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The posted veins around the ankle are often a sign of malfunctioning valves (reflux) of the saphenous system of veins. Due to the increased back pressure in the veins more veins begin to form. See a vein specialist for a full venous evaluation with a venous duplex ultrasound.
You likely have venous insufficiency which needs Doppler US interrogation and treatment with EVLT and foam sclerotherapy for ankle veins.Omega Vein Cream for vein health.Citrus Bioflavonoids (Varicosamin) oral supplemet for vein health.BestH Karamanoukian MD FACS
Clusters of visible veins over the ankles, especially the inner (medial) ankle can be a sign of venous reflux disease. These veins may be opening up due to high pressure from blood pooling in larger underlying veins. I recommend seeing a vein specialist and having an ultrasound to determine if you have venous reflux disease.
Many causes for this including sun exposure, thinning skin, normal aging, propensity to form venous disease, superficial clots.Needs expert evaluation.Best H Karamanoukian MD FACS certified vein specialist from ABVLM
Ohmic thermolysis (VeinGogh or VeinWave) or IPL or pulse dye lasers would be excellent choices to rid of these spider veins on the face. Lasers are more accepted in the vein specialty than ohmic thermolysis. Best H Karamanoukian MD FACS
There are many ways to remove surface veins. I would suggest laser therapy instead of vein wave to eliminate facial spider veins. Laser can be more powerful than RF. Best, Dr. KaramanoukianLos Angeles