Spider veins or telangiectasias, are wavy, thin, reddish-purple veins on the legs, often clustered on the thigh or below the knee. Spider veins affect as many as 80% of all women as they grow older, and a large percentage of men as well. Although spider veins are not usually a medical problem, they may make you self-conscious about your appearance.

Please inform us at the time of your appointment if any of the following conditions apply:

• Pregnant
• Diabetic
• Receiving anti-coagulant therapy
• Crippling osteoarthritis
• Severe bronchial asthma
• Advanced lupus or lupus type diseases
• Blood clots

With Vein Removal treatment, gradual improvement will be noticed. Many patients find 60% to 80% of the treated vessels resolved. During your Vein Removal consultation, you will be advised as to the number of treatments necessary to achieve your desired results.

Light and dark skinned individuals can now safely and effectively benefit from Laser Therapy and Sclerotherapy. Patients with dark suntans or photosensitivity disorders, diabetes, bleeding disorders, or currently taking photosensitizing medications are not good Vein Removal candidates. Schedule a consultation to determine if you are a candidate and how you can benefit from these treatments.

Remove all make-up & moisturizers from the treatment site.
Avoid Flying for 48 hours after the treatment.
You should not be pregnant or breastfeeding to receive treatment.
When treating facial telangiectasia near the mouth, rolled-upgauze can be placed between the lips and teeth to protect theteeth from discomfort.
Do not treat over areas with tattoos.
Apply ice or chilled gel-packs prior to treatment to increase comfort and provide increased epidermal protection.
Avoid aspirin or other blood thinning drugs (vitamin E, Gingo Biloba), ibuprofen, or arthritis medication for two days before and after treatment.
Avoid alcohol and do not smoke for two days before and after treatment.
To avoid discomfort do not shave legs the day of your appointment.
Do not apply lotions to legs before appointment.
Eat a light meal/snack one hour before treatment.
Bring loose fitting shorts/pants to wear after treatment.
If you develop a fever or other illness before your appointment you must reschedule.

Ice, chilled gel-packs or chilled hydro-gel pads may be applied post treatment to increase patient comfort and provide increased epidermal protection.
The veins may have an urticarial reaction after treatment. This is common and will diminish more quickly with the application of a mild-potency topical corticosteroid.
Portions of larger vessels will sometimes darken and become stiff and painful for an extended period after a treatment. The dark coagulum can be removed at 1 to 2 weeks following the treatment by nicking the vessel with a needle or blade and applying pressure to force out the coagulum.
For larger leg veins, some physicians say the use of compression stockings (30-40 mm Hg Pressure) for up to five days after treatment may increase patient comfort and help reduce bruising.
If crusting occurs, an antibiotic ointment or lubricating cream may be recommended.
Post-inflammatory hyper-pigmentation is a common response (especially with darker skin types) to vascular laser treatments and tends to resolve over time.
Immediately upon leaving the office go for a brisk 15-minute walk.
You may resume your normal daily activities immediately, but avoid strenuous aerobic exercise until further advised.
You are encouraged to wear your compression stockings as much as you can following your Sclerotherapy treatment. The more you wear your stockings, the better your Sclerotherapy results. You may remove your stockings to wash them, but while they are being washed, keep your legs elevated as much as possible.
Take Extra Strength Tylenol for pain. AVOID ASPIRIN, ADVIL, OR IBUPROFEN. These tend to thin blood and can lead to excessive bruising.
Call if you experience any severe reactions such as profound pain, intense itching, redness or fever.
Avoid hot conditions such as saunas, Jacuzzis, or hot showers for 7-10 days after treatment.

The recommended time interval between treatments is 4-6 weeks, depending on the rate of clearance following each treatment. Larger reticular vessels can take three months to resolve and should not be re-treated before then.
Consistent repeated treatments will produce best resolution of leg veins.