Board-certified vein specialist Dr. Tif Siragusa is the founder of Siragusa Vein & Laser in Nashville. With over 15 years of experience, he specializes in minimally invasive treatments for varicose and spider veins. Recognized as a “Top Doctor” by Nashville Lifestyles, Dr. Siragusa is dedicated to patient-centered care, offering the latest technology and personalized treatment plans to help patients achieve healthy, confident legs.
Dr Siragusa and his staff are AMAZING!! I came from out of state to see him and very pleased with my results. I had been battling varicose vein’s for 10 years and they were getting worse and more painful. With one quick and easy procedure, my varicose veins are gone. The procedure itself took less than 30 min, virtually painless, and NO DOWNTIME! Highly recommend
Dr. Siragusa and his staff were amazing! I am VERY pleased with my results. I traveled from Paducah, KY and will definitely be making any future visits to his office. Beyond happy overall. I cannot thank him enough for the confidents I regained after having this procedure.
I had several spider veins and varicose veins that I have dealt with for many years. Dr Siragusa as able to quickly diagnose my problem and come up with a treatment plan after the ultrasound. Once my insurance approved it, he performed to laser ablation on my veins. After that my legs felt much better and my varicose veins were much smaller. He then did two sessions of sclerotherapy on my spider veins. After about three months 80% of my spider veins it cleared up as well. I was very happy with my entire experience here and would highly recommend him for any types of vein problems
Dr. Siragusa and his incredible staff were fun, informative and VERY hands on and kind. It is rare to meet cool and connected physicians and he is one of them. Great music was playing in the treatment room- the staff was conservative in their approach and the team is top notch- i will be back again!
Wonderful experience with Dr. Siragusa and his wonderful staff. Welcomed by the office staff as soon as I walked in. Amber (his lead nurse) injected botox and juviderm ultra on my lips. She is GREAT!! She has been injecting for 14 years, and she is amazing. I highly recommend this office:)))
I visited Dr. Siragusa's office to have filler injections in my lips and worked with Dr. Siragusa's nurse practitioner, Amber Cruth. My experience was wonderful - I loved the end result and the service was second to none! I would highly recommend this office and, more particularly, Ms. Cruth for any filler injections - a painless visit in every sense of the word!
I had my first treatment on November 12th. We are now at the 2 week mark and so far I'm unsure if it's working. Right after the treatment, I had a weird stinging, swimming like feeling in the veins. I called my doctor in a panic, but they said it's normal and should only last a few hours. After about 4, it went away. The legs looked like I had been attacked by bees and getting the stockings on right after, took 2 people. So don't be alarmed if that happens. I actually wore my stockings overnight because I was worried I wouldn't be able to get them on. Wore them all the next day. These photos were taken about 36 hours post procedure, when I took the stockings off. The next day, getting the stockings on.... went surprisingly well. I think the legs weren't swollen. I also learned the best way to get the stockings on is lying in bed. Updated on 26 Nov 2015: At the 2 week point today. I'm figuring I will need a 2nd treatment for sure. It appears that a few of the veins I was worried about in my upper thigh are all but gone, or at least very faint, esp in my top right thigh (These were less than the left thigh). I still have visible veins, with bruising but I keep telling myself "Time is key". The Physician Assistant who did my first treatment said they usually wait 4-6 weeks between treatments to get a better gauge of what needs to be done, so I'm waiting until then to panic. Although I am still slightly panicked about the bigger bruised ones. No pain, no weird sensations. Updated on 11 Dec 2015: Officially at the one month point since having my first procedure. I can definitely see a difference in my veins. I am for sure a 2nd procedure. I had to reschedule it to the end of the year due to flying for the holidays and didn't want to be hundreds of miles away in case there are issues. I am hoping that I will only need 2 treatments, but preparing for a 3rd if need be. Where they did the originals pokes, the veins seem to be fading especially in my right leg which wasn't as bad. The left leg are going to take at least one more visit. I might even have to suck it up for a 3rd procedure. I'm assuming that some of this is dead blood in the veins, that needs to be drained as it seems darker. No pain or anything whatsoever. Since it's winter I'm extra pale, so determining what's a functioning vein and what's a spider one is hard. When I went in for my original consultation I tried to have a working vein stuck lol. My goal is to be all shorts/bathing suit ready by May for my big 3-0 celebration. Fingers Crossed. For anyone whose had this procedure done before and had great results, do you have any input? Updated on 30 Dec 2015: Had my 2nd treatment done today. Took all of about 20 minutes. There were only a few spots on the legs I wanted addressed and let the doctor do a once over. She did not touch the ones we addressed in the first visit, so I am assuming those are in the healing process and didn't need more injection. I do have some on the back of one leg, but have decided not to worry about those for the time being. I don't see them, so who cares. It was a totally painless time. No foam injections were made, which I think is the reason why it was so painless. Some weird stinging sensations since, but that seems to be subsiding (4 hours after the fact). It was nice to kind of know what to expect. She said I was healing exactly like I should. The lower portion was still bruised from the first visit, which she said was normal. The legs will look worse before they look better. So expect that when you have this done. My thighs are healing up very quickly. She said if I needed a