What are varicose veins?
Arteries are the blood vessels that carry the blood from the heart to the legs. Veins return the blood from the legs to the heart, carrying the blood against the gravity. The veins rely on leg muscles contraction and one-way valves inside of the veins to carry blood back toward the heart. The valves open and enable blood to flow through on its way upward, then close to stop blood from flowing backward. If the valves fail, the gravity keeps blood from flowing back to the heart efficiently. This produces a back up of blood. As a result, pressure builds up and the diseased veins become enlarged, eventually bulging to the skin’s surface. This process can affect veins of any size, however when larger veins fail, they are typically called varicose veins. When smaller veins are affected, they are typically called spider veins.
Pain and swelling are the most common symptoms related to the varicose veins. Symptoms often worsen with prolonged standing. Severe varicose veins can compromise the nutrition of the skin and lead to dermatitis, rash, discoloration, or even ulceration of the lower leg.
Heredity is the number one contributing factor that causes varicose and spider veins. Up to 55% of American women and 25% of men are affected by this condition. It is common for varicose veins to become more prominent during pregnancy and worsen with successive pregnancies.
Endovenous Laser Ablation (VenaCure EVLT™)
Endovenous Laser Ablation is a treatment alternative to surgical stripping of varicose veins. Under ultrasound visualization a thin laser fiber is inserted into damaged vein. A laser light is emitted through the fiber delivering energy that causes the vein to close and seal shut. The veins that are closed off are superficial veins that handle less than 5% of your blood flow. The blood is automatically routed to other veins. Afterwards, prescription compression stockings are placed on the treated leg for 2 weeks.
The entire procedure typically lasts 30 minutes and requires only a local anesthesia. Intravenous sedation is available for those patients who are uncomfortable having the procedure done under local anesthesia.
Ambulatory Phlebectomy is a method of surgical removal of varicose veins at the surface of the skin. Small nicks are made next to the varicose veins and segments of the vein are removed through these small nicks. This is frequently done in the office using local anesthesia or IV sedation. Afterwards, a compression wrap is placed for one day and the patient is advised to wear prescription stockings for one week. Normal activities may be resumed next day. After the healing process, there is no visible scar.
This process can used to treat both varicose and spider veins. A tiny needle is used to inject the veins with a solution that irritates the lining of the vein. In response, the veins collapse, seal shut, and are reabsorbed by the body. The number of sclerotherapy treatments needed is variable, depending on the number, size, and type of veins being treated. The treatment session takes 20 to 30 minutes. Normal activities can be resumed after sclerotherapy. Prescription compression stockings need to be worn for a few days after the treatment.
Spider Vein Laser Treatment
A light beam creates heat inside treated veins causing them to seal off and to be reabsorbed by the body. Frequently topical anesthetic is used for patient comfort. Many describe each laser pulse as a warm sting.
Treatments can take 10 to 30 minutes depending on the size of the area to be treated. Most patients experience considerable improvement after 2 to 3 treatments, with 3 to 6 week intervals, depending upon the severity of skin condition and level of treatment. Prescription compression stockings may need to be worn for a few days after the treatment. Sun exposure should be avoided for at least one week. Sunscreen may be applied immediately after treatment.
Compression stockings are not only essential part of treatment of vein disease but also help prevent vein disease. Compression stockings are used as first line treatment for conservative non-surgical treatment of vein disease because the graduated compression brings the faulty valves together preventing blood back flow and diminishing symptoms as pain and edema. Compression stockings are used after the treatments to minimize pain and edema, maximize the results and prevent recurrent disease. Medi and Jobst stockings are available in our office.
Tips for Preventing Vein Disease:
- Wear compression stockings every day
- Stay fit and get plenty of exercise
- Wear comfortable shoes and low heels
- Avoid prolonged sitting or standing
- Put your feet up as often as possible
- Wear compression stockings during pregnancy
Hair Laser Removal
Laser treatments reduce unwanted hair permanently for all skin types. Laser hair removal treatments work by impairing the growth capacity of hair follicles. Hair grows in three phases and can only be damaged during active phase. Not all follicles are active at the same time and several treatments every few weeks may be necessary to obtain the desired results. Hair density, hormone fluctuation, and age can also affect results.
Topical anesthetic is generally used for patient comfort. Treatments can take 5 to 30 minutes depending on the size of the area to be treated. Most patients experience considerable hair reduction after 4 to 7 treatments. In the weeks following the treatment, hair may appear unchanged, however, affected hairs are lifeless and will fall out with time. Sun exposure should be avoided for at least one week after the treatment. Sunscreen and make-up may be applied immediately after the treatment.
Wrinkle and Sun Damage Treatment
Enhanced skin rejuvenation treatment work by precisely targeting the three major signs of aging:
Brown discoloration, also known as pigmented lesions (age spots, sun spots, etc.), are darker than the rest of the skin and absorb more laser energy than surrounding skin. Red discolorations, also known as vascular lesions (mall veins, rosacea, cherry angiomas, etc.), are overgrown or enlarged blood vessels. Preferentially heating vessel walls causes them to shut off and be absorbed by the body.
Wrinkles and skin laxity are caused by gradual breakdown in collagen density and strength. Deep heating laser energy starts a regenerative process which lays down layers of new healthy collagen. Most patients experience considerable improvement after 1 to 4 treatments. Laxity and wrinkle improvement is most often evident after just 3 to 6 treatments. Soon after treatment, your skin may appear slightly flushed. These effects usually subside after a few hours. Sun exposure should be avoided for at least one week. Sunscreen and make-up may be applied immediately after treatment.
Pseudo-Folliculitis or Shaving Bumps
Pseudo-Folliculitis, commonly known as shaving bumps, is an inflammatory condition, widespread among individuals with thick curly hair. As the hair grows out of the skin, it curls and re-enters the skin. The skin reacts to it as a foreign object and becomes inflamed and irritated, creating bumps and discoloration. Often hairs start curling even before growing out of the skin, crating in-grown hairs. The bumps become quite large, causing discomfort to the patient. Laser beam passes through the skin and is absorbed in the hair follicle residing underneath the skin’s surface. The laser energy destroys the follicle with the heat that it generates. Destroyed hairs are then either dissolved within the skin or ejected by the body. After treatment you may return to regular routine immediately. Most patients need 4 to 8 treatments, spaced a few weeks apart to obtain the overall desired effect. Sun exposure should be avoided for at least one week after the treatment.
Acne Laser Treatment
Laser treatment works by triggering body’s natural bacteria fighting defenses. Each treatment triggers a chain reaction that eliminates some of the problem causing bacteria, reducing the severity of current and future breakouts. Most patients experience considerable improvement after 2 treatments per week, for 3 to 5 weeks, depending on the severity of the skin condition and level of treatment. Follow up treatments may be necessary to maintain the results. The ideal maintenance program may include a combination of topical medicine and laser treatment. Sun exposure should be avoided for at least one week after the treatment.
Pharmaceutical Grade Skin Care Products
Oxygen Botanicals™ combines the finest ingredients into sophisticated and ultra-concentrated formulas that deliver exactly what they promise…appealing, vibrant and more youthful looking skin. Oxygen Botanicals™ is the first skincare line infused with pure oxygen that is not chemically derived. Most oxygen product lines utilize hydrogen peroxide, which can bleach skin and facial hair and dry the skin. Oxygen Botanicals™ has developed a unique process to stabilize and encapsulate pure oxygen into capzome structures that time release oxygen and other nutrients to the skin.