varicose vein treatment orange county

The Anatomy of Veins and Arteries

Before explaining the anatomy of your veins, let’s have a quick overview of your cardiopulmonary system. The cardiopulmonary system consists of a network of blood vessels, the lungs, trachea and bronchi.  The system comprises organs from both the circulatory and respiratory systems, to carry nutrients, oxygen and hormones throughout the body, as well as to removes waste. This network begins oxygenated blood is transported from the lungs to the heart via the pulmonary veins. The oxygenated blood is then transported throughout the entire body. Then, the deoxygenated blood is returned to the heart at the right atrium of the aorta, via the inferior and superior vena cava.

 

The Function of Arteries and Veins

While both arteries and veins are blood vessels, they are quite different. Arteries carry oxygenated blood to the organs and limbs, while veins carry the deoxygenated blood back to the heart for re-oxygenation. The only exception are the pulmonary veins, which carry oxygenated blood from the lungs to the heart.

Veins contain a smaller mass of muscle tissue than arteries, and are located in closer proximity to the skin’s surface. Arteries transport nutrient-rich blood away from the heart, while veins carry blood back toward the heart. Veins differ from arteries in that they contain valves which keep the blood moving in one direction, without risk of reflux or back -flow.

 

Vein and Artery Structure

Tunica adventitia – The resilient outer layer of both arteries and veins, comprised of collagen and elastin.

Tunica media – The middle layer of both arteries and veins, comprised of smooth muscle and elastin fibers

Tunica intima – The interior lining of both veins and arteries, which contain the hollow passageway for blood to flow, called the Lumen. Veins contain one-way valves, which allow blood to move back to the heart and lungs against gravity, without risk of back flow.

varicose vein treatment orange county

How Are Varicose Veins and Spider Veins Caused?

As mentioned earlier, veins are unique to arteries in that they contain one-way valves to carry blood to back to the heart and lungs. Also, most superficial veins are closer to the surface of the skin. Sometimes, the valve inside the vein malfunctions, causing blood to pool in an area of the vein. This pooled blood becomes visible through the skin’s surface. When this occurs in smaller veins and capillaries, we refer to the condition as spider veins. When we see larger darkened and bulging veins, we refer to them as varicose veins.

While they can be unsightly, spider veins are not painful, and do not lead to serious complications. However, they can begin to worsen if untreated. Fortunately, spider vein treatment is fast, safe and completely painless. Both varicose vein treatment and spider vein treatments consist of closing the afflicted vein, by a variety of methods.

Most cases of varicose veins are painless, and also without complication. However, there is a considerable number of cases that have reached the point of discomfort, wherein patients complain of aching, painful limbs. If left untreated, serious cases of varicose veins can lead to ulcers, blood clots, or rupture/bleeding. Thankfully, varicose vein treatment is simple, painless and highly effective. The most popular varicose vein treatments are VNUS Closure (Venefit), EVLA (VenaCure), sclerotherapy, or laser treatment.

 

If you are considering varicose vein treatment or spider vein removal, please come in for a consultation with our team of board-certified vascular surgeons at the San Diego Vascular Center.

The San Diego Vascular center is located in San Diego, yet easily accessible from Orange County and Riverside County.

Wound-Care

Factors Affecting Chronic Wound Healing

Wound-Care

Many factors and causes are associated with slow healing or chronic wounds, and sometimes a combination of factors are involved in interrupting one of the phases of wound healing. Let’s look at the leading causes of chronic wounds:

Diabetes:

Diminished ability to heal from wounds, or chronic wounds requiring wound care, as well as chronic diabetic foot ulcers, are common effects of the diabetic condition. The phenomenon of chronic diabetic wounds is based on a complex interplay of physiological mechanisms.  Deficiency of oxygen at the wound site, known as hypoxia, is caused by hyperglycemia. Excess sugar in the bloodstream causes cell walls to thicken, thereby inhibiting blood flow to the wound site. The hemoglobin insufficiency results in lack of oxygen, white blood cells and proper nutrients. Wound healing and wound care complications are sizeable factors in morbidity rates among diabetics.

 

Infections:

When the seven-layer barrier of skin is broken, bacteria and other micro-organisms can enter below the dermis. There, they can colonize and spread rapidly. Infections can either be the result of a chronic wound, or be the cause of a chronic wound. Micro-organisms may enter a chronic wound and cause complications with healing. Similarly, the spread of infection at a fresh wound site may severely limit the ability of the wound to heal normally, resulting in a chronic wound that requires wound care.

