Why Doctors Recommend Sclerotherapy

Among treatments for spider and varicose veins, sclerotherapy has remained popular for decades.  Vein doctors continue to recommend this procedure to address medical and cosmetic concerns by eliminating these unwanted blood vessels.

Why Vascular Surgeons Advise This Procedure

This technique stands somewhere in the middle of types of vascular treatment.  It remains the primary treatment for spider veins and is also a varicose vein treatment under certain circumstances.

On the one end of the spectrum are conservative treatments such as losing weight and wearing compression stockings.  At the other end is vein surgery.  The use of sclerosing agents falls between these two.  According the Mayo Clinic, it represents a fairly safe procedure with few complications.

Since vascular surgeons administer this treatment at a vein clinic on an outpatient basis, the procedure is much more convenient for patients than surgery is.  Compared to vein surgery, it is a minimally invasive option.

Injections used solve both cosmetic and health problems.  They improve a patient’s appearance by getting rid of spider and varicose veins.  They can also reduce symptoms like swelling, burning, aching, and cramping.  The procedure might be done alone or in combination with other treatments.

The University of Wisconsin Health indicates that the most common reasons why doctors recommend this procedure include:

  • Spider veins or small varicose veins not causing serious problems
  • Small varicose veins that return after vein stripping
  • Some larger varicose veins

At an initial consultation, a vein doctor will determine whether a patient is a good candidate for use of a sclerosant.  Among issues that disqualify an individual are pregnancy or recent delivery.

How This Vein Treatment Works

Vein doctors perform this procedure using a very fine needle to inject a special substance known as a sclerosant or sclerosing agent into a targeted vein.  Sclerosants are either liquids or foam.  Many practitioners today use a technique that combines ultrasound to locate deeper problem veins with sclerosants injected by catheters, usually when problem vessels are in the legs.

The University of Wisconsin Health reports that injecting the sclerosant into each targeted vein takes between 5 and 30 minutes.  The time required depends on how many blood vessels need treatment and how large they are.

The sclerosing agent irritates the walls of the vein, causing them to stick to each other.  Eventually, the vessel closes off and is no longer visible.  Healthy nearby veins assume the workload of the eliminated vessel.

After treatment, patients wear compression stockings for a specified period.  The procedure works well for around 80 percent of those who undergo it.  Sometimes patients require multiple sessions to achieve desired results.

It is important for individuals considering this option to realize that no treatment for spider or varicose veins can prevent new vessels from forming.  Because of this, many patients return periodically for additional treatment.

 

A Choice of Dermal Fillers Offers Options For Patients’ Cosmetic Needs

Dermal fillers are natural or synthetic compounds that can be injected under the skin to fill in folds, depressions and lines to provide a smoother and younger look. Dermal fillers are sometimes used along with Botox or other agents to improve facial appearance. A number of different types of compounds are available, and each of these can fill a particular skin problem. A physician that offers cosmetic services and aesthetic surgery can advise you on the best product for your individual skin needs.

Juvederm

Juvederm is one of the most popular dermal fillers on the market today. It has light consistency that makes it easy to use around the mouth for smile and speech lines. Voluma is one of the newer forms of Juvederm. It is thicker in consistency and is primarily used for deep depressions in facial skin and for filling in sunken cheek areas. Voluma lasts for about 2 years.

Restylane

Restylance is another type of hyaluranic acid filler. It is a fluid that is injected into the skin to fill deep nasolabial folds that run from the nose to the mouth. It can also be used to plump the lips. Restylane lasts up to 18 months.

 

Belotero

Belotero is a dermal filler that contains hyaluronic acid, a substance that occurs naturally in the human body. It has a very light consistency that allows it to be used to provide subtle improvements in nasolabial lines and fine lines, as well as to plump lips and raise minor acne scarring. Belotero is often considered a “starter filler” for women who are just beginning to use fillers to remove signs of aging. It lasts from 6 months to one year.

 

Radiesse

Radiesse is a dermal filler used to fill deeper lines and wrinkles, as well as the marionette lines that develop around the mouth. It is a combination of hyaluranic acid and calcium hydroxylapatite microspheres that help to raise the skin’s surface. Treatment effects can last up to a year.

 

Bellafill

Bellafill is a collagen based dermal filler that can be used to fill moderate to deep facial folds and wrinkles, as well as for deep acne scars and pits that mar the appearance of skin. It contains microspheres made of polymethylmethacrylate, which is a biocompatible material that has been in use for many years. Bellafill lasts for up to 12 months on acne scars and for 5 years on nasolabial lines.

