Wondering what treatment might most help improve the appearance of my ankles. Laser or IPL? What about high frequency radio waves? There is a local Dr. who uses this for the face and I am wondering if it could work well for this? I understand there may be reflux (a previous ultrasound did reveal some, but very mild, according to the Dr.) but I am not able or ready to do anything like EVLT at this time. Is a dermatologist sufficiently qualified for these procedures, or must it be a vein Dr.?
Answer: Choosing between different varicose vein and spider vein treatments It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.
Helpful
Answer: Choosing between different varicose vein and spider vein treatments It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.
Helpful
February 9, 2019
Answer: Spiders in the feet There are veins in the feet and ankles that are unsightly. Usually the back flow and increased pressure caused by this continue to cause these. The increased pressure makes it hard to get these veins to go away without treating the source of the problem. This would be done by treating the insufficeincy or reflux in the vein. After that is treated the pressure goes down and the veins are more receptive to scleotheraoy and they tend to go away better. I would recommend this path for them to go away correctly.
Helpful
February 9, 2019
Answer: Spiders in the feet There are veins in the feet and ankles that are unsightly. Usually the back flow and increased pressure caused by this continue to cause these. The increased pressure makes it hard to get these veins to go away without treating the source of the problem. This would be done by treating the insufficeincy or reflux in the vein. After that is treated the pressure goes down and the veins are more receptive to scleotheraoy and they tend to go away better. I would recommend this path for them to go away correctly.
Helpful
January 4, 2019
Answer: A combination of sclerotherapy and ohmic thermolysis (VeinGogh) may be warranted This is a common reaction after sclerotherapy treatment. These tiny veins ("matting") can be treated with continued sessions of sclerotherapy. However, the truly tiniest of these veins - the ones that are too small for even a skilled practitioner to access with a needle - can be treated with a treatment known as ohmic thermolysis (brand name VeinGogh). This treatment uses tiny needles to apply a burst of radiofrequency energy to the vein (and surrounding tissues). This causes the vein to close and eventually it is resorbed. The advantages of VeinGogh are the ability to treat the tiniest of vessels, and the ability to treat a wide area. The treatment feels like a tiny sting (which can be lessened with the application of topical anesthetic prior to the procedure). Most tolerate the procedure very well and see great results in a few weeks. Multiple treatments are necessary.
Helpful
January 4, 2019
Answer: A combination of sclerotherapy and ohmic thermolysis (VeinGogh) may be warranted This is a common reaction after sclerotherapy treatment. These tiny veins ("matting") can be treated with continued sessions of sclerotherapy. However, the truly tiniest of these veins - the ones that are too small for even a skilled practitioner to access with a needle - can be treated with a treatment known as ohmic thermolysis (brand name VeinGogh). This treatment uses tiny needles to apply a burst of radiofrequency energy to the vein (and surrounding tissues). This causes the vein to close and eventually it is resorbed. The advantages of VeinGogh are the ability to treat the tiniest of vessels, and the ability to treat a wide area. The treatment feels like a tiny sting (which can be lessened with the application of topical anesthetic prior to the procedure). Most tolerate the procedure very well and see great results in a few weeks. Multiple treatments are necessary.
Helpful
December 25, 2018
Answer: Sclerotherapy by a vein specialist The condition you are describing is extremely common. The appropriate therapy is sclerotherapy. The injection of these tiny but unpleasant veins with a liquid medication that reduces or eliminates their appearance. But if you do truly have insufficiency or reflux in your underlying veins you are only treating the surface of the problem. Veins are like trees. There is a trunk which is the root of the issue when it is not working appropriately and the branches which are the part of the condition that you see at the surface. See a board certified vascular specialist (interventional radiologist or vascular surgeon) that focuses specifically on the treatment of varicose veins. Get a through ultrasound evaluation which should be done in part with you standing upright. And get treated for the entirety of your condition. It may take a little time and effort but with patience you will have excellent results.
Helpful
December 25, 2018
Answer: Sclerotherapy by a vein specialist The condition you are describing is extremely common. The appropriate therapy is sclerotherapy. The injection of these tiny but unpleasant veins with a liquid medication that reduces or eliminates their appearance. But if you do truly have insufficiency or reflux in your underlying veins you are only treating the surface of the problem. Veins are like trees. There is a trunk which is the root of the issue when it is not working appropriately and the branches which are the part of the condition that you see at the surface. See a board certified vascular specialist (interventional radiologist or vascular surgeon) that focuses specifically on the treatment of varicose veins. Get a through ultrasound evaluation which should be done in part with you standing upright. And get treated for the entirety of your condition. It may take a little time and effort but with patience you will have excellent results.
Helpful
December 10, 2018
Answer: Vein Treatment It is common that treated areas with sclerotherapy may cause micro veins to appear, a side effect known as matting, like you mentioned. If this happens, it can also be treated with another sclerotherapy session for more adequate temporary cosmetic results. If reflux is present, consider medical treatment as well. I recommend you see a vein specialist board certified in Venous and Lymphatic Medicine. All the best,
Helpful
December 10, 2018
Answer: Vein Treatment It is common that treated areas with sclerotherapy may cause micro veins to appear, a side effect known as matting, like you mentioned. If this happens, it can also be treated with another sclerotherapy session for more adequate temporary cosmetic results. If reflux is present, consider medical treatment as well. I recommend you see a vein specialist board certified in Venous and Lymphatic Medicine. All the best,
Helpful
