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Laser Leg Vein Treatment
 
 
How does it work?
A 1064nm laser applied to the skin sends energy into the blood vessel wall where it is absorbed by hemoglobin. The hemoglobin is heated by the absorption of energy, causing the blood to coagulate and the vessel to close off. The constricted vessel degenerates and the visible leg vein disappears gradually. Treatments are associated with modest discomfort, not unlike a small rubber band snapping against skin-this is minimized with the use of topical numbing cream. Immediately following treatment, spider veins will be darker and more visible. Over two to six weeks, your spider veins usually fade.

What types and sizes of veins can be treated with the 1064 laser?
Spider veins, commonly found on the face and legs, are caused by the dilation of a small group of blood vessels near the skin's surface. They often look like red, blue or purple lines, sunbursts or web patterns. The 1064 laser is used to treat spider veins of the legs that are up to 4 mm wide. It is not used to treat larger, varicose veins which are deeper vessels. Spider veins (telangiectasias) and cherry red spots (angiomata) of the face are treated with a photofacial procedure, not the 1064 laser.
 
How long does it take?
A topical numbing agent may be applied to the treatment area and left in place for 20 minutes or more. The duration of treatment depends on the number of vessels and the need to adjust laser settings for different sizes of vessels. Sessions can be as quick as 10 minutes or as long as 60 minutes.

What can I expect after treatment?
A sensation of warmth is temporarily present. This is generally gone within 30 minutes. Over the vessels treated there is a puffiness that appears similar to the skin reaction to a cat scratch. This is also resolves spontaneously. The results of laser treatment for spider veins are not immediate. After the laser therapy, the vessels underneath the skin will gradually change from a dark blue to light red color, then eventually disappearing in two to six weeks (similar to the healing of a bruise). Additional treatments may be needed to achieve the desired result. During the 24 hrs after treatment, it is best to avoid strenuous exercise and exposure to extremes in temperature (such as hot tub or sauna use). However, no compression stockings are required.
Most patients report a high degree of satisfaction with the procedure and relief at no longer having to hide unsightly veins. The treated areas are noticeably clearer and in most cases the skin continues to improve with each successive treatment.
What are advantages of laser over sclerotherapy?
  • It has fewer side effects
  • It is less traumatic to the surrounding skin compared to sclerotherapy
  • It takes a much shorter time to complete laser treatment
  • It is less painful than sclerotherapy
  • Recovery is immediate. The use of compression stockings is not required.
  • Downtime is almost zero
However, sclerotherapy (or other more involved procedures) may be needed for the treatment of vessels greater than 4 mm diameter.
 

Is it safe?
Complications of any laser treatment are rare, but include blistering, skin necrosis, crusting, scarring, skin discoloration, and failure to achieve desired result.

Who should not have a laser leg vein treatment?
If you are pregnant, laser treatments are not recommended- not because there is any expected risk to the baby but because the treatments have not been formally studied in pregnant women and it is possible that hormonal shifts could in some way affect response to treatment in an unpredictable way. If there is an active skin infection in the area to be treated, or if you are expecting to have unusually higher level of sun exposure (vacation or other trip) the treatment will need to be rescheduled.
If you have large varicose veins, Dr. Hatzos may recommend that you have these addressed first through other procedures and then return for treatment of the spider veins at a later date.

Is laser therapy for spider veins covered by medical insurance?
No, spider veins are only of cosmetic nuisance and not covered by medical insurance or Medicare.
 
 
 

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Cost
 
 
Session Time Price
10 minutes $100
15 minutes $150
30 minutes $300
45 minutes $450
60 minutes $600
 
     
Before and after images
 
Before
After
   

 

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