A consultation with Dr. Raffi Krikorian at the New Look Vein and Aesthetic Center can provide more information about the dermal fillers that can improve your facial skin, as well as for Botox to erase deep lines, Latisse for eyelash lengthening and other cosmetic services. For more information, see www.newlookveinandaesthetics.com.

Conservative Varicose Vein Treatments From a Vein Clinic

For some patients, varicose veins are simply a cosmetic problem.  For others, these unsightly blood vessels are also painful and sometimes linked to other medical problems.  Treatment options available from a vein clinic include lifestyle change recommendations and medical and surgical procedures.  Many individuals begin their treatment with conservative measures.

Conservative Treatment Choices

As many as 60 percent of Americans suffer from varicose veins, the University of Maryland Medical Center reports.  When they visit vein doctors, known as vascular surgeons, sometimes the initial treatment recommendation is a conservative one.  Lifestyle changes such as these cited by PubMed Health are often the first option for dealing with varicose veins and enable some patients to avoid medical or surgical procedures:

  • Getting more physical activity.  Getting the legs moving improves circulation and muscle tone.  It encourages blood to move through veins.
  • Shedding excess weight.  Being obese or even overweight can hinder blood flow.  Losing weight reduces pressure on veins.
  • Avoiding tight clothing.  Apparel that is tight around the legs, waist, or groin can cause varicose veins to get worse.
  • Avoiding extended periods of sitting or standing.  It is important to take an occasional break and to avoid crossing the legs while seated.
  • Elevating the legs.  Whenever possible, placing the legs above heart level and keeping them raised while sleeping, sitting, or resting is helpful.
  • Avoiding high heels.  Avoiding shoes with high heels and wearing those with lower heels helps tone muscles in the calf that help circulation.
  • Wearing compression stockings.  Three types are available, each with a different level of pressure.  Support pantyhose provide the least pressure.  Over-the-counter (OTC) compression stockings provide slightly more.  Prescription hose offer the greatest amount of pressure and require a patient fitting.  OTC and prescription hose are available at many pharmacies and at medical supply stores.

Other Varicose Vein Treatment Options

When conservative measures cannot control problems associated with varicose veins, physicians are able to offer alternatives.  Medical procedures include sclerotherapy to destroy a small varicose vein, laser surgery to case a vein to fade, and endovenous ablation to close off a varicose vessel with lasers or radio waves.

Vascular specialists typically reserve surgery for severe cases.  During endoscopic surgery, a device on the end of a camera closes a targeted vein.  To remove vessels closest to the skin’s surface, a physician might choose to perform an ambulatory phlebectomy.  For decades, vein stripping and ligation was the standard treatment for varicose veins.  Fortunately, doctors perform it today only for the severest cases.

It is important to realize that no treatment can prevent the formation of new varicose veins.  However, the Mayo Clinic suggests that making lifestyle changes such as getting more exercise, eliminating extra pounds, following a healthy diet, choosing the right shoes and clothing, and positioning legs correctly can help prevent new vessels.

Thrombolytic and Other Therapies for Deep Vein Thrombosis

If you have deep vein thrombosis, or DVT, it means you have a blood clot that is forming deep within one of your veins. While this is more common in a leg vein, it can also occur in a pelvis.

The blood clot can cause your leg to swell up and lead to discomfort of the area. The blood clot is also dangerous because it has the potential to block proper blood flow in that vein. It is vital to get treated for this condition.

Here is information about the primary therapy, thrombolytic therapy, as well as some other treatment options to consider.

Thrombotic Vein Treatment

The thrombolysis procedure is one of the main thrombolytic therapies available for this condition. In this catheter-directed procedure,a tube is used to send medication into the vein by using imaging and a catheter placed in the vein in order to break up the blood clot.

The medication can dissolve the blood clot and remove the blockage within the vein. Thrombolytic Therapy for DVT is  a non-invasive procedure, so often less uncomfortable and with fewer side effects than surgery.

Preparing for the procedure typically involves stopping certain blood thinners and medications for safety purposes and having a place to relax at home after returning home from the procedure.

Blood Thinners and Anticoagulants

Your doctor might also suggest other treatments, such as taking a blood thinner or anticoagulant, to help with your deep vein thrombosis. These drugs can help keep the blood clot at its current size instead of growing, and eventually leading to a reduction of the size of the blood clot over time. Blood thinners and/or anticoagulants  may be given before or after the thrombolytic therapy for the vein condition.

Compression stockings

Compression stocking also provide a simple treatment option for this vein condition. They work by reducing swelling of the leg that is affected by the blood clotting. They are tall stocking, typically reaching up to the knees. Compression stockings are also highly recommended for people to wear who are prone to DVT blood clots when flying in an airplan . You may also be asked to wear them after you have had the thrombolysis procedure.

