| Spider
Veins / Broken Capillaries
Spider Veins Houston, Spider Veins in
Houston Texas

Introduction
Millions of men and women are bothered by spider veinsthose
small, unsightly clusters of red, blue, or purple veins that
usually appear on the thighs, calves and ankles and occasionally
on the face. An estimated fifty percent of the adult female
population and fifteen to twenty percent of men share this
cosmetic problem.
Spider veins are small, thin capillaries that lie close to
the surface of the skin. They are connected to a larger venous
system, though they are not an essential part of it since
they do not actually carry blood to the heart.
- Many
factors can contribute to the development of spider veins,
including:
- pregnancy
- weight
gain
- chronic
sun exposure
- activities
that demand prolonged standing or sitting
- heredity
Spider veins form when excess blood backs up in the blood
stream. The excess blood creates pressure. The body releases
the pressure by creating new veins on the skins surface.
The primary problem with spider veins is their unsightly appearance,
but they can also cause aching, swelling, burning and night
cramps in legs.
Spider veins and varicose veins are often lumped together,
but they are actually very different conditions. Varicose
veins are caused by faulty valves in the venous system, creating
twisted and swollen veins. Varicose veins are larger, darker
and tend to bulge with a rope-like texture on the skins
surface. Varicose veins are also more likely to cause pain
and be related to more serious vein disorders. In contrast,
spider veins are smaller and closer to the skins surface
in a branch-like or linear formation. Treatment of large varicose
veins is outside the realm of this practice and patients are
referred to a vascular surgeon.
The techniques most used to treat spider veins are Laser and/or
Sclerotherapy. Spider veins on the face can be treated with
Laser. Small to medium sized leg veins are treated with
Laser and/or Sclerotherapy. Both are relatively simple procedures
with high success rates.
Laser therapy can completely remove the spider veins.
Studies have shown that 80 to 90 percent of patients treated
for spider veins are happy with the results. Laser and Sclerotherapy
cannot, however, prevent new spider veins from forming. To
help prevent future Spider and Varicose veins from reoccurring,
we strongly recommend the use of compression stockings along
with the application of Hiruval
35.
Procedure
The techniques most used to treat spider veins are Laser
and/or Sclerotherapy. Both are relatively simple procedures
that have great success in removing small to medium sized
veins.
Laser Therapy (Telangectasia)
Laser is fast becoming the preferred treatment for spider
veins on the face or spider veins on the legs too small to
warrant sclerotherapy. Laser treatments are constantly
evolving with faster and safer results. It sends a pulse of
high energy Laser Light destroying the vein
without damaging the surrounding skin. Dr. Pearsall uses the
Smartepil II Laser by Cynosure.
During the treatment, you will feel a slight pinching or burning
sensation as the light energy touches your skin. The blood
vessels in the spider vein absorb the light energy, which
causes the vein to coagulate, collapse, and in time disappear.
Laser
procedures are performed in the office by Dr. Pearsall.
A pre-operative
topical
anesthetic will be prescribe by Dr. Pearsall during your
initial consultation.
The amount of time required to perform Laser Therapy depends
upon the number and length of the spider veins. The
standard Laser procedure can take fifteen minutes to an hour.
The severity of spider veins also determines how many laser
treatments you will need. Laser therapy can also be used in
conjunction with sclerotherapy to treat the larger veins which
feed the smaller spider veins.
Sclerotherapy (Medium Sized Blue Leg Veins)
Sclerotherapy is the procedure most often used for removing
spider veins. This treatment is done on an outpatient basis
in our office.
The process is fairly simple: The skin around the spider veins
is cleaned with an antiseptic solution. Then Dr. Pearsall
pulls the skin tight around the spider vein area while injecting
a saltwater solution called a sclerosing agent into the vein.
The injected solution causes inflammation, which stops the
blood flow within the veins. When blood stops flowing, the
veins collapse. The collapsed vein wall seals itself and the
vein is absorbed back into the surrounding tissue.
Sclerotherapy requires no anesthetic; pain is minimal due
to the thin needle used and the mild sclerosing solution.
