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Spider Vein Therapy

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What Are Spider Veins?

Spider veins appear to be hormonally induced and are associated with pregnancy and menstruation. Although these spider veins are not usually symptomatic, the feeder veins deeper in the skin often cause discomfort. Many women have a combination of both varicose and spider veins. While patients may seek treatment for cosmetic improvement, many are looking for relief from pain.

Many people assume that all vein treatment is the same no matter where you get treated. It is the opinion of Dr. Karlin that treatment techniques vary greatly. And so do their results. At Vein Centers of America (VCA) we have definite opinions about the treatment of spider veins because we have been treating them since 1989.

Patients have many questions; mostly they want to know about "recurrences". Your chances of recurrence are related to several factors, but most importantly to the thoroughness of your treatment. This can be related to physician skills, but it can also be due to the patient quitting too early. These patients believe their legs look good enough when, in fact, more work should be done in order to prevent the growth of new veins. (Whatever remnants of veins are left in the leg will quickly grow into more veins.)

Spider veins occur mainly in women, and this is because they are produced or grown by their female hormones. Men also get small veins but these are usually high-pressured "blow-outs" from nearby varicose veins. These are darker and fatter looking veins rather than the fine burgundy-colored spider variety in women. The difference is important because the treatment is different. Many women state that their spider veins are hereditary because they inherited them from their mother who got them from her mother, and so on. But none of her brothers or uncles got them even though they shared the same genetic predisposition. The reason is they lacked the final link in the causal chain: the female hormone estrogen.

Spider veins grow from "reticular" veins, also known as "feeder" veins. But these feeders exist in a dense network. They are usually just a little deeper in the skin. They are a network of blue veins, or sometimes green in color, which can impart a marbled appearance in the skin of some patients. They might even be difficult to see in some women because they are a little too deep in the skin. But they are there nonetheless and must be eradicated in order to get the best results possible (and reduce the chances of recurrence). Many women, not knowing the significance of these, don't want them treated, thinking they'll save money because those veins are not ugly enough. But they are a platform for growing more spider veins.

Many doctors use "saline" (a salt solution) to inject into spider veins. This causes the spider veins to become inflamed and shrivel (fade away). But saline in the feeder (reticular) veins can cause severe muscle cramps. Or, the reticular veins may be excluded from treatment altogether. This can leave you with many reticular veins to grow another dense crop of spider veins in the near future.

 

Frequently Asked Questions about Spider Vein Therapy

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Contact Vein Centers of America and Nova Cosmetic Center Today!

Jan V. Karlin, MD
Vein Centers of America
and Nova Cosmetic Center
7600 Dr. Phillips Blvd. #74 •Orlando, FL 32819
Telephone: (407) 226-0609 • Fax: (407) 226-0610