Painful Legs and Painful Varicose Veins
Over the last decade, there have been major advances in the minimally invasive approach to vein problems. The key to proper treatment is the correct diagnosis of the root cause of the vein problems of the leg. We start with a careful history and physical examination to identify risk factors along with the signs and symptoms of venous disorders. The next step is the use of noninvasive ultrasound diagnostics to create a road-map of the venous system to identify and locate valve dysfunction. Only then can an appropriate treatment plan be developed. If ultrasound evaluation identifies that the valves of the saphenous vein or perforator veins are not functioning normally, a minimally invasive catheter based treatment can be used. Radiofrequency ablation, the Venefit procedure, is the technique of choice for the NJ VeinCare to treat valve dysfunction resulting in reflux of the long and short saphenous veins along with the perforator veins. This treatment is covered by most health insurance plans!
Spider Vein Treatment
For those patients with leg vein problems that are primarily a cosmetic concern, we offer the newest techniques in the management of spider and reticular veins. Starting off with the smallest of spider veins, less than 0.3 mm in diameter, we offer Veinwave treatment. This is a significant advancement in the treatment of these tiny veins that are too small for sclerotherapy and don't do well with laser or IPL treatments. Utilizing the principle of thermocoagulation, Veinwave is FDA-approved specifically for spider vein treatment.
Reticular and Varicose Veins
We recommend sclerotherapy with Asclera, the latest FDA approved drug for the treatment of spider and reticular veins up to 3 mm in diameter and varicose veins. Using a tiny needle, an FDA approved drug is injected into the vein. Studies have shown improved patient satisfaction with Asclera treatment than the other FDA approved drugs used for Sclerotherapy.
Unsightly Hand Veins: Sclerotherapy
As we age, the veins of the hand become more prominent. Why does this happen? For some people, the veins enlarge, and there is a loss of thickness of the skin and underlying fatty tissue covering the veins. There are two approaches in treating this cosmetic condition. One method of improving the appearance is to eliminate the veins by injecting a drug that closes the vein, which is called sclerotherapy. Using a tiny needle, an FDA approved drug is injected into the veins on the back of the hand. Asclera is the sclerosant of choice at NJ VeinCare for the injection of hand veins. A compression glove is applied and the veins will reduce in size and ultimately disappear. Treatment is almost painless and results are typically obtained with one or two treatments.
Unsightly Hand Veins: Volume Restoration
Another approach is aimed at increasing the amount of tissue under the skin to hide the unsightly veins. This is called injecting a “filler.” Radiesse and other fillers have been FDA approved for use for adding volume to many locations on the body, and are considered safe and effective when properly used. A small amount of Radiesse combined with a local anesthetic is placed under the skin of the back of the hand with a tiny needle. The filler is massaged and spread. The results are immediately seen and the appearance can continue to improve. The use on the hands is considered an “off label” use, and is commonly performed around the world with excellent results. Treatment is almost painless and results are typically obtained with one treatment.
Treat Facial Veins and Redness
Many people develop small spider veins of the face. These veins are frequently found on the nose, cheeks, near the eyes and above the lip. NJ Vein Care offers two different treatments for these unsightly veins. Veinwave, is a revolutionary technique used by doctors around the world to eliminate spider veins. Utilizing the principle of thermocoagulation, Veinwave is FDA approved specifically for spider vein treatment. Patients have chosen Veinwave as the treatment of choice, many having been failed by lasers and other light-based systems. Veinwave provides a relatively painless walk in, walk out procedure, with practically no risk of permanent bruising, scarring or pigmentation. The effect of the treatment is ‘instant’ - you see the veins disappearing immediately. Some patients leave the treatment without any real visible sign on the skin, other than the lack of veins, and some with more sensitive skin may suffer minor reddening which should disappear within a few days, if not hours.
Many people who have spider veins of the face also develop a generalized redness of the surrounding skin. This redness may be Rosacea, which can be challenging to treat. At NJ VeinCare, we combine the use of Veinwave for the spider veins and IPL (intense pulse light) therapy aimed at reducing the redness. IPL Light therapy is well tolerated with minimal side effects. This multimodality therapy can offer significant improvement in patients who have struggled for years with facial veins and redness.