Vein Treatments * Spider & Varicose Veins * Endovenous Laser Treatment * Phlebectomy * Removing Spider Veins

Free Skin Analysis Report

Dr Presant

Elana Skin Care

 

Vein Treatments

Spider and varicose veins are an extremely common disorder affecting about one half the female population. Although most venous disease sufferers are women, men are also afflicted. They experience night cramps, swelling, itching, heaviness, aching and burning. The visible veins can be tiny red, blue or purple streaks or clusters or large, bulging varicose veins. The cause is usually a hereditary or traumatic weakness in the tiny one-way valve leaflets which malfunction. This allows gravity to pull the blood downwards towards the feet instead of returning upwards to the heart. Pressure backs up into the affected veins which enlarge.

The most common treatment for spider veins is sclerotherapy injections. The larger blue-green reticular “feeder veins” can be treated simultaneously. A tiny needle is used to inject a painless sclerosing solution or foam into the veins which causes them to shrink and eventually disappear. Patients are expected to wear special stockings for a short time to keep pressure on the treated veins to keep the veins closed and reduce bruising.

Normal activities can be resumed immediately. Patients are encouraged to walk daily. Several sessions may be required for complete removal. The experience and skill of the doctor are key elements in achieving superior results. Veins of the legs, hands, chest and face can all be treated effectively. Sclerotherapy is extremely safe and much more efficient than laser for leg spider veins. The doctor will review your medical history and examine you to determine the most effective treatment plan.

Before
After
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Before
After
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Endovenous Laser Treatment

Endovenous laser treatment (EVLT) has virtually replaced the old fashioned
vein stripping surgery for varicose veins. This high-tech procedure delivers laser light energy to the inside wall of the large varicose vein in  the leg by means of a tiny fiberoptic laser fiber inserted through an I.V. needle. It’s quick, done with local anesthesia, and you can return to regular activities right after the procedure. Dr. Presant was one of the first few vein specialists in the U.S.A. performing the procedure in the spring of 2001. Since then, the results have continued to be excellent. In our experience, patients have had minimal discomfort or bruising afterwards.

Phlebectomy

Ambulatory phlebectomy is an in-office microsurgical procedure that removes the larger varicose veins of the legs, using local anesthesia, with minute 2mm (one sixteenth of an inch) incisions. The tiny openings are closed with a sterile tape, leaving virtually invisible scars. There is no down time and most normal activities can be resumed right away. A bandage and compression stocking is worn for a short time. Less than 2% of our patients reported taking anything for pain afterwards. The dilated, diseased veins removed are of little use and are not needed. The procedure takes from one to two hours to perform and is commonly done in stages. Any bruising that occurs is very slight. The cosmetic result is excellent.

Before
After
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Before
After
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Duplex Ultrasound Guided Sclerotherapy

Also referred to as duplex guided chemical ablation, this is a highly specialized method of closing incompetent, refluxing veins that are not visible on the surface.
The diseased vein is first visualized on ultrasound and a needle is guided into the vein with ultrasound imaging. The skill and precision required enables treatment of veins that would otherwise necessitate surgery. It is quick to perform and allows immediate return to normal activity.