Question: What’s the best treatment for leg veins?
Answer: It really depends on what type of leg veins you have as to what is the best treatment. For varicose veins that are large, cable-like veins, usually on the inner aspect of the leg, I would recommend seeing a vein specialist that can perform treatments with an endovenous catheter and either radio frequency or laser. For more superficial cosmetic veins, sclerotherapy is an excellent option and we typically use concentrated glycerin and this can be extremely successful at improving the appearance of the legs. Occasionally, we will use lasers for spot treating certain areas that are more difficult to treat with sclerotherapy and, therefore, a combination of different treatment options are frequently employed to give patients the best result possible.
Question: I can’t wait to throw away my razors for good! I will be getting laser hair removal treatments on my legs and armpits. How many sessions will I need to come in for? Do I pay per session or per body area?
Answer: Laser hair removal requires six to eight treatments for full efficacy, and we expect at least a 90% if not 95% reduction in the number of hairs in that area as long as these hairs are dark colored. As far as payments, we prefer patients to buy a package of laser hair removal treatments so that they are much more likely to complete six to eight treatments and, therefore, maximize their results since they have prepaid for that number of laser sessions. We, therefore, bundle these treatments together and give a significant discount in the overall price so that we can incentivize patients to get excellent clinical results.
Question: I have spider veins but am deeply afraid of lasers. Are there any natural or less invasive treatments for spider veins?
Answer: I know of nothing topical that can be applied to the skin that will help get rid of spider veins. Lasers are extremely successful at treating these unsightly vessels, and I think that after you have a chance to discuss the lasers with our medical professionals at the Quintessa Aesthetic Center, you will realize that there is very little to be afraid of regarding laser treatments of spider veins. However, if the lasers are still too scary, you may want to consider sclerotherapy, which involves using extremely small needles and injecting sugar solution into the vein to help it collapse and disappear. Ultimately, these are the only two reliable methods I know of to help rid a patient of these unsightly vessels.
Question: My face has these ugly fine blue veins that are showing up around my temples, can laser vein treatment get rid of these?
Answer: It is very unlikely that laser vein treatment will get rid of temporal veins due to the fact that there is such a high blood flow in these areas that the laser seldom can reduce the veins significantly to the point where you see a visible improvement. There are, however, other options depending on your skin type. One option is fat grafting that can improve the overall volume in the area and camouflage the veins so that they are less visible. We can certainly try different lights and lasers to improve the appearance of the veins, and we can also treat the overlying skin with lasers if the skin is extremely thin to try to improve the collagen of the skin so that the veins are less visible. Frequently, it requires multiple different approaches at the same time to give patients the results they desire.
Question: I have read that the solution that treats varicose and spider veins can sometimes travel throughout the body. What are the implications of this and is this procedure safe?
Answer: The solution that is used to treat varicose veins is safe as long as relatively small doses are administered. Obviously you will want to see a well-experienced injector to make sure that you not only get the result that you want, but that it is performed in a safe manner. At Quintessa Medical Spa we only treat smaller spider veins through sclera therapy and if someone has large, knotty varicose veins we will recommend a vein specialist, most of whom perform laser catheterization for treatment of these larger vessels.
Question: I got laser vein therapy a week ago for the spider veins on my legs. The doctor told me that any redness would disappear in the first few days. Since it has been a week, I have gotten concerned. What could prolonged redness after laser vein treatments mean?
Answer: Well, it could mean a countless number of different things and, due to that, I would recommend an evaluation by the professional who treated your leg veins. Certainly, my biggest concern would be if you were having any sort of an inflammatory or infectious type of change to the area and would be concerned that you may have early cellulitis if you still have redness. This would typically be rather tender and, if this is nontender, it may just be related to the vein treatment and will slowly disappear, but I would recommend an evaluation by the professional who treated you so that any appropriate treatment can be provided if that would be necessary.
Question: I am a 42-year-old woman and I got a laser peel six weeks ago. I like the results so much that I figured I might as well find out about what laser vein therapy can do. Is the same type of laser used for a laser peel used in vein therapy?
Answer: Not typically. Usually, for a laser peel, we are using some sort of an ablative laser such as an Erbium laser or a CO2 laser, which is absorbed by water and essentially vaporizes the superficial layers of the skin. The lasers that we use for laser vein therapy are lasers that are absorbed by blood, and we would desire these to literally go through the skin and only injure the vein itself and, therefore, these lasers are quite different. I always recommend that patients seek out experienced professionals regarding the treatment options that they are interested in and, at Quintessa Medical Spa, we certainly have a vast amount of experience with not only laser peels but also laser vein treatments.
I am 65 years old, but many think I am in my early 50’s – could I still be a candidate? And do you offer some type of a guarantee? I also have minimal spider veins on the face – does the procedure target this problem?
Ultherapy was tested for about one year before FDA approval. When all patients (many over age 65) were included in the studies, 80% responded to treatment and half of the non-responders had a response with a second treatment. Though we can not guarantee results, we will treat patients a second time at no cost. There have been a few changes to the protocols used to treat patients since the studies were done, and some centers are seeing a 100% response rate. We certainly can not say that it is 100% effective yet, but those are very encouraging statistics. Though you are not in our prime age range of 40-60 years old, it is really the patient’s ability to create new collagen that causes the lift, and not the failure of the device to cause denaturization of the collagen, as the science behind the method of injury is quite reliable and will work in 100% of patients. The only reason a patient would not have a response is if their tissue can not create enough new collagen (mainly due to age and sun damage). If your skin looks younger than your age, then you might still be an excellent candidate for Ultherapy. The results thus far have lasted 18 months and counting. By the mechanism of injury and healing, the result should really be “permanent” in that the patient will get the improvement and then age forward.
Ultherapy will not treat facial vessels, but we do have two lasers that are extremely effective at ridding patient’s of unsightly vascularity of the face, body, and legs. We would be happy to discuss this further at your consultation.