Treatment for both varicose and spider veins is performed in the comfort and convenience of our office and involves minimal discomfort or downtime. Several factors determine the need for treatment, such as physical symptoms, the severity of the condition, and your cosmetic desires.
Spider veins are considered cosmetic and are never covered by insurance. Sclerotherapy, a medical treatment that involves injecting a sclerosing agent directly into the affected veins, is the gold standard in their treatment, and for most patients requires anywhere from 3-6 treatments spaced about six weeks apart. Facial spider veins are best eliminated with VeinWave™ treatment.
Varicose veins are more serious in nature and, when symptomatic(heaviness, aching, etc.), are considered a medical issue, and treatment is typically covered by insurance. Along with symptoms of discomfort, untreated vein disease may lead to the development of skin discoloration and even skin ulcers. Patients with large prominent bulging varicose veins are at increased risk of forming blood clots in these veins. Varicose veins are treated by three different methods depending on their location, size, and if they are bulging. The underlying source varicose vein is treated with endovenous laser ablation, in essence, “closing” the diseased vein that is causing the branch varicose veins. Endovenous chemical ablation is used to close symptomatic varicose veins that are not bulging and are seen only by ultrasound. Bulging veins are removed through small (1/8”) incisions in a process known as ambulatory phlebectomy.