Lumina Nancy Fisher MD

Laser Vein Treatment

What are varicose and spider veins veins?
Varicose veins are large distended veins that are located deeper below the skin than spider veins. Spider veins are small, superficial dilated veins that do not perform any useful function. Most spider veins are caused by a hereditary weakness in the walls of small blood vessels. Hormonal factors including puberty, pregnancy, menopause and the use of birth control pills can increase spider vein formation. Prolonged sitting or standing also worsens spider veins.

What treatment is best for my varicose and spider veins?
There are two general treatment options: Conservative measures such as compression stockings, or “corrective” methods such as sclerotherapy, laser treatment or surgical removal. Surgery is usually required to remove large varicose veins whereas laser and sclerotherapy are best for spider veins. Sclerotherapy uses a needle to inject the veins with a solution that irritates the lining of the vein. In response, the veins collapse and are reabsorbed. You may need many treatments and may receive many injections per session. Bruising and hyper pigmentation can occur after sclerotherapy. Laser therapy uses light energy to heat the vessel which destroys the wall. The vein is absorbed over a 6-8 week period. Many veins can be treated during one session.

What does it feel like?
Although many patients report little or no discomfort, some patients may experience a mild stinging sensation when the laser pulse is delivered. The cold tip of the CoolGlide hand piece helps soothe the skin as the laser is delivered. Ice and topical anesthetics can be used prior to a treatment.

How long do the treatments take?
Treatment time varies depending on the number and size of the vessels to be treated. A typical treatment session is 20 minutes.

How many treatments will I need?
In many cases, significant improvement is realized in as few as 1 to 2 treatments. Treatments are done at 6 to 8 week intervals. In some cases, new spider veins may appear and therefore additional treatments may be necessary.

What do my veins look like after a treatment?
The vein appears red and swollen for a few hours and then turns a dark purple before it is absorbed.

Are there any special instructions after the procedure?
Pressure dressings such as ace bandages or support stockings are sometimes recommended for the first week to reduce the bruising. Do not take aspirin products while under treatment. Minimize sun exposure during treatment and always apply 30 SPF sunscreen if you are exposed to the sun between treatments. Although we encourage you to resume normal activities almost immediately, we do ask that you refrain from vigorous activity and prolonged standing for 72 hours after treatment. Also avoid hot baths and hot tubs for 72 hours after treatment.