Thank you for your question. It sounds like many of the physicians answering your question have no or little experience with the Veinwave or Veingogh device. This new FDA approved technology, also known as Ohmic thermolysis or thermocoagulation, is similar to laser in many ways. . . it uses heat energy applied to the skin to remove small spider veins. I have found it to be extremely effective for removing small clusters of spider veins on the face, ankles, feet, or legs. Unlike laser treatments, it is less painful, does not tend to have significant risk for scars, and can be used safely on any skin tone. We have had great success and patient satisfaction using this technology in our vein clinic. I tend to NOT use sclerotherapy on the face or feet, as I feel it too dangerous in these areas. But the Veinwave / Veingogh technology can be safely used in these locations as well as the ankles. It has a specially designed probe to use on the face and a separate probe to use on the legs / ankles / feet. I prefer to use sclerotherapy on the legs, as it is almost as effective and sclerotherapy takes less time (which translates into less cost for the patient). But for the more difficult locations mentioned, or for veins resistant to sclerotherapy, I feel that this is a great technology. Like every other vein treatment, more than one session may be needed and there is a possibility of some recurrence of the veins down the road that may require repeat treatments.
If I were you, I would call around to several different vein centers in your community and see if they have the technology available. A vein specialist should be considered. Since it is a relatively new FDA approved treatment, many places may not yet have it available. Be wary of a place that says "oh, we have a laser and it can do that same thing". Although lasers have their utility in treating certain vein conditions, this is a different technology than laser and can be very useful and often preferrable over laser in many circumstances.
I hope that you found this information to be useful to you.