 

Age:

Advanced age has been shown to be a major risk factor for slowed or inhibited wound healing. While diminished wound healing ability is predominately due to decreased hormone levels in the elderly population, reductions in t-cell production and inflammatory response are also key contributing factors.

With regard to hormone levels, we attribute higher estrogen levels in women (specifically estradiol, for its cell growth capabilities) to studies showing better wound healing statistics for elderly women, as opposed to elderly men.

 

Obesity:

Obesity, as a condition, correlates with impaired wound healing, as well as chronic wound infection, especially with regard to post-surgical wound healing. Poor perfusion (circulation) through excess tissue results in lack of necessary oxygenation and nutrition at the wound site. Additionally, increased pressure caused by excess body weight places further burden on circulation.

 

Chemotherapy:

Without getting too technical, chemotherapy drugs are designed to prohibit the growth of cancer cells, and as a result, also prohibit necessary cell growth, collagen formation, and tissue regeneration at the wound site. Chemotherapy drugs also stifle the body’s immune response, resulting in significantly increased rates of infection and chronic infection. Chemotherapy drugs may also restrict healthy blood clotting at the incision, leading to excessive bleeding.

 

Cigarette Smoking:

The health consequences of frequent tobacco smoking have been documented for decades. Specific to wound healing, tobacco use restricts oxygen delivery to the wound, which, as we discussed earlier, greatly affects the body’s ability to heal. Nicotine use alters the consistency and chemical make up of the blood, with lowered levels of oxygen in the bloodstream in general, in addition to decreased circulation. Long-term smoking is linked to thickening of the arteries (atherosclerosis), which limits blood flow and subsequent oxygenation and nutrition. The process of burning tobacco creates carbon monoxide as a by-product, which, when inhaled, also suppresses proper oxygen levels in the blood.

 

Other Factors:

In addition to the above-mentioned causal factors of chronic wounds, poor diet, stress and frequent alcohol consumption can also affect wound healing.

 

Wound Care:

Chronic wounds should be treated holistically, taking all factors of a patient’s health into consideration, in addition to any diseases or medications they may be taking. Vascular surgeons treat and dress wounds, often with compression, to improve circulation and nutrition to the wound site, in a sterile environment. Proper cleansing of the wound site is also routine. Sophisticated analysis would lead a vascular surgeon to determine if curettage is required to remove damaged tissue, or if tissue is healthy enough to recover.
The San Diego Vascular Center is Ssan Diego’s foremost vascular treatment center. Whether you are looking for spider vein removal in San Diego, or need a reliable, highly-qualified staff to care for chronic wounds or vascular disease, you are in good hands with our team of board-certified doctors.

 

 

 

varicose vein treatment orange county

Varicose Veins and Pregnancy

varicose vein treatment orange county

First of all, what are varicose veins?

Varicose veins are bulging, purple or bluish veins that appear close to the skin’s surface. They are most commonly found on the legs and ankles, but may also appear in the pelvic region or other areas. Varicose veins may have little or no discomfort, or they can be extremely uncomfortable. They can even lead to ulceration of the nearby skin.

 

Why do varicose veins are most often occur in the legs?

It’s important to remember that the function of the veins is to return blood to the heart…this means the leg veins are pumping against gravity. A one-way valve system in the veins insures the blood will move along in one direction, however, excess strain or pressure on the veins may cause damage to those one-way valves. When valves are not functioning properly, blood may pool in the areas, causing the vein to bulge and appear darker in color.

 

So, what do varicose veins have to do with pregnancy?

While there are various causes of varicose veins, such as heredity, standing or sitting for prolonged periods, menopause or obesity, a common cause of varicose veins is pregnancy. As the size of the uterus continually increases during pregnancy, it puts more and more stress on the interior leg veins (inferior vena cava), which directly affect the leg veins. Pregnancy also causes increased blood flow throughout the body, which can lead to enlarged veins.

 

How can you prevent or minimize varicose veins during pregnancy?

