Sclerotherapy or Laser for my Varicose and Spider Veins? (photo)

Hello Doctors, What kind of treatment (sclerotherapy/laser) would you recommend for my varicose veins (both legs). Please pay attention to the big vein on the front of my upper left leg. How much would the whole procedure cost me w/o insurance? Do I need to run any tests prior to treatment? I am looking for a doctor in Florida. Thank you!

Doctor Answers 3

Venous reflux, varicose veins, venous ultrasound

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The pictures of your legs show varicose veins.  Varicose Veins are due to malfunctioning valves (reflux) in the saphenous veins.  Think of your veins like a tree with the trunk being the saphenous vein and the varicose veins being the branches.  The branches (varicose veins) are defective because the trunk is not working properly. What you need to make the diagnosis and determine the treatment is a venous reflux exam.  Most likely you will require endogenous laser closure of the saphenous vein followed by microphlebectomies (2mm pin holes) to remove the bulging veins.  All of this is done at the same time. The cost is about 2500$.

Naples General Surgeon

Varicose Vein Treatment

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You have obvious venous insufficiency / venous reflux of your legs causing your condition.  Yes, this would require a diagnositic test known as a venous reflux ultrasound to determine the underlying cause of the veins.  Typically there is a defective saphenous vein beneath the surface that needs to be treated in order to cure the problem.  The next step after the ultrasound is typically an endovenous laser treatment (i.e. EVLT) or radiofrequency ablation procedure (i.e. Venefit or VNUS procedure).  I would seek out a board certified vascular surgeon  who specializes in vein treatments in your home state of FL to do your evaluation and treatment, as they are best qualified. The spider veins are usually best treated with sclerotherapy.  I hope the information was useful.

Varicose veins in the inner thighs and posterior legs and thighs - Buffalo Niagara, NY

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Thank you for posting these pictures. 

The tributary veins in the inner thighs are branches of the great saphenous vein.

The tributary varicosities in the back of your thigh and leg are branches of the small saphenous veins. 

A Doppler ultrasound of your lower extremity veins is necessary to determine if you have 1) saphenofemoral venous reflux and 2) saphenopopliteal venous reflux or 3) segmental venous reflux of either vein or a combination of all of the above. 

Seek a vein specialist for consultation and evaluation for treatment. 

Read the ebook about venous insufficiency provided on the link below. It is a free access book. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.