Surgery

In addition to the thrombolysis procedure, there are other surgical procedures that can help with this condition. For example, you can get a cava filter, which is a device that helps to capture blood clots before they move into your veins or to other parts of your body. Your doctor may also recommend getting a venous thrombectomy, which is surgery to cut out the blood clot.

If you believe you have deep vein thrombosis and want to discuss your treatment options, please contact us here at the New Look Vein and Aesthetic Center at (314) 272-4150.

Bellafill for Acne Scars and Wrinkles

Think about it. You just got back from having your eyelashes treated with Latisse. Now you want to continue improving your facial features and get rid of those unwanted acne scars and wrinkles. But, you don’t want to endure hours of aesthetic surgery or other invasive cosmetic services. So, what do you do?

With Bellafill, you now can have skin that is virtually free of facial wrinkles, scars, and smile lines. This dermal filler treatment is FDA approved to correct moderate to severe facial acne scars and wrinkles in patients who are 21 years of age and older. It is safe and effective and lasts for up to five years.

This injectable collagen treatment contains polymethylmethacrylate microspheres (PMMA), which is the same material that doctors have used for over 65 years in medical implants.

How the Bellafill Dermal Filler Treatment Works

Dr. Raffi Krikorian injects this collagen material into your facial tissue just above the fat layer of your skin underneath your acne scar or wrinkle. It’s a simple treatment that can be done in the office and provides you with instant results that last a long time. It is a double-acting treatment.

The PMMA beads and collagen correct your acne scars or wrinkles while providing instant lift and volume. If you have pitted, facial acne scars, Bellafill essential lifts your scar, leaving smoother skin underneath. Then, your skin gets long-term structural support since the PMMA beads stay in place.

This derma filler doesn’t degrade over time like other fillers. The PMMA in this treatment stay in your skin permanently and replenishes the collagen. Everyone gets older and your collagen production will slow down due to the natural aging process. But, all it takes is a small touchup of this treatment to bring your collagen back to its original levels.

Benefits of this BOTOX Alternative

You are getting as much as 80 percent purified bovine collagen gel. Because of this, the benefits you will experience include:

  • Instant visible fill and lift
  • Enhanced injection comfort due to the 3 percent lidocaine
  • Lowered immunogenicity
  • New collagen forms as the injected collagen is resorbed

With this treatment, you can expect continuous beauty and lasting improvement. Although each patient is different, most patients see immediate correction after treatment that lasts for up to five years. To maintain optimal correction, simply have periodic touch-up injections.

To learn how Bellafill can improve your acne scars, contact us here at New Vein Look and Aesthetics at (314) 272-4150. All of our consultations for  Bellafill are complimentary.

Vein Doctor Discuss Sclerotherapy

Sclerotherapy is the most common treatment for varicose veins and spider veins, according to the Office on Women’s Health. Varicose veins and spider veins are enlarged, red- or blue-colored veins that appear on your thighs, the backs of your calves, or on the inside of your leg. Sclerotherapy is a minimally invasive outpatient procedure that effectively treats varicose veins and spider veins.

Vein doctors, also known as vascular surgeons, often perform sclerotherapy for cosmetic reasons. Varicose veins and spider veins can ruin the smooth, youthful appearance of skin. Vascular surgeons sometimes perform sclerotherapy to relieve symptoms associated with diseased veins, such as aching, swelling, burning, and night cramps.

How Sclerotherapy Works

Vein doctors perform sclerotherapy by using a needle to inject a chemical agent, known as a sclerosant, which irritates the inner lining of the varicose vein or spider vein. The irritation causes the vein to scar and eventually close, so it no longer carries blood. The body reroutes blood to other veins. In time, the treated vein breaks apart and is absorbed by nearby tissue.

After Vein Treatment

You can get up and walk around immediately after sclerotherapy – in fact, your vein doctor will probably recommend that you walk and move as much as possible to reduce the risk for blood clots. You will need someone to drive you home, however.

You will need to wear compression stockings for about two weeks after the procedure. These stockings apply pressure to the veins in your legs to keep blood circulating. Avoid strenuous exercise for the first two weeks after surgery.

Treated veins fade within a few weeks, although it may take up to a month to realize the full results of the vein treatment. Multiple treatments are sometimes necessary, especially for very large or stubborn varicose veins. Vein surgeons typically suggest repeating treatment every four to six weeks.

Sclerotherapy is not appropriate for some patients. Doctors suggest that women who are pregnant or are breastfeeding wait to undergo the procedure, for example.