Keep in mind that leg veins fight against gravity to transport blood back to the heart. Therefore, anything that you can do to limit the effects of gravity will be greatly helpful. For example, keeping legs elevated as often as possible is one of the best things you can do to prevent varicose veins during pregnancy. Also, the more weight you put on, the more weight your legs have to fight against, so it is highly advisable to maintain the weight range recommended by your doctor. Daily exercise is also important to keep circulation going, including moderate exercise such as walking. Wearing compression stockings also helps support the leg veins, making their job easier.

While we’ve just listed several things you should do, it’s also important to note what you shouldn’t do. It is crucial to avoid sitting or standing for long periods at time. Make sure to rest, elevate your legs, or get up and walk around regularly to improve circulation and lessen the effects of gravity. Avoid tight-fitting clothes and shoes, that may restrict circulation.

 

If I develop varicose veins during pregnancy, should I be concerned?

 

For the most part, varicose veins are not serious, and treatment can wait until after delivery. There are a few instances in which one should see a vascular doctor, even during pregnancy. If varicose veins become painful or ulcerated, your vascular doctor can determine if they need immediate treatment.

Report any pain or swelling in the limbs to your vascular doctor, as pain and swelling may indicate Deep Vein Thrombosis (DVT), a condition wherein a blood clot may form in the deeper leg veins. These blood clots are dangerous, as they may break off and be carried to the lungs, which results in a serious condition known as Pulmonary Embolism. If you experience pain in the chest area, rapid heartbeat, or coughing up blood, call 911 immediately.

Also, there is a condition known as superficial venous thrombosis, wherein a small blood clot may occur near the skin’s surface. The area may become swollen and painful, and may cause burning or heat sensations. Please see your vascular doctor if you experience any of these symptoms.

 

What are my varicose vein treatment options?

Varicose veins cause by pregnancy tend to improve after giving birth, so as long as the symptoms are mild with no pain, it is advisable to wait 3-4 months before seeking varicose vein treatment, to see how much they improve on their own. You can greatly assist the healing process by remembering to exercise, elevate the legs, and wear compression hose.

Once you’ve decided that you want to have the varicose veins removed/treated, there are several options:

 

VenefitTM

VenefitTM also known as VNUS closure, uses radiofrequency to shrink varicose veins, minimizing their appearance, and re-routing blood flow to healthier veins.

 

Sclerotherapy

Sclerotherapy is used for both spider vein treatment and varicose vein treatment. Sclerotherapy is a safe, non-surgical procedure by which a solution is injected into the faulty vein, causing it to safely close.

 

Endovenous Laser Ablation

Endovenous Laser Ablation, or EVLA, uses laser energy to shrink and close damaged veins. The procedure is minimally invasive, whereby a small laser fiber is inserted into the vein. The procedure is quick and painless.

In summary, while there are many causes for varicose veins, pregnancy is a common cause (especially if you’ve had multiple pregnancies). The condition is rarely serious, however, you should be aware of symptoms that may indicate a more serious condition. Take steps to prevent or minimize varicose veins during pregnancy, and know that treatment options are safe, painless and highly effective. Thanks for reading!

 

The San Diego Vascular Center specializes in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

 

Directions from Riverside: Take the 91 E. Follow the I-215 S and I-15 S to Gamble Ln in Escondido. Take Exit 29 from the I-15 S. Continue on Gamble Ln to W Citronado Pkwy.

 

Directions from Orange County: Take the 5 S and CA-78 E to Gamble Ln, Escondido. Take Exit 29 from the I-15 S. Continue on Gamble Ln to W Citronado Pkwy.

 

pelvic-venous-congestion-2

Varicose Veins Originating in the Pelvic Region (Pelvic Venous Congestion Syndrome)

Varicose Veins Originating in the Pelvic Region

varicose vein treatment orange county

Most people think of varicose veins as a condition that occurs in the legs. That certainly was the case for Marylin of Orange County, CA, until she found out she was one of 15% of women with varicose veins whose condition originates in the deeper veins of the pelvis. In fact, many women with varicose veins in the legs have sought treatment from doctors who treated the leg veins only, not realizing the condition originated in the pelvis, which led to a recurrence of the leg varicose veins.

 

Ovarian veins in the pelvis join the inferior vena cava and the left renal vein in the legs. When the valves in the veins become obstructed or damaged, it affects the flow of the blood  heading back to the heart, the blood then flows backwards (i.e. the wrong way, away from the heart). This causes the varicose veins in the pelvis area, often leading down the thigh and leg area, and resulting in significant pain.

