Question: What are varicose veins?
Answer: Varicose veins are abnormally dilated blood channels in the lower extremities.
While arteries bring blood from the heart to the extremities, veins, by virtue of one way valves located inside the lumen of the vein, channel blood back to the heart. When these valves fail to function properly, the blood pools and the veins become enlarged and congested. These enlarged veins are called varicose veins.

Question: What are spider veins?
Answer: Spider veins are small red, blue or purple veins situated on the surface of the skin. Varicose veins by contrast are larger and situated deeper in the tissues.

Question: Are varicose and spider veins common?
Answer: It is estimated that more than 80 million Americans suffer from some form of varicose vein disorder.

Question: What are the symptoms of varicose and spider veins?
Answer: The functional symptoms are mostly pain in the lower extremities. Other symptoms include fatigue, heaviness, aching, burning, throbbing, itching and cramping in the legs. Occasionally swelling may develop. Severe varicose veins can compromise the
nutrition of the skin and lead to eczema inflammation and occasionally ulceration of the skin.

Question: How do spider veins develop?
Answer: The causes of varicose veins include hereditary factors, obesity and occupations which require prolonged standing. In women, pregnancy and estrogen are particularly to blame for the venous insufficiency.

Question: Do varicose veins require surgery?
Answer: In general, there is no need for surgical intervention. The majority of spider and varicose veins may be treated without surgery and with little risk involved.

Question: What is Sclerotherapy?
Answer: Sclerotherapy is a simple procedure where a solution is injected into the small vein causing it to collapse and eventually be absorbed by the body and lead to subsequent disappearance from the legs.

Question: What types of solutions are injected?
Answer: We use FDA approved pharmaceutical agents to cause obliteration of the tiny veins. The most frequently used agents are Sotradecol and Polydocinol.

Question: Can laser be used to treat spider veins?
Answer: In the majority of cases, spider veins do not respond to laser
treatment. Occasionally, small red colored spider veins may benefit from laser, but otherwise the majority are treated by micro-injections.

Question: Who performs the injections?
Answer: Physical assessment of your legs as well as subsequent treatment is provided by registered nurses specialized in small vein disease and treatment. The main focus is on educating patients about promoting healthy circulation of the legs to minimize further vein
disease. We also provide a personalized maintenance program to keep your legs looking their very best.

Question: Will my daily activities be affected by Sclerotherapy?
Answer: With the exception of strenuous exercise, we encourage our patients to stay as active as possible. In addition to walking for at least one hour daily, graduated compression stockings are prescribed and encouraged to be worn when standing or sitting for long periods.

Question: Are there any medications which should be avoided?
Answer: We recommend abstaining from intake of Aspirin, Ibuprofen and
Vitamin E. We also recommend the intake of Vitamin C (1000 mg per day), one week prior to, during and following the treatments.

Question: What are the complications of Sclerotherapy?
Answer: The majority of complications are mild and easily treated. They include matting, allergic reactions, hyperpigmentation and small areas of trapped blood. The hyperpigmentation can be treated with micro-dermabrasion and bleaching agents. Trapped blood can be easily drained. Matting is self-limited and may occasionally require treatment
with laser. Allergic reactions are easily treated with Benadryl. Ice is recommended to minimize pain in the period following the injections.

Question: How much does it cost?
Answer: In general, the costs are $250.00 per hour. In that period of time, an entire lower extremity can be treated.

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400 Newport Center Drive, Suite 704, Newport Beach, CA 92660
Tel. (714) 528 5560 • (714) 609 2100 • (949) 515 6262