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■ Varicose Vein Treatment at all locations

No matter how nicely-shaped your legs are, the whole look can be ruined by even one varicose vein. In Sterling Heights, Fenton, and Garden City, MI, Skin and Vein Michigan has the answers to this unsightly problem. We can help you to have smooth, supple legs so you can wear short pants or short dresses again.

There are two types of problem veins that are very common, especially in older adults: varicose and spider. Though more common in women, men get them too, and they can develop because of certain factors, including:

  • Heredity
  • Pregnancy
  • Hormonal changes
  • Obesity
  • Sedentary lifestyle

The varicose type are thick and bulging, and in addition to being unsightly, they can also cause pain, cramping, and heaviness in the legs. In severe cases they can lead to dangerous blood clots or other serious conditions. We offer several treatment options, including compression stockings and exercise, and more aggressive options such as sclerotherapy, laser ablation, and ambulatory phlebectomy. During your free initial consultation we'll explain your options to you in detail and offer educated suggestions so that you can make an informed decision.

When you want treatment for a varicose vein in Sterling Heights, Fenton, or Garden City, the skilled and knowledgeable team at Skin and Vein Michigan has the right solutions. We'll help your legs feel better and look better! Call us today.

Venous Disease Introduction
Varicose veins are a very common condition affecting approximately 80 million Americans. They affect an estimated 40-50% of the female population and 20-25% of the male population. The most common factors leading to venous disease is heredity, age, gender and pregnancy. Other factors may be prolonged standing, obesity, physical trauma, hormonal changes, and sedentary lifestyle. Varicose veins usually appear as bulging or twisting rope like areas on the legs and are known to be a true medical condition, not a cosmetic issue. They are typically chronic and progress to a more serious medical issue.

Spider Veins Varicose Veins

Spider Veins

Varicose Veins


Symptoms Associated with Venous Disease/Varicous Veins

In addition to visual appearance of discoloration and vein protrusion, patients commonly experience one or more of the following venous symptoms:

Pain / Aching

Cramping / Throbbing

Burning / Tingling

Heaviness / Fatigue

Swelling / Tenderness

Rashes / Itching

Bleeding / Restlessness of the legs


Failing to seek medical treatment for venous disease can lead to worsening of the veins and serious complications including:

Venous Hypertension

Venous Incompetence

Phlebitis / Inflammation Blood

Blood Clots / Deep Vein Thrombosis

Sores / Venous

Ulceration Rashes / Stasis Dermatitis

Why Venous Disease Occurs
Varicose veins occur when veins are not properly returning blood from the lower legs to the heart. The veins have valves that open and close to allow the flow of blood. When a valve malfunctions, blood flows in the wrong direction (backwards) and pools in the leg veins, which results in the bulging of the leg veins. When the blood flows backwards, it is called venous reflux. The faulty valves are usually on the upper leg, even though it is common for the varicose veins to be on the lower leg. Varicose veins will commonly continue to enlarge and worsen with time when there is positive venous reflux.

*An important issue for patients to remember, because venous disease is a chronic condition, it requires on-going maintenance and treatment.

Illustration comparing a normal vein with a varicose vein.
Normal Vein / Varicose Vein

Ways of Treating Venous Disease
We attempt to relieve your symptoms in the easiest way possible. Therefore, we first try preventative techniques and conservative management such as:

• Compression Stockings
• Elevating Lower Extremities
• Increasing Exercise / Walking
• Weight Loss
• Avoiding Long Periods of Standing or Sitting

If your varicose veins do not respond to these techniques and if traditional Sclerotherapy is not suitable for you, one or more of the following active treatments may be required:

Endovenous Laser Ablation
This is a state of the art, minimally invasive procedure to treat venous insufficiency. It is safe, fast and effective.  This is done in our office under local anesthesia. A thin catheter is inserted into the vein through a small puncture near the knee using ultrasound guidance. A laser light guide is inserted through the catheter and laser energy is used to seal the faulty vein so that blood can no longer flow through it. The vein becomes fibrous after the treatment and will be dissolved by your body. The blood in your faulty veins will be diverted to your normal healthy leg veins. Following the procedure, you will leave our office with compression hose / bandaging for 4-7 days. There may be a tight feeling in your leg for a few days following the procedure. These are a few of the benefits of endovenous laser:

• Treatment is well tolerated with minimal discomfort
• The procedure takes only approximately one hour to perform
• There is only minor soreness, bruising or swelling
• There is a very high success rate of 93-98%
• Noticeable relief of symptoms in 1-2 weeks with no scars
• Return to normal activity in 1-2 days, with walking immediately after the procedure

Most insurance companies cover this procedure after medical necessity is completed

Schematic of Endovenous Laser Treatment
Schematic of Endovenous Laser Treatment

Illustration showing a catheter being inserted, the vein warming and collapsing and the catheter slowly being withdrawn.

Catheter Inserted

Vein warmed and collapses

Catheter slowly withdrawn

Ambulatory Phlebectomy
This is a minimally invasive surgical removal of larger surface varicose veins. This is done in our office and often used in conjunction with endovenous laser ablation. It is done under local tumescent anesthesia. The punctures are tiny and the veins are removed through these punctures. A small suture is applied and scarring is minimal. After the vein has been removed, a compression bandage / hose will be applied for 5-7 days. You will be scheduled for a week follow-up for suture removal.