 

Marylin, like many women that have had two or more children, was a high risk for Pelvic Venous Congestion Syndrome, which is theorized to be caused by pressure on the pelvic veins from the weight of the baby in the womb, accompanied by increased blood flow to the area during pregnancy. Venous blood flow in the area may also be obstructed by polycystic ovaries.

 

If Marylin did not investigate further, she may have become one of many women with varicose veins in the legs who had to keep going back for recurring varicose vein treatments, as the cause of the varicose veins originating in the pelvis is often undiagnosed. Luckily, Marylin’s research brought her to the San Diego Vascular Center, which is only a short drive from Orange County for varicose vein treatment.

 

Symptoms

Symptoms may include generalized chronic, aching pain in the pelvic or lower abdominal area, sometimes accompanied by feelings of heaviness or fullness of the legs. Intensity of pain may vary according to level of physical activity, menstrual cycle, or fatigue. In Marylin’s case, standing for long hours at her job led to marked increase in pain symptoms, whereas lying down mitigated the pain.

 

Diagnosis

Visual examination often indicates varicose veins in the pelvic or upper/inner thigh region. Transvaginal Ultrasound has been found to be effective in detecting varicose veins of the pelvic veins, as well as MRI imaging. Imaging is a critical step to determine in which veins the problem originates, so they can be targeted for treatment. Pelvic venography is often used for precise imaging, either prior to pelvic varicose vein treatment, or at the time of treatment.

 

Treatment

Most doctors will begin with hormone therapy or drug treatment (medroxyprogesterone acetate or Goserelin are effective in decreasing vein diameter and minimizing varicose veins) before deciding to move forward with invasive treatment. Treatment of pelvic varicose veins or pelvic congestion syndrome is similar to treatment of varicose veins in the legs, using either sclerotherapy or pelvic vein embolization.

Pelvic vein embolization is minimally invasive, and occurs under local anesthetic. X-ray imaging is utilized to help the vascular surgeon or interventional radiologist through the process of inserting a small catheter into the afflicted veins, whereby sclerotherapy, coils, or both, will be injected into the vein to close off the veins with faulty valves. The body responds by naturally rerouting blood flow to healthy veins.

 

There is minimal discomfort during the procedure; most patients describe only sensations of pressure, and no pain. Patients can return to normal activity levels soon after the procedure, with little or no down time, although it is recommended to rest for 48 hours following the procedure.

 

The San Diego Vascular Center specializes in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

varicose vein treatment

Are You Familiar with the Different Types of Peripheral Vascular Disease?

 

Doctors refer to peripheral vascular disease, however, the term includes several different conditions. Under the classification of peripheral vascular disease, one might be referring to Deep Vein Thrombosis (a.k.a. DVT), Varicose Veins, Chronic Venous Insufficiency, Thrombophlebitis, Atherosclerosis, Thromboangiitis Obliterans (Buerger’s Disease), or Raynaud’s Phenomenon.

varicose vein treatment

Let’s take this opportunity to provide a brief overview of each one. But first, it is important to know the difference between deep veins and superficial veins.

Deep veins are larger veins located within the leg muscles. These veins return nearly all the body’s blood supply back to the heart, pushing the blood upward against the force of gravity.

Superficial veins are smaller veins located just beneath the surface of the skin. They pump a smaller volume of blood back to the heart. When people seek spider vein removal or varicose vein treatment, they are referring to superficial veins.

And now, back to peripheral vascular disease.

 

Deep Vein Thrombosis

The medical term for a blood clot is a thromb; and deep vein thrombosis refers to blood clots or thrombs that form in the veins deep within the muscle groups in the legs. Symptoms of DVT include pain, swelling, and cramping of the leg. In some cases, the area appears bluish or purple, and may be warmer in terms of temperature in relation to the rest of the body.

DVT is a very serious condition, because at any moment, the blood clot can break free, follow the path of blood back to the lungs to be oxygenated, where it may block a pulmonary artery. This is known as a pulmonary embolism, and is a life-threatening emergency.

 

Thrombophlebitis

Keeping in mind that blood clots are referred to as thrombs, the name thrombophlebitis describes a blood clot that usually occurs in the superficial veins closer to  the skin’s surface, as opposed to Deep Vein Thrombosis. Symptoms of thrombophlebitis can range from pain, swelling and discoloration, to disruption of normal circulation in the limbs or extremities, and even fever. A venogram, CT scan or MRI can determine the location of the blood clot. A vascular surgeon would determine if the treatment would involve vein stripping, or anticoagulant medication which can break down and diminish the blood clot.

