Sclerotherapy for Spider Vein Removal - Endovenous Laser Treatment to Get Rid of Spider Veins

Endovenous Laser Therapy (ELT)
VNUS Closure
Tri Vex
Microhook Phlebectomy
Laser Ablation of Spider Veins

Sclerotherapy
    Visual
    Trans-illuminated
    Ultra-Sound Guided
Subfacial Endoscopic Perforator Surgery (SEPS)

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ELT is performed for the treatment of large, bulging varicose veins and their underlying cause, venous reflux. With endovenous laser therapy, no surgery is required, and the entire procedure can be performed in less than an hour.

Local anaesthesia is used for endovenous laser treatment (ELT). With the assistance of ultrasound, a small catheter is inserted into the greater saphenous vein (a large vein in the inner thigh); a thin laser fiber is threaded into the catheter and laser energy is delivered through the fiber into the vein, causing the vein to close.

After the endovenous laser treatment, a gauze pad and tape will be placed over the puncture site and a compression bandage will be worn for several days and replaced by compression hose for several weeks.

After endovenous treatment, individuals are able to walk and return to work or resume usual activities the next day. The affected veins disappear over a period of a month.

VNUS Closure® procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure Catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers a radio-frequency (RF) energy to the vein wall. As RF energy is delivered and the catheter is withdrawn, the vein wall is heated causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Transilluminated Vein Extraction, or TriVex, is a three-step procedure that involves fewer incisions and less time than microphlebectomy for the removal of varicose veins. TriVex technology first employs a powerful light that targets only the damaged vein, which is then precisely removed with a powered resector under local anesthesia. Finally, similar to liposuction, the treated area is flushed clean through a process called tumescent infiltration. One advantage of TriVex over other vein removal methods is that it is a shorter procedure.

Microphlebectomy, sometimes called ambulatory phlebectomy or stab avulsion, is a minimally invasive method of treating small varicose veins. A special hook is used to remove the vein through multiple tiny incisions that do not usually require stitches and leave minimal scarring. Recent advances have made it possible to perform the procedure using only local anesthesia and light sedation in a doctor's office as an outpatient. After the microphlebectomy you will be asked to wear compression garments temporarily. The incisions typically heal within two weeks.

The D940 laser system produces the highly unique 940 NM wavelength, which safely passes through the skin and is selectively absorbed by the targeted blood vessel. The vein will gradually disappear, leaving the skin intact.

Men, women and even children, including light and dark-pigmented individuals, can be successfully treated. Your skin is cooled with ice or a cold compress [in some cases a topical anesthesia] to minimize the mild heat sensation. The length and number of procedures vary, but usually last between 15 and 30 minutes each and are normally done in two or three appointments.

Side effects are uncommon and usually minimal. Patients often experience a slight redness following treatment – but this goes away within a few days. The institute will clearly explain what to expect and provide detailed instructions for you following treatment.

Sclerotherapy is another treatment for both varicose and spider veins. The procedure involves injecting a sclerosing solution through a tiny needle into the vein, which then collapses and is absorbed by the body. Treatments involve one or more injections during one or more sessions, depending on the type, number and severity of the varicose / spider veins being treated. By the end of the sclerotherapy treatment program, the veins are no longer visible on the skin surface. Sclerotherapy usually also relieves symptoms associated with enlarged veins and prevents further complications from occurring.

On average, two to three sclerotherapy sessions are required, spaced four to six weeks apart. After each session, patients may have to wear bandages or support hose for a few days or weeks and are encouraged to walk or exercise to speed recovery. The procedure is outpatient. Bruising and swelling (if present) should fade within a week or two. Sclerotherapy rarely produces more severe side effects such as scarring, although it cannot prevent the recurrence of vascular lesions.

Trans-Illuminated Sclerotherapy uses a new technology known as side-trans-illumination or Veinlite, light generated by a halogen bulb travels through a high quality fiber into the Veinlite ring where its is directed into the skin at a fixed angle, providing uniform illumination and visualization of varicose / spider veins.

This method is able to uniformly trans-illuminate a small region of the skin so that much better imaging of the veins is achieved without shadows. Imaging veins during vein access makes for faster and easier access with minimum probing. This allowing you to visualize those hard-to-find veins in young and old patients and spider veins during Micro-Sclerotherapy.

Ultrasound-Guided Sclerotherapy allows the Doctor to treat problem veins that aren't visible on the skin surface by monitoring veins on an ultrasound screen during the injection procedure. This type of sclerotherapy allows for more complete treatment of Venus Insufficiency and better resolution of symptoms. It also lowers the chance of recurrence.

Following the sclerotherapy procedure you will be placed in a compression dressing or stockings and are encouraged to walk or exercise to speed up recovery. Bruising and swelling are rare but if present should fade within a week or two.

Subfacial Endoscopic Perforator Surgery (SEPS) is a minimally invasive surgical procedure which the doctors use to treat the underlying condition that causes venous ulcers. During an endoscopic procedure, they disconnect the abnormal perforator veins, which cause ulceration because of improperly functioning valves. By disconnecting these veins, they redirect the blood flow to healthy veins. Circulation in the leg is improved, and the ulcer is healed.

An endoscopic procedure may enable the ulcer to heal in only four to eight weeks and may reduce the chance of developing new ulcers.

All of our treatment procedures, from spider vein removal to endovenous laser treatment, are created so you experience the least discomfort possible. Before you decide on a specific treatment, our experienced staff provide you with complete information about endoscopic procedures, sclerotherapy, laser ablation and more. Our doctor goes through the treatment options with you and develops a personalized plan that addresses your needs.

At Southwest Vein & Laser Institute in Phoenix, you can be confident of the treatment you receive. By keeping up with the industry’s changing technology, we can provide you with the latest treatment for spider vein removal, including laser ablation. All of our treatments, such as an endoscopic procedure or endovenous laser treatment, are performed in accordance with the highest standards of medical safety.