FAQ's

What is the main difference between arteries and veins?

In simple terms, arteries carry oxygen-rich blood from the heart to the tissues, veins return oxygen-depleted blood to the heart.

What are the different types of veins in the leg?

Deep veins return blood directly to the heart and are in the center of the leg, near the bones. Superficial veins are closer to the surface and have less support from surrounding muscles and other tissues than the deep veins have.

What are varicose veins?

Varicose veins are swollen and twisted veins just below the surface of the skin. Because of faulty valves elsewhere in the leg, "the veins" hold more blood and "are" at higher pressure than normal. This increase in blood volume and pressure causes the veins to swell giving their characteristic appearance.

What causes varicose veins?

The normal function of veins is to carry blood back to the heart. To prevent blood from flowing in the wrong direction, veins have numerous non-return valves. If the valves fail, blood flows the wrong way in the superficial veins and back down the leg. This results in surface tributary veins enlarging and becoming varicose.

Who usually has varicose veins and spider veins?

Many factors increase a person's chances of developing varicose or spider veins. These include:

Why does it occur more in the legs?

Gravity. The distance from the feet to the heart is the furthest blood has to travel in the body. The vessels in the leg therefore experience the greatest back pressure, and if vein valves can’t hold it, the backflow of blood will cause the surface veins to swell.

Who is at risk from varicose veins?

Everyone! However, the main causes are genetic and gender. Women are nearly twice as likely to suffer as men. People with past vein diseases, new mothers, overweight individuals and people with jobs or hobbies requiring extended standing are also at increased risk.

What are the symptoms?

Aside from the familiar surface appearance of rope-like varicosities, there may be significant leg pain and feet and ankles may swell towards the end of the day, especially in hot weather. Varicose veins can get sore and inflamed, causing redness of the skin around them. In some cases, patients may develop venous ulcerations.

How can I prevent varicose veins and spider veins?

Not all varicose and spider veins can be prevented. But some things can reduce your chances of getting new varicose and spider veins. These same things can help ease discomfort from the ones you already have:

What is EVLT?

EVLT stands for EndoVenous Laser Treatment.

How does the EVLT work?

The laser energy damages the vein walls shrinking them and closing the faulty vein so that the blood cannot flow through it. This eliminates vein bulging at its source.

Is loss of this vein a problem?

No. After treatment, the blood in the faulty veins will be diverted to the many normal veins in the leg.

What are the complications of this procedure?

The most common complication patients see is numbness that usually corrects itself in a timely manner. However, as with any surgery, there are risks and further possible complications. We can discuss this with you more in depth at your initial medical exam and consultation.

Am I at risk from the laser?

No. Just as a precaution against accidental firing of laser energy outside the body, you will be given a pair of special glasses to protect your eyes.

How successful is EVLT?

97% of first-time EVLT treatments are successful!

How long will I have to wear the compression hose?

For best results we ask you to wear the compression hose for 10 days to 2 weeks after the procedure. The hose are washable on a delicate cycle or in the sink. (Hang to dry.)

How long does this procedure take?

The procedure itself takes approximately 1 hour for each leg treated.

Is the procedure painful?

No. Patients can tolerate the procedure very well using just the local anesthetic. Any post procedure discomfort can be treated with over the counter pain medications such as Advil or Tylenol.

How long is the patient recovery period?

Patients can return to normal activities immediately after the procedure. However, we ask that you refrain from taking hot baths and vigorous activities such as gym work-outs.

Who is a candidate for Veinwave?

Any adult man or woman in good general health who has thin spider veins, or tangled, thread-like veins known as “telangiectasia,” and who is looking for a quick procedure with no downtime, can be an excellent candidate for the Veinwave procedure.

What areas does Veinwave improve?

Veinwave is ideally suited to treat spider veins wherever they may occur, even in delicate areas where other treatments may not be suitable. Areas that can be treated include:
• Legs
• Arms
• Ankles
• Knees
• Face

Who is not a candidate for Veinwave?

Veinwave is not recommended for the following individuals:

• Those who are epileptic
• Individuals with bleeding disorders
• Men and women with pacemakers
• Pregnant women

How is the procedure performed?

After cleaning the injection site, your specialist will use a very fine, insulated needle to administer the treatment subepidermally but without piercing the vessel itself. Tiny vessels will be destroyed and dissappear quickly. Most procedures take between 10 and 15 minutes to perform, and no bandages are required following the procedure.
Is the procedure painful?

Because the Veinwave procedure uses a very, very fine needle, most patients feel virtually no pain during the procedure, though some report a feeling similar to a tiny, brief pin-prick.

What is the recovery like?

There is no downtime associated with the Veinwave procedure. Men and women treated with Veinwave can resume their normal activities immediately after their procedure. In addition, no bandages are required.

When will I begin to see results?

With the Veinwave system, you will see results immediately following your treatment, as tiny veins close and begin to disappear. Results will continue to improve over the next few days following your procedure.

What will the long-term results be like?

Treatment of spider veins with the Veinwave system is permanent: once your veins are treated successfully with the Veinwave system, you will no longer be bothered by them.

What are the risks?

There is a very small risk of scarring, although this risk is minimal and much less than the risk associated with other vein procedures.

How many sessions are needed?

While many men and women are successfully treated with only one treatment, others may require two or three treatments to achieve optimal results.

When can one return to work after Veinwave?

Most men and women return to work and other normal activities immediately after their procedure.

What are the advantages of Veinwave over other procedures?

Veinwave offers many advantages over other procedures used to treat spider veins and telangiectasia, including:
• Less pain
• No bruising
• No downtime
• Ability to treat areas like knees, ankles and face
• High degree of safety
In addition, the Veinwave procedure is also faster than comparable treatments.

Is the Veinwave procedure approved for use in USA?

Yes. Veinwave has been used for years in Europe, and recently received approval by the Food and Drug Administration (FDA) for use in the United States.

Is the Veinwave procedure covered by insurance companies?

Most insurance companies consider spider vein treatments to be cosmetic and do not offer coverage. In some cases, however, spider vein procedures may be covered, especially when they occur with more problematic varicose veins. To determine whether or not your procedure will be covered, be sure to contact your insurance company directly.