 

Varicose Veins

Despite many online claims, there is no known topical or natural remedy for varicose vein treatment or spider vein treatment. Varicose veins and spider veins are caused when the one-way valves that move blood along toward the heart become damaged, causing blood to flow backward and pool in the damaged vein area. This is what causes the reddish-purple appearance of the varicose veins. There is nothing a cream or herbal remedy can do to repair the damaged vein. The only solution is to close the damaged vein, and reroute the blood flow through nearby healthy veins.

Treatment for varicose veins and spider veins involves little or no pain, as well little or no downtime. If the varicose vein condition is left untreated and begins to worsen, the patient will feel pain and fatigue in the affected area. Varicose treatment and spider vein treatment are performed by vascular surgeons using laser treatment or sclerotherapy.

 

Chronic Venous Insufficiency

While varicose veins and spider veins can be considered insufficiencies of the superficial veins, when the condition becomes chronic and spreads to include the deeper veins, it is known as Chronic Venous Insufficiency. This condition may also be attributed to a genetic venous valve insufficiency. CVI is very serious, and often leads to infections and chronic skin ulcers.

 

Atherosclerosis

Most people are familiar with, or have at least heard the term Atherosclerosis, due to the condition’s prevalence and severity. The disease occurs when the smooth walls of the arteries deteriorate in condition to where they become rough and therefore, allow plaque from low density lipids (cholesterol) and microphage white blood cells to build up progressively, until the arteries become too narrow for adequate blood flow.

Although they sound similar, this condition is not to be confused with Arteriosclerosis, wherein the arterial walls become hardened.

 

Thromboangiitis Obliterans (Buerger’s Disease)

Thromboangiitis Obliterans involves chronic thrombosis occurring in the small-to-medium sized veins in the legs. The extensive blood clotting causes thrombophlebitis, ulceration, and even gangrene or necrosis. Symptoms include pain, discoloration, swelling, necrosis, and difficulty detecting a pulse in the affected extremities. The disease is more common among smokers, as well as those with a history or genetic predisposition to heart disease or diabetes. Causes for atherosclerosis include smoking, genetics, diabetes and/or high blood sugar, with smoking being the most prominent causal factor.

 

Raynaud’s Phenomenon

Raynaud’s Phenomenon occurs in the extremities, usually fingertips or toes, causing blood vessels to constrict and limit blood flow. Fingers or toes may appear white or blue while circulation is cut off, then will appear reddish in color as circulation returns. Patients report that the sudden, diminished circulation correlates with exposure to cold temperatures, as well as stress. Treatment includes lifestyle changes to keep warm and improve circulation, and prescription of calcium channel blockers or alpha blockers to increase blood flow.

 

The San Diego Vascular Center specializes in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

 

References:

Kesieme E, Kesieme C, Jebbin N, Irekpita E, Dongo A. Deep vein thrombosis: a clinical review. Journal of blood medicine.
2011;2:59-69. doi:10.2147/JBM.S19009.

 

Eberhardt, Robert T., Chronic Venous Insufficiency. 2005. Circulation, Volume 111, Issue 18.
https://doi.org/10.1161/01.CIR.0000164199.72440.08

varicose vein treatment orange county

Are Spider Vein and Varicose Vein Treatments Covered By Insurance?

by Androniki Bossonis

 

varicose vein treatment orange county

One of the most common misconceptions about varicose and spider veins that many doctors (as well as patients) believe is that varicose vein treatments and spider vein treatments are considered cosmetic in nature, and therefore not covered by insurance. While this is true under many circumstances, ascribing to this myth can have possible health consequences for those who have the more serious variation of the venous disease. Specifically, that they might avoid varicose vein treatment due to the potentially false belief that they must cover the entire cost as an out-of-pocket expense.

As your vascular surgeon can attest, vein disease is serious. However, when there are many med-spas and similar cosmetic treatment centers that address only the cosmetic variety of spider veins and varicose veins, who also do not work with insurance on those procedures, it is understandable how the misconception has proliferated greatly.

Patients should look for certain symptoms that may indicate that the superficial varicose veins may be progressing to or may be indicative of a more serious vascular disease, such as phlebitis, Deep Vein Thrombosis, blood clots, or open sores or skin ulcers.