touch up I can call, but other than that no need to go back. I might call in a month or 2 and see if they can do a quick look over to make sure the healing is happening. The doctor said I should see the good results happening in about 2 months, given my age and what not. It all depends on how my body takes to healing. As of right now, I would recommend this to anyone self conscious of their spider veins. I'll let you know if that changes in the next few months. Fortunately, it's cold here right now so pants are a must. I will post pictures in the next couple weeks. Updated on 2 Jan 2016: Here are pictures. I was able to take the compression stockings off tonight, so I could get a good look at my legs. They of course look awful. I have to keep reminding myself "Give it time". I might go in for another procedure... going to give it a month to see how it looks before I schedule anything. Unfortunately, I had a heat rash the day of the procedure which I think hindered getting more of the veins. Updated on 3 Jan 2016: I can't tell if it's a bruise or some other discoloration.... It's making me nervous. Updated on 19 Jan 2016: My legs look awful. I can't tell if it's the veins dying or if this is how my legs will look for the rest of my life. I've set up an appt with the doctor next week to look over and make sure this is not a permanent situation. She said she could do the touchups on my thighs then, since it's been a month since the 2nd procedure. I am really, really hoping that this fades by summer. Right now it's perfect pants/layers weather. But I really want to be comfortable wearing shorts again and not just play maxi dresses forever. Updated on 23 Jan 2016: My upper thigh is really concerning me. I worry there's pigment issues happening. I worry about doing a 3rd treatment with this same doctor or if I should just let it be and give it time. I am pretty sure this bruising has only appeared since the 2nd treatment, not even a month ago. Updated on 12 Feb 2016: It's been 3 months since my first treatment. I've been a terrible patient, being ultra paranoid that I've screwed my body up. However, it appears that the spider veins are finally fading. I still have some hyperpigmentation on my upper thigh but it looks like it's fading. My doctor said it's normal and not to panic. I still have several raised veins, that are dark blue, that appear to still be absorbing. They don't change color when I push on them. I still have a few visible spider veins, but as a a whole I'm happier. As long as this discoloration isn't permanent, and fades by summer, I will be feeling more secure about my legs. Updated on 18 Feb 2016: It's officially 6 weeks since my 2nd treatment. According to the PA, who did the procedure, I am healing slower than expected but it's still on track. She said if it's raised, and doesn't change color when you push down on the vein, then it's still dissolving. I have staining :( She said she wasn't concerned about it, since it's only been a total of 3 months. If it had been 3 years, then she'd be concerned. I am hoping and praying this goes away in a timely fashion. If anyone has any advice on this and/or any remedies to speed it up I'd gladly take them! I am just accepting that the legs won't be perfect... I'll still have some spider veins. I'm just hoping that all of this work hasn't made my legs worse. I plan on setting up an appointment in a month or so, just to be double check the progress. Updated on 11 Mar 2016: Not much change, that I can see... If you see it your eyes are better than mine. I have a big trip in 2 months. Hopefully they will be gone by then! I think the staining is fading. I've had some pulling sensation in the right lower vein, a reticular vein is what they called it. It has faded a fair amount. Updated on 11 Mar 2016: This had horrible staining. Still there, but fading. Updated on 13 Apr 2016: I finally got in to see Dr. Siragusa, not his PA, and he was wonderful. Didn't feel rushed, very personable, answered all of my questions. I'm healing fine, it's just that I am so pale it's all very, VERY noticeable. So I'm going to get some spray tan before my beach trip in two weeks to try and cover this up. Just wanted to post pictures, in case anyone wanted to see the progression. I've actually started to notice how the veins are LESS noticeable (if that makes sense). Updated on 13 Apr 2016: There is obviously still staining on my top left leg, which is uber frustrating. Updated on 13 Apr 2016: It's still there, but looking at the photo today I've noticed change in a positive direction. I had hoped it would be all cleared up for my beach trip in 3 weeks but I'm not overly hopeful. Updated on 18 May 2016: I think the staining is here to stay. Not sure if the veins are still dying or not. I went to the beach and no one seemed to notice the veins, although I was self conscious. Hoping I'm just a slow healer (pretty normal) and by next year's trip, this is all gone! Updated on 16 Dec 2016: I wanted to post a quick update! Overall, I am very happy with the way this treatment worked. I wound up doing a laser treatment on one of the veins, lower left leg, that had blood clotted. It took all of 5 minutes, kind of uncomfortable, and only one treatment. And am very happy with the way it turned out!! I am going to do the same with the veins still left on my top left leg, but after the holidays. I didn't do anything originally with the back of my legs, but I think I am going to do a little laser on the back left leg as there are some spider veins there. My back left leg is fine. I have started wearing my compression stockings every work day, to try and keep away any further veins from forming. They were really annoying when I had the original treatments done, but now I've gotten used to them. Updated on 16 Dec 2016: I just looked at my 6 month update and compared to the pictures I took today. I can't get over how much of a difference there is. So all of that to say, give it time. I had a lot of people tell me if they didn't go away in 6 months they would not, but that is obviously not the case. Every body is different and mine clearly heals slower than someone else. Don't get frustrated if you don't see results immediately.
