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Different kinds of visible veins on thighs & buttocks. Do they need to be treated differently? What are my best options? (Photo)

Hope4NoseNov 7, 2015
I have veins all over my thighs and buttocks which are hard to capture in photos. There is a very visible blue vein which bothers me a lot but then there are thinner purplish veins all over my buttocks and thighs. I even have a cluster of tiny purple veins which I pointed the purple arrow to which looks like a bruise! I have some small veins on my chin/cheeks which are purple/red. Seems I have all different types! What are my options? which laser can target all of these veins on my legs/face?!

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Hratch Karamanoukian, MD, FACS
Board Certified Phlebologist
Answered on Jan 30, 2016
Answer
Dr. John Landi, MD
Board Certified General Surgeon
Answered on Nov 9, 2015
Answer

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Hratch Karamanoukian, MD, FACS

Thank you for your question. This looks like a venous lake and can be treated with a long pulse dye laser.See a laser specialist or ABVLM Certified Vein Specialist with laser experience. BestDr. Karamanoukian

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Hratch Karamanoukian, MD, FACS

Bulging veins on your upper extremity seems to be there because you are lean and have little body fat. It is normal. You have to weight the benefit of treating these with sclerotherapy or microphlebectomy with risk of developing hyperpigmentation or keloid formation.Dr Karamanoukian

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Hratch Karamanoukian, MD, FACS

The guiding pneumonic for expectations after sclerotherapy that should be given to patients is "it looks worse before it gets better". It is also important to note that it is KEY to wear compression stockings immediately and regularly for as little as 2 weeks (in Florida and California) to 3 ...

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