If you find your veins unsightly and have decided something must be done, we can help. You are not alone, nearly half of the adult population suffers from undesirable and sometimes painful vein conditions. Although the majority of vein problems are varicose veins in the legs, people can experience distressing spider veins on the face and reticular veins on the ankles, behind the knees, calves and thighs.
Facial spider veins (telangiectasia) are enlarged superficial blood vessels or broken blood vessels that appear as red, blue or purple clusters. They are mini varicose veins that look like spiderwebs or tree branches with short-jagged lines that may cover a small area to a very large area of the skin. They also commonly occur on legs and elsewhere on the body.
Reticular veins are visible dilated, blueish or greenish feeder ropy-looking blood vessels. Reticular veins are smaller than varicose veins and occur in the legs and mainly around the knee.
Varicose veins are enlarged, dilated, swollen, twisted, and bulging blood vessels and may be raised above the surface of the skin. They are found on the legs: calves, thighs, inside of legs, feet and more problematic with age. Veins carry blood from the legs back to the heart through one-way valve systems. Weakness in the vein wall or faulty valves cause valve stretching and improper closing. A backup of blood causes veins to varicose. Untreated varicose veins can worsen and cause redness, sores, and pain when standing or walking.
We understand that veins can be troubling for you in so many ways. Our doctor believes in providing you the best vein treatment options. Our doctor meets with you to assess your veins, talk with you about the outcome you want to achieve, and customize a treatment plan for you. All our vein services are non-OHIP (private pay) and non-surgical (cosmetic).
How we treat veins. . .
A doppler ultrasound may be performed if there is concern that you may have an incompetent greater saphenofemoral junction. If you are assessed to have reflux at the greater saphenofemoral junction, the doctor can make a referral to a vascular specialist for ligation or ultrasound guided ablation if you wish. Once surgery to treat large varicose veins is completed, you can return for recommended sclerotherapy or laser vein treatments to treat smaller veins.
Sclerotherapy is a non-surgical treatment for most surface veins. Using a small needle, medication is injected into a vein which irritates the vein walls so that they stick together and are gradually reabsorbed by the body. Eliminating these diseased veins improves the circulation and makes the legs or affected area healthier. Treatments usually take 20 to 30 minutes.
We never use saline injection, only medication injections for more permanent results. Most clients require 1 session but some do require 2 or more sessions because of the severity of diseased veins. It may take up to 4 months and sometimes longer for the veins to reabsorb. Future treatments may be required for the appearance of other diseased veins. There is no downtime and minimal discomfort. A follow-up appointment is recommended in 2 to 4 weeks.
If you have persistent visible spider veins or smaller reticular veins; Nd:YAG laser may provide you the ideal treatment option. It is a treatment that removes veins or reduces the visibility of surface veins to restore a healthier looking appearance of your skin.
Nd:YAG, also known as neodymium-doped yttrium aluminum garnet, contains a crystal used to refract light in the laser machine. It provides an infrared non-ablative laser-induced thermotherapy emitting light at 1064 nm which is intentionally slower than other laser types to give the skin time to cool between pulses and reduce skin damage. The laser penetrates the skin’s top layer to target the diseased vein.
For some clients, the treatment may be a bit painful. Topical anesthetic is available. Treatments usually take 10 to 20 minutes. There might be some discomfort which usually goes away within 24 hours. Veins take 2 to 4 weeks to heal. On occasion a second treatment may be required. There is no downtime. A follow-up appointment is recommended in 2 to 4 weeks.