Capitol Vein Blog

Wednesday, November 29, 2017

See How New Technologies Allow Major Advances in Varicose Vein Care

As technologies change, so does our ability to advance treatment of varicose veins. We replaced "old fashioned" vein stripping with thermal ablation techniques around 1999, and VNUS Closure has remained the most effective and painless method of treating veins that have a refluxing saphenous vein as the source of the venous hypertension.

VNUS Closure is an office based, local anesthesia procedure that allows immediate recovery. We use several access sites to instill local anesthesia along the vein so the heat used to close the vein is not felt by the patient.

Clarivein is a newer technique that allows us to effectively close the saphenous vein without using the local anesthesia that is necessary for VNUS Closure. This is a somewhat more comfortable procedure for the patient and still allows immediate recovery to normal activity.

Varicose veins occur because the one-way valves in the veins, which should propel the blood up the leg, become defective and weak. Gravity's pressure then pushed blood backward down the leg, leading to the problems associated with varicose veins. We advocate treating veins that cause symptoms of aching, throbbing, itching and swelling because when left untreated, they often progress to blood clots and skin discoloration or even ulcer formation.

Patients can help alleviate these varicose vein symptoms by using graded support hose, increasing activity level to improve venous circulation, and elevating the legs when able. These efforts will reduce the effect of gravity pushing down on the veins.

As always, seeking advice from a well trained and experienced vascular surgeon is your best option is finding the option that is best for your individual case.

Friday, October 6, 2017

What is Micro-Needling?

      Is Micro-Needling Right for me?
      
       Micro-needling, (aka Collagen Induction Therapy) is a minimally invasive skin rejuvenation procedure that uses a device containing fine needles. It has been a standard procedure in Europe for decades. The tiny needles are used to puncture the surface of the skin to create a controlled injury. Each puncture creates a channel triggering the body to heal and fill these microscopic wounds by producing collagen and elastin. 
       Results offer improvement in skin texture, firmness, and overall appearance.  

       Micro-Needling is also effective at reducing scars and discoloration on photo aged skin.     This treatment has become one of our favorite "anti- aging & skin polishing" techniques to improve the skin’s overall appearance and quality.  

      What will I feel?

      Your skin will be numbed with a topical agent for 20-30 minutes prior to treatment, making microneedling virtually pain free.    You will feel and hear the vibration of the device as it moves across your skin.
      After your treatment, your skin will be red and feel warm/ hot.  Some people claim they feel like they have a sunburn.  This is normal and will kick start your skin into "healing" mode to produce collagen & elastin.  
      Are Microneedling treatments safe?

       The difference between receiving a Micro-Needling treatment in a medical office and using a Derma Roller at home is significant.  Treatments performed in a medical office are done in a controlled setting by a medical professional.  Derma Rollers used at home do not have controlled puncture depths, are not sterilized and put you at  risk for infection.  Micro-Needling is not a "one size fits all" treatment.  The device used in our office has different depth settings that are adjusted in order to customize treatments for each patient. This reduces down time and optimized your results.
       What can I expect after treatment?

      One of the many reasons patients choose this treatment is because there is little to no downtime. You will be red immediately after treatment, but typically this resolves in 1-2 days.  Mild swelling can also occur and usually lasts less than 24 hours.  It is important to remember that each patient is different and each healing process is different.  Our Micro-Needling device can be used all over the body, but the face, neck, and chest are the most treated areas.  
      For more information on how Micro Needling can benefit you, call to schedule your consult with one of our highly educated and experienced providers.

Tuesday, October 3, 2017

Learn How Medical Advances Allow Optimal Varicose Vein Treatment

New techniques that allow more precise and accurate treatment of varicose veins are facilitated by advances in ultrasound technology. As our ability to closely examine vein segments in the legs has increased by using ultrasound, we can detect the causes of surface veins and help our patients achieve long lasting benefit. Old stories of painful vein stripping are of historical interest only, as our ability to better image the vascular system allows us to give you optimal results.

Normal vein flow in the leg transports blood from the foot and ankle to the thigh and groin, and then to the heart, against the steady pressure of gravity pushing downward. Veins maintain normal flow by the presence of one-way valves that prevent backflow. However, if these valves weaken, they cannot resist gravity’s inexorable push downward, and blood begins to flow backward.

As the vein pressure increases, surface leg veins begin to bulge and the common symptoms of aching, heaviness, throbbing or itching ensue. Some of these veins lead to blood clots and skin damage and even ulcer formation.

Fortunately, treatments is safe, highly effective and durable. Patients are first evaluated using advanced ultrasound technology so we can see the very fine vein valves and determine where they are working well and where they are failing. Commonly, the saphenous vein is the source of backpressure, and we direct treatment so that backflow is eliminated and normal vein flow up the leg is maintained.

The most tried and tested procedure to normalize vein flow is to use a heated wire, inserted through the vein, to painlessly seal the malfunctioning segments. This procedure, VNUS Closure, is performed under local anesthesia and allows immediate return to normal activity with little discomfort. As the backflow in the veins is eliminated, symptoms resolve and long lasting benefit is achieved. Surface veins that remain after VNUS Closure are simply removed using micro-phlebectomy, again an office based technique that often allows immediate return to normal activity.


Treatment of varicose veins is best done before permanent skin changes or dangerous clots form.  If you are concerned about the status of your varicose veins, seek the advice of an experienced vascular surgeon who will answer your questions and individualize your treatment plan.