Important symptoms to watch for, in the area of the varicose and spider veins, include tenderness or pain, wounds or ulcers, throbbing sensation, burning or tingling feeling, feelings of tiredness and fatigue in the legs, or veins protruding noticeably far or getting worse. If any of these symptoms are present it’s time to head to a doctor…a vascular doctor or vascular care center.

Your vascular specialist will be able to tell if your spider vein and varicose veins represent a more serious underlying issue, such as venous reflux disease. At this point, they can also verify your health insurance policy for coverage. Most venous diseases (that are more than just superficial) are covered by insurance, especially due to the serious nature of vascular disease.

Patients should never prolong varicose vein treatment just because they suspect the varicose vein treatment might not be covered by insurance. Recent studies across various ethnic groups, genders and ages in Orange County, Riverside County, Los Angeles and San Bernardino counties, showed 83% of participants exhibited varicose veins or spider veins. Varicose veins were more common among women, and varicose veins increased with age. The study also revealed that 11% of all subjects with vein disease had more serious (functional as opposed to cosmetic) vein disease, which would have been covered by most health insurance plans.

The San Diego Vascular Center specializes in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

 

Reference: Langer, R. D., Criqui, M.H., Denenberg, J., Fronek, A. (2000). “The Prevalence of Venous Disease by Gender and Ethnicity in a Balanced Sample of Four Ethnic Groups in Southern California”, Plebology. University of California, San Diego, La Jolla, California, USA.

 

wound care

San Diego Vascular Center Customer Testimonials

San Diego Vascular Center Customer Testimonials

We gathered together a small collection of comments from San Diego Vascular Center customers from San Diego, Riverside and Orange Counties. We hope they help you feel confident about our vascular care services, ranging from spider vein treatment and varicose vein removal, IPL Laser treatments, Laser Hair Removal, to wound care and care and serious vascular disease treatment.

 wound care

Varicose Vein Treatment:

“I had noticeably large varicose veins in my legs from a young age, due to heredity. I was very self-conscious, and refrained from wearing shorts or swim suits. I am so relieved after having the varicose veins removed. I can wear anything now, and feel completely confident. The treatment was a breeze, and doctors and staff treated me like gold.”

~Mona T., Aliso Viejo, Orange County, CA

 

“I developed varicose veins in my thirties, but held off for many years on getting them removed, because I had a fear of doctors and treatment. The veins got worse and worse and worse over the years, and eventually became painful. The doctors and even the receptionist staff at San Diego Vascular Center were so caring and gentle with me, I knew I was in good in hands. The procedure was fast and painless. If I had known that the varicose vein removal would have been so easy, I would have done it years ago.”

~Alyssa M., Riverside CA

 

Spider Vein Treatment

“I developed spider veins in several areas when I reached my mid-forties. They were on my legs, my ankles, and on my nose and cheeks. I thought that it would be an expensive undertaking due to how many areas I was affected by, so I didn’t pursue spider vein removal right away. Finally, my youngest son told me that my nose looked like a map, and I made an appointment (after doing some research, of course). The laser procedure on my face and ankles was non-invasive, fast and painless. They used an injection on the larger spider veins in my legs, and I watched them disappear before my eyes. I know it is a cosmetic procedure, but it is a big relief to feel confident and not embarrassed anymore. Thank you.”

~Denise R., San Clemente, Orange County, CA

 

Wound Care

“I brought my mother to San Diego Vascular Center for her diabetic wounds, after a referral from her primary care physician. My mom was in pain, and very nervous about treatment. I want to take a moment to write this thank you to the doctors and kind, caring staff at San Diego Vascular Center. Just looking at her foot today I can see how much better it is, and my mom is not only healthy, but very happy.”

~Ellis P., San Diego, CA

 

“I suffered from pressure wounds for about 18 months. Most people have no idea what this is like…not only is it a source of anxiety and extreme discomfort, but they are prone to getting infected. My body was constantly fighting infection. I would go to a doctor for treatment, but the wounds would never heal, and the infections would return. I live in Orange County, but I met Dr. Bulkin at a North County Health & Wellness fair while visiting San Diego. Dr. Bulkin impressed me with his knowledge and his manner.

