Unwanted surface veins on the legs and breasts can be eliminated with injection sclerotherapy using Asclera® (also known as polidocanol). Polidocanol was developed as a local anesthetic agent, so its use in sclerotherapy has an added benefit of numbing the pain associated with an injection. It is a prescription injectable medication that can only be provided by a healthcare provider. To treat telangiectasias, reticular veins, or varicose veins, polidocanol is injected into the targeted unwanted surface vein. It works by damaging the endothelium, the cells lining the inside of blood vessels. As a result, the targeted surface vein will eventually shrink, collapse, and disappear. Cosmetic injection sclerotherapy typically takes less than 60 minutes to perform, depending on the number of veins being treated. Once treated, a patient may return home with no downtime. Following treatment, patients are instructed to wear a compression over the treated area for several days.
TRANSDERMAL LASER THERAPY
A safe, effective, non-invasive method exists for treating unwanted surface veins on the legs, face, breasts & body. This method, called transdermal laser therapy, uses laser energy emitted from a laser system to heat-shrink the targeted veins. Laser safety glasses must be worn by the patient during the transdermal laser therapy session. Since the laser energy must cross the outside skin layers from the epidermis to the dermis to the location where the surface veins reside, it is reserved for light skinned individuals without recent sun exposure in the prior few weeks, since the pigment melanin is a competing chromophore or target for absorbing delivered laser energy.
ENDOVENOUS LASER ABLATION
Endovenous laser ablation (EVLA) is a vein treatment that uses laser energy delivered through a tiny optical fiber placed inside the vein lumen to thermally ablate a targeted vein. This 30-minute minimally-invasive, outpatient procedure with essentially no downtime is primarily reserved for treatment of varicose veins. When a patient with varicose veins has no medical signs or symptoms to support a medical condition, or if the patient’s insurer does not cover a specific varicose vein, then treatment of the vein is considered cosmetic or elective. Endovenous laser ablation is usually a last resort for cosmetic vein treatment since the majority of EVLA procedures are covered by insurance and performed for medical reasons. Our vein specialists have performed tens of thousands of endovenous laser ablation procedures with successful treatment results.
Ambulatory phlebectomy (AP) permanently
This technique is usually reserved for removal of twisted or lumpy veins that bulge or protrude from the skin.
Ambulatory phleboctomy removes bulging surface veins during a relatively quick in-office procedure. Using local anesthesia, tiny surgical incisions are made on the skin above the targeted veins. A special thin hook
is then used to pull out the vein. Following an ambulatory phlebectomy procedure, patients are instructed to wear a compression bandage and compression stockings for several days. Hot tubs, long distance traveling, and heavy lifting are advised to be avoided for at least a week. Normal activities may otherwise be resumed after treatment. This procedure may be performed for cosmetic or medical reasons
, depending on the patient’s vein condition and vein treatment coverage of their insurance company. Visible scars on the skin surface may result from placement of tiny surgical incisions placed to facilitate hook removal of the vein (phlebectomy).
Cosmetic Vein Treatment Results
The amount of time it takes to obtain visibly noticeable results following a cosmetic vein treatment varies according to the type of treatment and the extent of the vein condition being treated. Smaller veins usually shrink, collapse, and disappear more quickly than larger ones. Vein treatments that surgically remove the targeted surface veins such as ambulatory phlebectomy can result in immediate disappearance of the once visible vein, but treatment area, bruising, swelling, discoloration, and skin incisions may often take weeks to months to resolve and heal completely.
Vein treatments that do not remove the targeted surface vein such as transdermal laser therapy, sclerotherapy, and endovenous laser ablation usually result in the delayed disappearance of the visible surface veins over time. The shrinking, collapse, and disappearance of unwanted surface veins with non-surgical methods usually takes weeks to months, often requiring multiple treatment sessions to achieve near complete elimination. Patience is often a key ingredient to successful cosmetic vein treatment outcomes.
Schedule Your Free Vein Screening
Our vein specialists perform FREE Vein Screening Evaluations
at Hogue Clinics on patients having only cosmetic vein concerns with no history of varicose veins.
Cosmetic leg vein concerns are evaluated by registered vascular technologists
(RVTs) at Hogue Vein Institute, whereas cosmetic face, breast & body vein concerns are evaluated by a cosmetic surgeon or medspa clinician at Hogue Cosmetic Surgery
. Since it is common for venous reflux disease to be an acquired reason for why spider veins develop on the legs, some patients will be diagnosed with a medical vein condition such as a varicose vein or incompetent perforator vein during their vein screening. Patients with a medical vein condition may require therapeutic vein care first before cosmetic vein care is subsequently performed.
Many of our patients simply have cosmetic concerns involving unwanted surface veins with no underlying medical condition. Following a vein screening, cosmetic vein patients proceed with scheduling cosmetic vein treatments. Costs for treatment along with treatment options are discussed during the evaluation. At Hogue Clinics, nearly all types of unwanted surface veins involving the legs, face, breasts & body are treated, even if they aren’t symptomatic or glaringly obvious. Contact Hogue Clinics today to schedule your FREE Vein Screening Evaluation and to embark down a path of improved confidence and better vein health.