All surgical procedures, even minimally invasive ones like sclerotherapy, carry some risk for complications. The procedure is relatively safe and is associated with few complications. Possible side effects include red, raised patches or bruising at the injection site, which usually go away soon after treatment. Brown lines, spots, or groups of tiny blood vessels may develop near the treatment site; these too should disappear shortly after treatment. A lump of clotted blood may develop in a treated vein. While this is not dangerous, it does require the attention of your vein surgeon.

Your vein doctor can perform sclerotherapy at your local vein clinic. The procedure does not require anesthesia. Sclerotherapy usually takes less than an hour.

To learn if sclerotherapy is right for you, make an appointment with your local vein clinic. Your vein doctor can help you decide if this type of spider vein or varicose vein treatment is right for you.

Causes of Venous Disease

The causes of venous disease (or vein disease) can range from minor problems like spider veins to serious varicose veins and circulatory problems. In many cases, relatively simple treatments can relieve symptoms and help patients resume their normal activities. Vein doctors like cardiologist Raffi Krikorian, MD, of the New Look Vein and Aesthetic Center, offer a variety of vein treatments for conditions like varicose veins and venous insufficiency.

Causes of Venous Disease

Veins are part of the circulatory system; they are the blood vessels that return blood to the heart. Healthy veins have small flaps of tissue, called valves, that drop into place after each beat of the heart to prevent the back-flow of blood. Muscle movements help return the blood to the heart, as the pressure in the veins isn’t as high as that in the arteries, which run from the heart and lungs to the tissues.

Venous or vein diseases generally fall into one of three major categories: venous insufficiency, varicose veins and phlebitis or blood clots. They may also include genetic malformations, but those are less common. Venous insufficiency occurs when the valves in the veins stop working properly and allow blood to flow backward. As the blood pools in the veins, they become distended and varicose veins develop. Venous insufficiency and varicose veins may result in leg ulcers from poor circulation. Phlebitis is an inflammation of the walls of the veins that can result in blood clots; it can be caused by venous insufficiency or varicose veins.

Venous diseases have a genetic component; it’s not uncommon for venous insufficiency and varicose veins to run in families. Venous insufficiency and varicose veins are more likely to occur with age; women age 40 to 49 and men age 70 to 79 are most at risk. Pregnancy and smoking affect the circulatory system and can result in venous insufficiency. People who spend long hours on their feet or who are obese or inactive are also at higher risk of developing vein diseases.

Once venous disease occurs, patients may display a variety of symptoms. Swelling in the feet and ankles is common, especially when standing for long periods. Pain when standing that improves when you raise your legs is another common sign. Leg cramps, aching or throbbing, itching, thickening skin on the legs and ankles, or skin that becomes discolored in those areas are also signs of venous disease. Some patients complain of a feeling of tightness around the calves.

If you have signs of venous disease or venous insufficiency, or varicose veins, you can find vein treatment at the vein clinic at New Look Vein and Aesthetic Center. Dr. Krikorian is skilled in a variety of treatments, including sclerotherapy, ambulatory phlebectomy, radiofrequency closure and endovenous vein ablation treatment. Contact us today to schedule an appointment.

Think Botox is Just for Wrinkles? Think Again!

Ever since it was approved by the FDA over 20 years ago, people have been relying upon Botox injections to treat moderate to severe crow’s feet and frown lines. While this is intended use for this cosmetic procedure, it can also be used for to treat a number of different problems.

The following is a look at some of the other, less commonly known, ways Botox can be used. All of these methods are either currently FDA approved or are listed as intended uses for this cosmetic procedure.

Provide Relief to Migraine Sufferers

Receiving injections of this cosmetic procedure in very specific areas on the face has been proven to be a very successful treatment for migraine sufferers. Migraine sufferers who have injections placed in the forehead, shoulders, and temple reported a dramatic decrease in the amount of severe headaches that occurred.

Overactive Bladder

Overactive bladder can be treated with medication, but it doesn’t always work. People who find medication is not working, or it isn’t working as well as they would like may be able to find relief with the help of Botox injections.

This cosmetic procedure can treat the symptoms of overactive bladder in individuals who are 18 years of age or older. Symptoms that can be treated include frequent urination, feeling the need to urinate, or experiencing occasional leakage.

Treatment for Hyperhidrosis or Excessive Sweating

Some individuals have sweat glands that produce an excessive amount of sweat. This is a condition known as hyperhidrosis. There are very few treatment options available for people who suffer from hyperhidrosis, but receiving injections for this cosmetic procedure may be one of them.

