I recently had vein removal and sclerotherapy on my legs for varicose veins and I was left with spider veins by all of the places they took veins or treated veins. The doctor even treated one of the spider veins that was caused and it just made it worse, are lasers the answer to get rid of them? I am only 25, and I feel very self conscience about them. And what is the cost of doing a laser treatment for spider veins? Thank you in advance!
April 29, 2021
Answer: Slerotherapy and Undiagnosed Venous Insufficiency - Varithena Buffalo NY As already mentioned by Dr Landi, one of the pitfalls in treating spider veins is missing underlying venous insufficiency - this can be diagnosed with a thorough venous Doppler Ultrasound (Duplex scan). If there is coexistent venous insufficiency, it must be treated before spider veins are treated. Having said that, if there are new small spider vein complexes around the sites of sclerotherapy, these are called telangiectatic matting and are related to the inflammatory response and most should go away within 6 months according to the literature. If they do not, it implies that there is untreated venous insufficiency. There is a new modality of ablation called Varithena - It is new. It does not have long term outcome studies. Short term efficacy and safety is reasonable given the published data in VANISH-1 and VANISH-2. Varithena is NOT covered by insurance. EVLT is the gold standard for the treatment of venous insufficiency. A second good option is VNUS CLosure. A third option is ClariVein (mechanochemical ablation). ClariVein may or may not be covered by medical insurance. VNUS Closure and EVLT are covered by most medical insurances in the US.
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April 29, 2021
Answer: Slerotherapy and Undiagnosed Venous Insufficiency - Varithena Buffalo NY As already mentioned by Dr Landi, one of the pitfalls in treating spider veins is missing underlying venous insufficiency - this can be diagnosed with a thorough venous Doppler Ultrasound (Duplex scan). If there is coexistent venous insufficiency, it must be treated before spider veins are treated. Having said that, if there are new small spider vein complexes around the sites of sclerotherapy, these are called telangiectatic matting and are related to the inflammatory response and most should go away within 6 months according to the literature. If they do not, it implies that there is untreated venous insufficiency. There is a new modality of ablation called Varithena - It is new. It does not have long term outcome studies. Short term efficacy and safety is reasonable given the published data in VANISH-1 and VANISH-2. Varithena is NOT covered by insurance. EVLT is the gold standard for the treatment of venous insufficiency. A second good option is VNUS CLosure. A third option is ClariVein (mechanochemical ablation). ClariVein may or may not be covered by medical insurance. VNUS Closure and EVLT are covered by most medical insurances in the US.
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November 26, 2014
Answer: Veins require a venous evaluation. If you have had veins removed and sclerotherapy without improvement and/or worsening, then you should have a venous reflux ultrasound to look for underlying malfunctioning valves in the saphenous system. Laser treatment of leg spider veins does not work as well as sclerotherapy. You should see a vein specialist for a complete venous evaluation.
Helpful
November 26, 2014
Answer: Veins require a venous evaluation. If you have had veins removed and sclerotherapy without improvement and/or worsening, then you should have a venous reflux ultrasound to look for underlying malfunctioning valves in the saphenous system. Laser treatment of leg spider veins does not work as well as sclerotherapy. You should see a vein specialist for a complete venous evaluation.
Helpful
