Varicose and spider veins can leave unsightly discoloration and texture to the skin. The medical treatment that Dr. Cameron Rokhsar will choose for you depends on the following factors:

  • Type– Varicose or spider veins
  • Size– How big they are in diameter. Typically varicose veins are 3mm and spider veins are 1mm in diameter.
  • Location– Legs typically have thicker or larger veins while the ankle, behind the knee, hands, face, breasts, back and genital areas are smaller. However size can vary anywhere along the body.
  • Severity– Concentration of veins
  • Skin texture and color
  • Age of the skin

Different methods of treating varicose and spider veins are sclerotherapy and laser technologies such as Nd:YAG laser. Sclerotherapy is the most common way to treat spider and varicose veins on the leg. It is in the form of an injection, and can be found in other forms such as foam, ultrasound, and laser-assisted sclerotherapy. When the chemical is injected the veins collapse and block any further blood flow in that area, which ultimately eradicates their appearance through the skin.

The surrounding veins take over for the collapsed veins and regular blood flow continues. The injection may only feel like a pinprick if anything at all. The number of treatments varies from patient-to-patient based on the criteria listed above. The long pulsed Nd:YAG laser is an alternative treatment for those patients who wish to avoid the needles. This form of laser treatment is typically used for spider veins and smaller varicose veins. This new technology effectively treats the veins by sending strong bursts of light into the vein, which will make the vein slowly fade and disappear.


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