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Patients have different tolerance levels and each needs to be treated individually according to their needs and desires and goals.Some patients experience great anxiety in anticipation of procedures and needle sticks. These patients are offered valium or other medications in an effort to calm or put them at ease.
One in 200 patients are given oral valium (5 mg) before ambulatory vein surgery, and1) only if they are driven to and from the office by a family member or friend; and2) if they are deemed to be very nervous at the time of initial consultation. Most patients do not need any type of anxiolytic or sedation in my practice.These medications are mostly for the convenience of surgeons who need more time to do the procedure "without interruption" from talkative patients.
The goal of treatment is to identify whether the visible veins are true varicosities, or abnormal veins, or whether the problem arises from thin skin and subcutaneous tissue. The options for treatment include the following: Injection sclerotherapy Microphlebectomy Fat grafting Sculptra...
In this case, I would consider using Radiesse for the backs of the hands. Radiesse is a great way to add volume between the vessels, resulting in a youthful appearance of the hands.
Hyperpigmentation after sclerotherapy may be the result of melanin production by the skin or blood from the vessel being treated leaking into the skin (a bruise). Both are inflammatory situations that will resolve over time. The problem is that the process is slow in the legs because...
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