Vinay Madan, MD

Breast veins can usually easily be treated with foam or liquid sclerotherapy, depending on their size. Treatment takes less than 20 minutes and is very safe.

If you are having recurrent symptoms soon after treatment, you should return for a follow up ultrasound to confirm that the previously treated veins are still closed. Unless you had a recent change in lifestyle, including gaining significant weight, standing for longer periods of time or drop in exercise level, the symptomatic improvement from EVLT treatment should last for years. Developing new spider veins can also occur, considering that treatment of large varicose veins results in changes in flow dynamics. The areas of bruising may be underlying hyperpigmentation from inflammatory changes caused by the body attempting to resorb the treated veins. All of these findings are a reason to follow up with your vein specialist.

Hi, The veins on your legs are bulging and likely related to varicose vein disease. If you have symptoms in your legs like aching pain, heaviness, tiredness, fatigue, cramping or swelling, you may have venous insufficiency. If the symptoms are limiting in any way, you will require an ultrasound of your legs for further evaluation. Your hand veins are likely normal but can also be treated with sclerotherapy for cosmetic reasons. The facial veins are also likely normal and only a cosmetic issue.

Hi,
Breast veins can easily be treated with sclerotherapy with minimal risk. It would be recommended to wear a sports bra for compression. You should be able to return to normal intense exercise after 3-4 days. I would recommend the sports bra for 4-7 days.

Hi Savannah,
If you are slender and have visible veins over the thighs, these are likely normal reticular veins. If you have a family history of varicose veins, these veins may become varicose with age. These veins can be treated with sclerotherapy for cosmetic reasons. Varicose veins would be treated in the same way. Preventive measures include exercise, avoiding long periods of standing or sitting, maintain a healthy weight, leg elevation as needed and use of graduated compression stockings.