Varicose Veins
A varicose vein is a large, bulging vein , which can be caused by a faulty valve,
weak vein wall, or combination of the two.
Patients with varicose veins receive an evaluation to determine the
underlying cause. In addition the evaluation determines the major leak point,
which is the basic origin of a varicose vein. The non-invasive evaluation usually
consists of an in-office Doppler and color Duplex ultrasound examination.
The most common factors in the predisposition to varicose veins are heredity,
pregnancy, and hormones. Varicose veins are chronic and progressive in most cases.
They can be treated with
sclerotherapy and endovenous methods
such as Endovenous laser (E-LAS).
Most insurance companies only cover large varicose veins that are causing
problems. Typically, varicose veins without complications are not covered.
AVI is happy to write your insurance company if a request is made.
Spider Veins
Small veins near the surface of the skin are called "spider" veins also known
as broken capillaries. Patients with spider veins usually do not need an extensive evaluation.
Using modern techniques, spider veins can be treated with sclerotherapy,
and Endovenous methods such as Endovenous laser (E-LAS). Minimally invasive
office surgery called ambulatory or miniphlebectomy can be performed as well.
Newer diode Lasers can effectively treat spider veins.
Typically, spider veins are not covered by most insurance companies. AVI is happy to write your insurance company if a request is made.
Unwanted Hand Veins
The network of veins on the back of the hand is covered by a layer of fat and generally thick non-transparent skin, making these veins largely invisible.
Due to a variety of reasons, including genetic factors, loss of fat around the veins and aging of the skin, these veins may become prominent and unsightly to some. While this this is not a medical condition, it may be a major cosmetic nuisance to some.
Fortunately, we now offer an innovative strictly office procedure to eliminate theses unsightly veins.
With the advent of cosmetic facial surgery and skin rejuvenation techniques, these unsightly veins tend to stand out more stubbornly in women who have succeeded in achieving a younger look in other parts of their body.
The treatments traditionally offered are those of sclerotherapy and miniphlebectomy.
Dr. Shamma, does not recommend sclerotherapy for hand veins due to poorer results and higher complication rates.
We believe that a combination of miniphlebectomy and an innovative endovenous LASER treatment provide excellent and safe results. Endovenous refers to treating the inside of the vein rather than the outer wall.
