Sclerotherapy is well tolerated by most patients without the need for anesthetic cream – We do however, offer a numbing cream option upon request. Your spider veins can be treated at our OC VeinCare’s Laguna Hills office. All treatment sessions are performed by Dr. Altuwaijri who is a board certified Vascular Surgeon.
Dr. Maraya Altuwaijri will diagnose your spider veins after a detailed history and physical examination. If symptoms are present, a duplex ultrasound, which identifies how your blood is moving through your veins and any leaky valves will be recommended prior to the cosmetic treatment of spider veins. Symptoms include but are not limited to leg pain, throbbing, tired, fatigued legs, cramps, restless legs, hyperpigmentation (or ankle and leg discoloration) and ankle swelling.
Dr. Altuwaijri will determine if the appearance of spider veins is cosmetic in nature, or if they have an underlying medical cause, based on the results of the ultrasound.
The VeinGogh Procedure, AKA: Ohmic Thermolysis) is a procedure used to eliminate small size spider veins. Using an insulated probe, a fine needle is introduced into the vein to thermocoagulate (change temperature to) these blood vessels. A micro-burst of energy heats the vein, coagulating the blood and collapsing the vein wall. While not replacing sclerotherapy, which is the mainstay of treatment of lower extremity spider veins, the VeinGogh procedure is useful as a supplement to sclerotherapy. It can be used as the primary treatment of very tiny-sized spider veins of the lower extremity. It is also an excellent procedure to manage spider veins that appear on the face and around the area of the nose.
There is minimal discomfort during the veinGogh procedure, which often described by patients as a slight “pinch”. For patients with a lower pain threshold, a local anesthetic cream can be applied prior to the procedure.
Treatment time is dependent on the areas being treated and varies from just a few minutes to 15 minutes. There is no post-procedure down time, and patients immediately return to their daily activities, even aerobic activities. When treating spider veins of the lower extremities, there is no need for post procedure compression stockings to be worn.