Ultrasound Guided Sclerotherapy
This procedure is performed to treat varicose veins that may be resistant to traditional Sclerotherapy or smaller varicosities that may remain below the surface of the skin after the initial treatment with endovenous laser or ambulatory phlebectomy. This is done while the patient is lying flat and the image is viewed on the ultrasound screen. A fine needle is guided into the center of the varicosity and a precise amount of sclerosing solution is injected into the vein. This seals the smaller vein, no longer allowing abnormal blood flow. You will be wearing compression hose / bandage for 2-4 days and you will be asked to walk after the treatment. Multiple treatments may be required.

Before view of a leg with spider vein. After view of a leg without spider vein.

Patient Spider Vein Information
Multiple treatments are necessary when treating spider veins. Spider veins are the most difficult type of veins to treat; therefore even re-injection in the same veins is usually necessary.

Every patient heals on an individual basis; some will heal much slower or quicker than others. This also makes the number of treatments variable with each patient. Some patients even with the simplest veins may require up to 3-10 visits to get good results. Before beginning your treatment; you should know treating spider veins is not a quick process, it may take weeks to many months for veins to fade.

It’s very uncommon to achieve any results with only one treatment. After each treatment, veins may even look a little worse while they are in the healing phase. We can continue to treat your veins as they are healing; we can easily see which veins are healing and closing off.

2nd before view of a leg with spider vein. 2rd after view of a leg without spider vein.

Treating your spider veins may produce some side effects for short periods of time. Any or all of these side effects may occur:

• Blue or dark discoloration (pigmentation); this may take up to 2-12 months to fade
• Bruising; which will take 1-3 weeks to fade
• Small lumps that feel hard under the skin (hematomas); these usually resolve on their own over a 1-3 month period,
• Small red, raised bumps at each injection site; these will usually resolve by the following day and they may itch a small amount,
• Ulceration; this is a small open sore - the risk of an ulcer is rare, but can occur at any injection site. Ulcers are benign and heal on their own after a few months. They may heal with a scar.

Normal spider vein injections can rarely produce an occurrence of new spider veins (matting) in the area near the injection site. These areas can also be treated along with your regular treatment.

3nd before view of a leg with spider vein. 3rd after view of a leg without spider vein.

The smaller blue veins (reticular veins) can also be treated with sclerotherapy. Treatment of these veins will help with the reduction of some spider veins. The rare side effects of treating these veins can include discoloration and sometimes production of new spider veins (matting).

A treatment will consist of a variable number of injections each time you have a session. Your treatments are not based on a certain time period, but on the amount and percentage of solution used. A trained nurse or medical assistant may be treating your spider veins.

Common questions regarding Sclerotherapy

What happens in the first session?
During the initial session, the procedures and all information is reviewed. A test dose of the solution is given at this time to determine possible allergic reaction. If testing such as a Doppler is required, an appointment will be scheduled at this time.

When do the veins disappear and do they return?
After injection, the vessel usually disappears in 4 to 8 weeks. They do not recur after proper treatment, but this treatment does not prevent new veins in the future. Some veins require multiple injections.

How often are the treatments?
Usually treatments are performed bi-weekly until completed, but can be varied.

What other forms of treatment exist?
Other treatments consist of laser, electrodessication & surgery.

What can you expect after treatment?
You will have a large amount of bruising. You may have small hard lumps at the injection sites. These lumps will fade in a few months. You may also get some discoloration on the skin, this will fade.

Questions and Answers

Can all kinds of veins be treated?
Yes. Large veins, spider veins and facial capillaries can all be safely treated.

How many injections will I be given during each visit?
The number of injections will vary. It’s not the number of injections that determines the effectiveness of the treatment, but the type of sclerosing agent used, its dosage and the site of the injections.

Does the treatment involve any risk?
All medical treatments entail a certain degree of risk. This will be discussed during your first visit. Fortunately, when sclerotherapy is administered appropriately serious complications rarely arise.

Is the treatment painful?
Pain may sometimes be induced by bruising, but is usually minimal. The small needle causes minor discomfort.

Will I have to rest in bed after each treatment?
No. You will be able to return to your normal activities right after you leave the office. In fact, normal activity and exercise is strongly recommended.

Will I have to return to the office after my treatment program is completed?
We suggest you come in for a follow-up visit once or twice a year so that we can check for any new varicose or spider veins.

Will I leave the office with my legs bandaged?
Yes. In some cases the patient will also be required to wear special support stockings. You may be required to wear the bandages anywhere from 12-72 hours.

Should I wear support hose after the treatment?
We suggest them for anyone suffering from venous congestion. They should definitely be worn whenever you have to stand for long periods of time. It will be recommended for most patients with venous insufficiency.


American Osteopathic AssociationAmerican Academy of Cosmetic SurgeryInternational Society of Hair Restoration SurgeryAmerican Academy of DermatologyAmerican Osteopathic Board of DermatologyInternational Society of DermatologyAmerican College of Phlebology
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