The procedure takes fifteen minutes to an hour or more, depending
on the number and size of the spider veins being treated.
Anywhere from five to twenty injections are given per treatment
session, and it may take two to four sessions to rid the area
of spider veinsespecially for patients with more extensive
spider vein conditions.
Following the injections, the treated area is bandaged and
covered with a compression stocking, and the patient is sent
home. The bandage can be removed after five days. There may
be slight itching for a day or two after the treatment owing
to a mild release of histamine from the treated blood vessels.
Candidate?
If you are in reasonably good health, you are an appropriate
candidate for sclerotherapy or Laser treatment to remove spider
veins. Dr. Pearsall will review the severity and scope of
your condition and recommend a course of action. Dr. Pearsall
will also examine you to make sure that you do not have any
other conditions of the venous system that might be causing
the spider veins. For the treatment to be effective, you must
address any underlying causes as well as the spider veins
themselves.
Typical patients are women between the ages of 30 and 60 though
increasing numbers of men are seeking treatment for spider
veins.
Spider Vein Treatment: Preparing for treatment
Prior to treatment, your Dr. Pearsall will conduct a complete
physical exam to make sure that sclerotherapy or FPL treatment
is an appropriate response to your condition. Dr. Pearsall
will be on the lookout for more serious deep vein
problems, which can often be detected by swelling, sores,
or skin changes at the ankle. You may also undergo an ultrasound
test to detect any back flow of blood within the venous system.
If problems are found with larger veins, they must be treated
first by a vascular surgeon, or the spider vein treatment
will be probably be unsuccessful.
If you are scheduled for spider vein treatment:
- Avoid
alcohol a few days prior to treatment, as alcohol consumption
decreases your platelets count, which can lead to excessive
bruising.
- Shower
or bathe the night before the procedure.
- Wear
loose-fitting garments if the treatment is being done on
your legs.
With sclerotherapy,
you may experience some pinching or burning sensations during
your treatments. You may feel the sclerotherapy needle, and
the sclerosing agent may cause the burning sensation. A typical
sclerotherapy session may involve anywhere from five to twenty
injections, depending on the severity of the problem and the
size of the area being treated.
Laser treatments tend to be less painful, with only a brief
pinching or burning sensation when the laser touches the skin.
- Following
either of these procedures, you may experience:
- itching
- redness
- swelling
- bruising
These symptoms usually go away within a week or so. Your doctor
may recommend that you use an icepack to treat swelling.
Most patients are back to their normal activities the day
after treatment with very little pain.
Treated veins usually look worse before they look better.
Bruising is common, but it normally goes away within two weeks
to a month. You may also experience some discoloring of the
treated area. This, too, should disappear in a few weeks.
You can minimize bruising by avoiding aspirin and alcohol
for two weeks after your last treatment session.
Recovery time is different for each patient. Some people heal
faster than others. Usually within one month, most patients
are recovered enough to see the results of the treatment,
including faded veins or even the disappearance of most of
the spider veins.
During your recovery period, walking can help prevent any
blood clots from forming in the deep veins in your legs. Weight
lifting, and other heavy pressure exercises, like jogging
or running, however, should be avoided during the treatment
and recovery periods.
Prolonged sitting or standing should be also avoided. With
sclerotherapy, you will be asked to wear a support stocking
during recovery to compress the veins and minimize bruising.
Avoid exposing the treated area to direct sunlight until it
is fully healed and you get your doctors okay.
Your doctor will want to see you in a few weeks to examine
the treated areaand decide if more treatments are needed.
You will have to wait one month between treatments. Eventually,
the spider veins will disappear completely, although new spider
veins can emerge at any time. You may find the need for touch-ups
in the future.
There are very few risks associated with the treatment of
spider veins with sclerotherapy and Laser therapy, but complications
can occur.
Possible complications of sclerotherapy include scarring,
blood clots, severe inflammation, adverse reactions to the
sclerosing solution and brownish-red spots on the treated
area.
Laser
treatments can cause a change of skin color around the treated
area, which may take weeks to fade.

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