Ask the Professional

Spider veins are a BIG problem and the treatment has to be tailored for each individual patient.

The treatment can be tricky and must be performed properly by trained personnel. Many times the spider veins are just the "tip of the iceberg" and if the underlying vein problem is not diagnosed and treated beforehand, then the money you spend on the spider veins will be wasted.

The "Gold Standard" for spider vein treatment is sclerotherapy. A chemical is injected into the vein thus irritating the vein wall so much that it scars closed thereby eliminating the spider or varicose vein.

In years past, saline was commonly used, but now the most common agents are detergents, usually sodium tetradecyl sulfate or polidocanol. These drugs cause inflammation and subsequent vein closure. The procedure demands attention to detail.

The appropriate concentration of chemical, under the right amount of pressure, must be injected into the target vein or else suboptimum cosmetic results will be obtained.

The treatment takes time to work! I always counsel my patients to be prepared for their veins to look worse before they look better because the inflammatory process takes time to heal.

Optimum outcomes are achieved about 3-4 months after treatment.

Bring this article to the office for your appointment and receive $50 off.

Nellestein Vein Institute

1341 Village Drive

St. Joseph, Missouri 64506

816-291-4149