After 18 months of anxiety and suffering, my wounds were healed in about 6 weeks. The San Diego Vascular Center not only cleaned and treated my wounds, but they did a holistic health assessment, and taught me more about how to care for myself and my wounds than I could ever imagine. Thank you for allowing me to move past this chapter and feel healthy and optimistic again.”

Emmaneul M., Irvine, Orange County, CA

 

Vascular Disease – Aortic Aneurysm

“Dr. Bulkin spoke at the nursing home where I stay. I told him that I have been having high blood pressure after a knee surgery, and I was going to speak to my doctor about how the surgery could have cause my blood pressure to skyrocket. He told me to come in immediately, because surgery would not cause high blood pressure. He saved my life. I had an abdominal aortic aneurysm, and could have died at any moment. I was a walking time bomb. With caring and reassurance, they scheduled me for surgery immediately to have the damaged aorta section replaced. If you suddenly experience high blood pressure or pain in the stomach area, it is worth getting checked immediately. I recommend the San Diego Vascular Center with my highest recommendation.

~Sergio B. , San Diego, CA

spider vein treatment orange county

Facial Spider Vein Treatment

spider vein treatment orange county

SPIDER VEIN TREATMENT OF THE FACE AND CHEST AREA

Spider vein removal is one of the most popular vein treatments, because spider veins on the face, legs, feet, chest and arms are even more common than the more prominent varicose veins. Spider veins and reticular (blue) veins are smaller than varicose veins, and are not serious in nature. They can, however, continue to spread, so logic dictates that the longer you wait to treat your spider veins, the more treatments you will require. Larger clusters of spider veins and reticular veins may cause uncomfortable aching or burning sensation, yet spider vein removal is still largely accepted as a cosmetic procedure.

There are many websites on the internet touting natural or herbal cures, or even creams and lotions to remove spider veins. Please note that, at this time, there is no evidence of any topical cream or natural remedy that has been proven to reduce or remove spider veins.

So, what are your options for treatment if you have spider veins?

 

SPIDER VEIN TREATMENT OPTIONS

Spider veins, as well as the larger varicose veins, are non-functioning veins. That is, instead of moving blood along in one direction, faulty valves cause some blood to flow backwards, causing  a noticeable pooling of blood. By removing or closing these veins, the blood will be naturally redirected through healthier veins, and routed correctly toward the deeper venous system and the heart.

For facial spider veins, we want to choose the most minimally invasive procedures possible. Spider and reticular vein treatment involves the destruction of the veins either by means of a chemical or heat energy. While sclerotherapy (vein closure by injection of a solution) is an option, we prefer the VariLite laser for facial spider vein removal. This new technology operates by means of intense light that targets darker pigmented blood vessels (as well as rosacea and age spots), leaving untargeted, healthy skin untouched. The heat from the laser causes the damaged veins to close, and the pooled hemoglobin to be reabsorbed back into the body for elimination. The procedure is painless, and takes about 15 minutes.

Many patients are happy with the VariLite laser as a treatment option for facial spider veins, especially since they can combine their visit to also treat age spots and rosacea simultaneously. It is not uncommon for us to have patients drive from nearby Orange County (especially since we located near Orange County in North San Diego county), and Riverside Counties. It is well worth a few extra minutes of drive time to have the sensitive facial area treated by a board certified vascular surgeon, using state-of-the-art equipment in a clean, modern facility.
It is also important to note another reason for choosing the VariLite laser for facial or chest area spider vein treatment…this newer model laser treats quickly and effectively without bruising of nearby skin, as was a common side-effect with older heat-based systems.

While laser treatment of small spider vein clusters is preferred, please keep in mind that larger clusters of spider veins, or thicker varicose veins, often yield best results when treated with sclerotherapy. The larger vein clusters are seldom found in the facial area; they most commonly associated with the legs.

 

WHAT TO EXPECT

In the weeks prior to spider vein removal, please refrain from tanning or sun exposure, which may make your skin sensitive to the heat and light from the laser. Also, please avoid Advil, Ibuprofen (or any NSAID medications), or any herbal remedies that promote bleeding or bruising.

After a thorough examination and questionnaire is performed by our vascular surgeon, a mild numbing crème may be applied to ensure your maximum comfort. The procedure is considered by most to be painless, but since heat is applied, a cooling gel may be applied after to ensure soothing comfort.

There is no down time after laser spider vein removal treatment, however, please be careful to minimize sun exposure in the weeks following treatment. The heat generated from the laser may produce a mild sunburn effect on the skin, which would be especially sensitive to UV exposure.