.. When I had Botox for the first time with Dr Siragusa we discussed in depth the outcome I was looking for. My goal was to look as natural as possible ...he did a great job making me look refreshed and youthful. I was pleased with my results and highly recommend Dr. Siragusa. I'm really happy that He was referred to me.
I visited Dr Siragusa for a consultation about the dark brown spots on my face and deep wrinkles in my brow and forehead. I told him that I didn't want to do anything over the top and I just wanted to look my age. He made me feel very comfortable that the procedures he would suggest would look very natural and give me the exact results I was looking for. He preformed BBL light treatment to remove the dark sun spots, and Botox in between my eyebrows and forehead. I couldn't be happier with the results!! The brown spots quickly started breaking up after just one treatment and my skin looks so much better now. Because of the Botox, I have had friends and family members say my face looks more relaxed. The Botox and BBL treatment combined gave me just what I wanted...to look like a 32 year old, not an aging 32 year old anymore.
I went to see dr. Siragusa for problems with my varicose veins in both of my legs. He did a bilateral vein ablation and my legs are worse now than before and I am in so much pain. Not only are they bruised but I have more varicose veins that have popped up since the procedure and severe restless leg syndrome. I came back to Dr Siragusa for a follow-up and told him of the changes that have happened and he states that my problem is not due to venous circulation. I think he did that in order to cover up the fact that his procedure did not help me at all. In fact, it made my condition worse. His Nurse Practitioner also documented notes in my chart of things that I never said to her and things that we never discussed. When I called her to tell her that it was incorrect she stated that she will not change it. I waited for up to 2 weeks to get documentation for the procedures and my consultations at that office and no one was in any hurry to get back to me. This was by far one of the worst decisions that I have made. I highly recommend going somewhere else for any kind of varicose vein treatment! This will not let me post photos but I have taken pictures and am inquiring Elsewhere for a second opinion.
if you have varicose veins, they can be treated. Ask your vascular surgeon what Toby suggest to make your legs feel better. If they don’t ha e an answer go somewhere else and find someone who can address the veins that bother you.
When people speak of laser treatment for veins, they are referring to one of the following two scenarios. Number one is that some offices utilize a laser to treat surface vans, such as spider veins and reticular veins. The chance of a DVT after treating these superficial veins should be close to zero. The other scenario is when s laser is used to close a vein such as the saphenous vein. In this situation, as long as your doctor knows what he or she is doing, the risk of a DVT should be along the lines of one in a few thousand.
Two options for treating hand veins that you find unsightly include The injection of foam (sclerotherapy) or performing a phlebectomy. Not all vein doctors work on the hands however these two treatments are both very effective for resolving unsightly hand veins.
When treating visible veins, we usually inject the larger ones and use laser on the smaller ones. It looks like you had a varicose vein that coursed down your inner leg and across your calf. They most likely injected that with foam. Some patients experience staining after these procedures which is where hemosiderin from the blood stains the skin above the vein that was treated. This can be prevented if the clot in these veins is evacuated with in the first week of the procedure. At 10 months there are not really any options I am aware of to help resolve this. The good news is if you are able to continue to be patient, it should slowly fade with time.
Whenever we do sclerotherapy on larger veins, they become a little bit tender, red, and hard. Often times I will see the patient back within the first 3 to 5 days after the procedure to rvaluate for this problem. If it is present, what I will do is use a very small needle to puncture the vein and then express the clotted blood out of the vein. This typically makes it feel a lot better and makes it go away a lot faster.
