins tend to be bigger and sclerotherapy works better in smaller veins with slower blood flow going through them so the irritant has time to cause inflammation in the vein lining and then it scars down.  If the injection misses the vein it can cause tissue loss, open wounds, scarring and thus possibly funtional problems.  I would doubt that if you spoke to a hand surgeon, they would bless this idea.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
Does Sclerotherapy Work on Tiny Facial Capillaries?

Hello, I have very fair skin and lately have noticed that my capillaries are becoming increasingly noticeable. I have tried several types lasers to treat my facial veins (underlying my acne scars, surrounding the nose) to no avail.

In fact, lasers often leave additional scars and capillary matting. The bottom line is that lasers do not work as my capillaries seem to require an intensity that my skin cannot tolerate. Are there other options? Can sclerotherapy target tiny facial capillaries?

A: Using a cautery for facial capillaries

 As Dr. Oppenheim has siad, I have also had success with stubborn facial capillaries using a Colorado needle point on a cautery set extremely low and just zapping them under 3.5X magnification.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
Spider Vein Treatment Side-effects? which side effects from vein treatment are possible?
A: Mainly failure, recurrence, and hyperpigmentation

The worst things that could potentially happen from treating spider veins would probably be failure of treatment, recurrence of the spider veins, and especially hyperpigmentation.

Hyperpigmentation happens when the tiny thin walled veins burst from the treatment and blood leaks into the tissues causing a sizable bruise. As the body absorbs the bruise, the iron particles in the hemoglobin molecules linger in the tissues for months causing a brown stain. This usually resolves but very slowly.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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