Injections can be placed directly into the sweat gland. When this is done it creates a blockage that will dramatically reduce the amount of sweat the body creates. This blockage will hold for up to six months and allow people who suffer from hyperhidrosis to find relief.

Discuss Botox with a Local Doctor at New Look Vein and Aesthetic Center

If you are interested in learning more about how this cosmetic procedure can help you, it is best to speak with a local doctor who specializes in cosmetic services. People who live in the St. Louis area can visit the doctors at New Look Vein and Aesthetic Center.

New Look Vein and Aesthetic Center has several locations throughout the St. Louis, Missouri area. Call us today to schedule an appointment to discuss this cosmetic procedure with one of our doctors.

How a Vein Doctor Can Help You

For some people, spider veins and varicose veins are merely a cosmetic issue. They don’t look good, but they also don’t cause any medical problems. For others, varicose veins can cause symptoms and complications, ranging from burning and aching to bleeding and restless legs. Fortunately, a vein doctor can help people dealing with varicose veins and other vein problems. From determining the cause of your problem to performing varicose vein treatment, vein doctors are looking out for your well being.

What a Vein Doctor Can Do

Diagnose Your Condition

The first step to treatment is getting an accurate diagnosis from a doctor. Vascular surgeons diagnose varicose veins and other forms of venous disease by first looking at the legs, checking for signs of swelling and bulging veins. The doctor will most likely ask you to describe your symptoms and will usually ask if you have any burning or pain.

Since some vein problems are deeper than others and can’t be detected by the naked eye, vein doctors often use ultrasound imaging to look for blood clots or weakened valves and to evaluate how the blood is flowing through your veins.

Recommend the Best Treatment

After vein doctors have diagnosed your condition, the next step is for them to recommend the most appropriate treatment. Treatment depends on the severity of your vein issue and on what you would like to get from  it. For example, if you are dealing with small spider veins, treatment with sclerotherapy might work best.  Depending on the location of your varicose veins, a treatment such as ovarian vein embolization might be required.  Ovarian vein embolization is usually performed when a person is suffering from pelvic congestion syndrome, which occurs when varicose veins form in the uterus or ovaries.

The right treatment for you also depends on how long you can commit to recovery. Many vein treatments don’t require much downtime and allow you to return to work the next day. Depending on the vein treatment, you might need to go in for several sessions before you get the results you want.

Help You Make Lifestyle Changes

Along with performing necessary treatments, the doctors at a vein clinic can recommend lifestyle changes to keep your vein problems from becoming worse. For example, adding exercises to your daily routine can help keep varicose veins in check. Exercise improves blood flow and strengthens your muscles so that they are better able to push blood back up to the heart. Losing weight, if you are overweight, can also help keep your vein problems from becoming worse.

Dr. Raffi Krikorian offers a variety of vein treatments at New Look Vein and Aesthetic Center in St. Louis. To learn more about your options and to learn more about how a vein doctor can help you, call (314) 272-4150 for a consultation today.

Why Do I Need a Prescription for Latisse?

Latisse is an FDA-approved drug that works to make your eyelashes grow thicker, longer and darker. Since it’s a pharmaceutical drug and not an over-the-counter beauty product, it must be prescribed by a medical doctor who oversees your cosmetic services treatment.

Can I get a Latisse prescription?

A licensed medical doctor will need to assess your health and make certain Latisse is safe for you to use. If you’re healthy enough to use Latisse, your doctor will give you a prescription that can be filled at the pharmacy of your choice. Some doctors sell the product from their offices. After using it, you’ll need to be monitored by your doctor who will look for unwanted side effects and gage if the medicine is working as intended.

What about buying it on the internet?

There are probably places where you can purchase Latisse online. However, to be certain you’re getting the true product that has been approved by the Food and Drug Administration, you’ll need to purchase it at a licensed pharmacy. If you purchase prescription drugs online, it’s possible you won’t receive the actual product. The product you get may not be effective or it could cause damage to your eyes. It’s always best to purchase prescription drugs from a licensed pharmacy instead of taking your chances with a knock off.

How can I get Latisse cheaper?

It’s true that insurance usually doesn’t cover the cost of Latisse, and the average cost of a month-supply along with applicators is about $120. But don’t look to save a few bucks by purchasing from an unreliable source. Allegan, the company that manufactures Latisse, offers a customer loyalty program that provides savings for all their products, which include Botox and the dermal filler Juvederm.

To learn more about how Latisse works, please get in touch with us at New Look Vein and Aesthetic Center. Dr. Krikorian is an expert in cosmetic services and aesthetic surgery and can help you discover the products and services that will help you look and feel your best.

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