Spider and varicose veins comprise a very common concern. Tiny pink, red or purple vessels known as spider veins of the lower extremities are best treated with sclerotherapy, an essentially painless procedure whereby a sclerosant is injected into the unwanted vessel causing it to collapse so then the body can eventually resorb it. Compression stockings should be worn for between 72 hours to 2 weeks depending on the size and extent of the vessels. Multiple treatments are typically required, but this treatment is very effective. This procedure may sometimes be combined with one of our other vascular lasers to achieve optimal results.
Risk factors for the formation of varicose veins include genetics, female gender, pregnancy, age, occupations that involve prolonged standing, and obesity. These dilated veins are often bluish green or flesh colored, torturous in appearance and palpable beneath the skin ’s surface. Oftentimes, varicose veins are the result of an underlying leaky vessel, a condition known as superficial venous insufficiency (SVI). When valves within a vein cease to function properly, blood is permitted to reflux or flow in the opposite direction than it is intended to flow. Reflux leads to pressure buildup within the vein, causing the vein to distend further. When present, this condition is often associated with symptoms such as aching, burning, fatigue, pruritus, cramps, restless legs and swelling. These symptoms are typically aggravated by warmth and inactivity. If you have varicose veins or symptoms suggestive of underlying venous disease, a noninvasive imaging test (duplex ultrasound) can be performed to delineate the extent of your disease.
If you suffer from SVI, you may be a candidate for sclerotherapy injections performed under ultrasound guidance or endovenous laser ablation (EVLA). EVLA uses thermal energy to close the damaged vein from the inside out. Blood is then re-routed through your healthy veins and overall circulation improves. This procedure, which is generally covered by insurance, is minimally invasive and light exercise can be resumed immediately after.
At NY Medical Skin Solutions, we employ the CoolTouch endovenous laser (CTEV), which is among the latest technology available to achieve the most effective and gentle closure of your varicose veins. CTEV™ results in less bruising and post-operative pain than other available devices. This procedure is over 95% successful and results in near immediate improvement in the appearance of your veins and associated symptoms.