07.12.11 Dr. Garth Rosenberg Cosmetic

Second Opinion about Veins

I've seen several patients lately with rather prominent varicose veins who had their saphenous vein reflux treated by another physician, typically with either VNUS Closure or laser treatment. These patients were told that the surface veins would either go away on their own, or become a "non-issue" after treatment. When the original treating doctor was unable to provide a reasonable answer, these patients sought a second opinion regarding the remaining veins that are causing aching, throbbing, heaviness, etc.

In these situations, it is critical to reassess the leg(s) to determine what precise procedure was performed, and how the remaining veins are functioning. This is done with a duplex ultrasound of the treated leg(s). This is a very thorough test that yields a tremendous amount of useful information.

Once the information is reviewed, we will determine if another vein is a source of reflux or what else may be causing the symptoms. If the veins protrude from the skin (varicose veins), we typically use a procedure known as microphlebectomy that uses tiny nicks in the skin to remove problem veins. Microphlebectomy is covered by most insurance. Any remaining spider veins can be easily treated with sclerotherapy, which uses a micro-needle to inject a special medication into the veins causing them to close and ultimately disappear. This is a cosmetic procedure and not covered by most insurers.

The bottom line is there is no need to suffer with residual varicose veins after an initial procedure to treat the leaky valves. A new, complete evaluation of the leg often will show that treatment is very safe, effective and successful.

We welcome comments or questions about VNUS closure, microphlebectomy or sclerotherapy or varicose veins. If you would like specific answers to your questions, please request a free cosmetic consultation at any of our offices located in Frederick, MD; Bethesda, MD, Leesburg, VA or Charles Town, WV.

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