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Our office specializes in varicose vein treatment in Los Angeles. The first step would be a diagnostic vein ultrasound with vein mapping to diagnose the root cause of your varicose veins. Raffy Karamanoukian MD FACS
The Marfan syndrome or patients with Marfan habitus and characteristics are known to have aneurysmal dilation of arteries and heart valves and not necessarily veins or venous structures. A thorough evaluation by Duplex venous scan - Doppler and ultrasound - by a certified vein specialit will help guide the best treatment(s) in a patient with Marfan syndrome.
Varicose veins are due to malfunctioning (refluxing) valves usually of the saphenous system of veins. You should undergo a full venous evaluation by a vein specialist including a full venous ultrasound to look at both the deep system and the superficial system. This exam will help to diagnose the problem and formulate a treatment plan. Marfan's is not a contraindication to vein treatment. If you have varicose veins and refluxing valves, then you may be a candidate for laser vein closure. Sclerotherapy is done primarily for spider veins and sometimes for varicose veins and surgery for varicose veins in done very infrequently. Microphlebectomies (2mm punctures) are usually done in conjunction with laser closure to remove the varicose veins once the valves are sealed.
What your pictures show is called staining which is a result of what is called hemosiderin release from trapped or extravasated blood. This can occur following sclerotherapy and, usually resolves spontaneously. It hopefully will resolve sooner but it could take up to a year and, very...
You can wear graduated compression stockings as much as you like - some only wear them when they are on their feet or sit at work (8-10 hours a day) and others, like me, wear them all the time, taking them off when i shower twice a day and promptly wear them again - even during sleep. Find what...
We routinely recommend studies to ascertain if there is concurrent or contributing venous insufficiency - whether it is of the truncal type or perforator type - before we treat spider veins, reticular veins on varicose veins with sclerotherapy. As well, we ask our patients to use topical...