While spider vein treatment is typically permanent, the body sometimes creates new spider veins, which would require additional treatment.
The San Diego Vascular Center is Southern California’s leading diagnosis and treatment center for the full spectrum of vascular health issues, including varicose vein removal and spider vein treatment.
Conveniently located in Escondido, CA, we are on approximately one hour from mid Orange County, and one hour from Riverside.

You can reach us toll free at 1-855-738-3467, or find us on the web at www.sandiegovascularcenter.com.
 

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Dr. Bulkin’s Varicose Vein Removal Live On Fox News

Fox News spent some time interviewing Dr. Anatoly Bulkin from the San Diego Vascular Center. The main focus of the interview was varicose vein removal. While varicose veins are a common problem in general, an estimated 40% of pregnant women develop varicose veins. Hormonal factors and the pressure from the baby increase the likelihood of a pregnant woman developing varicose veins. Dr. Bulkn recommends that pregnant women wait several months after delivery before seeking varicose vein treatment, because varicose veins that occur during pregnancy tend to shrink in size after delivery.

Most cases of varicose veins are harmless, but if you experience pain, you should get checked by a vascular disease specialist immediately, to rule out more serious vascular disease.

Varicose veins can vary in size from barely noticeable, to so large that they begin to form ulcers.

When seeking varicose vein removal, it is highly recommended to see vascular disease specialist. Dr. Bulkin explains that when patients come to his office seeking varicose vein removal, he first performs an ultrasound to make sure that there is no underlying vascular disease causing the varicose veins.

Watch the video as Dr. Bulkin performs varicose vein removal live on the air! The unsightly veins disappear in seconds with no pain or discomfort.

 

The San Diego Vascular Center specializes in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

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Spider Vein Removal: What Can You Expect?

varicose vein removal orange countyDecisions, decisions, decisions. Many patients seeking spider vein removal in San Diego have questions regarding what are their options, and what to expect during and after treatment.

First of all, if you are seeking spider vein treatment in San Diego County or nearby Orange and Riverside counties, you should know that the San Diego Vascular Center specializes in vascular care, and offers a range of treatment options for spider vein removal and varicose vein removal.

When you arrive at your appointment, be prepared to fill out a detailed patient questionnaire with medical history. List any prior surgeries, allergies and current prescription medications. At this time, feel free to ask your doctor questions regarding his experience with spider vein removals, request before and after photos of actual patients, ask his/her credentials, and request details about the procedures they recommend.

Are you a good candidate for spider vein removal? You should consider spider vein removal if you are embarrassed by the sight of your spider veins, if you feel that you have to wear makeup or clothing to cover the spider veins, and if you have no history of vascular disease or blood clots. Your vascular surgeon would determine if the spider veins or varicose veins are a sign of an underlying vascular disease. Note: This is an important reason why you should consider a vascular surgeon for procedures such as spider vein treatment, as opposed to a ‘med spa’ or similar. Always ask if the establishment employs board certified vascular doctors.

Your vascular surgeon will next determine the area(s) where you require spider vein removal. Since skin on the face is thinner as compared to other areas of the body, they might consider a pulse dye laser or IPL laser for facial spider veins. Sclerotherapy, a process by which a solution is injected into the site of the spider veins with a microneedle. This constricts the blood vessel wall until it closes. The closing of each individual blood vessel causes blood flow to be rerouted through healthier veins. It is the pooling of blood in veins that are not adequately moving blood that causes the appearance of both varicose and spider veins. Once these under-performing veins are closed, the red and blue appearance of pooled blood immediately disappears.

If your spider veins occur in thin-skinned areas such as the face, your vascular specialist might consider an IPL laser. There is no downtime, and you can resume normal activity immediately. Using the IPL laser might require more than one treatment, depending on the severity and size of the veins.

Larger, thicker-skinned areas such as the thighs, calves and ankles often get better results from sclerotherapy (process described above). The skin may appear reddish for a few days, or there may be slight bruising, and the patient may be required to wear compression stockings for a few days. However, they can certainly return to work or other day-to-day activities immediately upon leaving the treatment center.

It’s that easy! We hope this article was helpful with your decision to free yourself from the embarrassment of spider veins.

 

Please feel free to Contact Us at the San Diego Vascular Center, or to read more about our spider vein treatments and services online.