Facial Spider Vein Treatment

spider vein treatment orange county


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 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.



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


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.


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.



Endovenous Laser Therapy for Varicose Vein Treatment

varicose vein treatment san diego

Endovenous Laser Therapy, also known as Endovenous Laser Ablation, is a procedure for varicose vein treatment whereby the vascular surgeon places a fiber or catheter inside the vein. The fiber transmits a laser into the vein, which is used to treat vein reflux and varicose veins.

How does this method work to treat varicose veins? Let’s begin by understanding what causes varicose veins. It is important to understand that blood flows in one direction throughout veins. The artery system sends oxygenated blood throughout your body, and it is the job of the veins to return the deoxygenated blood to the heart, to begin the process again. This is known as the cardio-pulmonary system.

As blood flows through the veins, a series of one-way valves close to keep the blood flowing toward the heart, and make sure the blood doesn’t reverse direction. If the vein walls or valves become weakened, they begin to function poorly at their job of preventing the blood from flowing in one direction. Varicose veins typically occur in the superficial veins of the legs, where gravity makes it even more challenging for weakened valves to push blood back up to the heart. The result is that some blood back flows and remains pooled around the weakened valves, causing the visible swelling that is characteristic of varicose veins.

Another way to visualize this process is to imagine a river that had streams branching off of it. If something were to block the river, some of the water would stay pooled at the site of the blockage, causing water to also backup into the streams, causing water levels to swell and rise.

There are many factors that can contribute to the weakening of the veins that causes varicose veins: heredity, pregnancy, obesity, diabetes or excessive strain are some of the major causes.


The Procedure

Now that we understand what causes varicose veins, how does inserting a catheter fitted with a laser inside the vein work to solve the problem? Quite simply, the laser heats the vein, causing it to collapse. As the catheter is withdrawn, it closes or cauerizes the damaged vein completely. Once the vein is closed, blood flow simply redirects past the site of the closure. Varicose veins disappear, since the blood is no longer back flowing and pooling in the area.

Endovenous laser therapy is performed while the patient is under local sedation for comfort. The laser is image guided, meaning the doctor can see and direct precisely where the laser will go.

EVT is also used to treat sores or ulcers, as well as phlebitis, which is venous swelling.

Using endovenous laser therapy for varicose vein treatment is minimally invasive, and patients can go home and return about their normal business on the same day as the procedure.

It is important to choose a vascular surgery center that is experienced and highly trained, with state-of-the-art equipment. San Diego Vascular Center patients are not all from San Diego County; many travel from nearby Orange County and Riverside area for varicose vein treatment and spider vein removal.


We specialize 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.


vascular disease

Vascular disesase is more serious than spider vein treatment

More serious than spider vein treatment: What is Vascular Disease?

spider vein treatment

While most of us are familiar with spider veins and varicose vein treatment, a much smaller percentage of the population makes a connection between varicose veins and vascular disease.


While varicose veins typically do not pose a health risk, serious cases can cause constant pain, or lead to Thrombophlebitis. Thrombophlebitis is painful swelling of the vein, which usually occurs when a blood clot forms. Varicose veins can rupture, bleeding into circumferential tissue, and sometimes resulting in open sores and subsequent infection. Pain and swelling would be the first symptoms of serious varicose vein issues.


Since spider veins and varicose veins occur in outlying, secondary veins, their consequences are not as severe or life threatening as are diseases that occur in our deeper vein structures.


Here are some vascular diseases that we routinely screen for at the San Diego Vascular Center:


  • Aortic Aneurism – if the wall of a vein is weakened, the pressure from blood flowing can cause a balloon-like bulge. These aneurisms most typically occur in the thoracic or abdominal aorta. The aneurism increases the chance of blood clots, or they can rupture, resulting in internal bleeding and death.


  • Deep Vein Thrombosis – DVT occurs when a blood clot forms in the deep veins of the vascular system, usually in the legs. This is a very serious issue, because the blood clot can travel with the flow of blood and become lodged in an organ, blocking blood flow to that organ, which can be deadly. A heightened risk of DVT occurs after periods of prolonged inactivity, or if a patient does not move around enough after a surgical procedure.


  • Pulmonary Embolism – Occurs when a blood clot lodges at the lungs and blocks blood flow. Pulmonary embolism can result in heart damage or fatality.


  • Peripheral Artery Disease – When the lining of the arteries become clogged with cholesterol or plaque (atherosclerosis), they can sometimes become too constricted for blood to pass though. PAD is very serious, and can lead to heart attack, stroke, and amputation.
  • Renal Artery Disease: When atherosclerosis occurs in the arteries of the kidneys causing narrowing or stenosis, the result is Renal Artery Disease. Renal Artery Disease can cause damage to kidneys. In addition to atherosclerosis, Renal Artery Disease can also be caused by fibromuscular dysplasia, whereby the renal arteries develop improperly to cause narrowing and restrict blood flow.

There are several more diseases that fall under the category of vascular disease, however, these are just the most common.


Please note that any kind of pain, swelling, dizziness or changes in blood pressure should be taken seriously. If any of these symptoms occur, visit a vascular center immediately.

There are several more conditions affecting the vascular system. We suggest that If you are in Riverside, San Diego or Orange County, even if you coming to the San Diego Vascular Center for a routine or cosmetic treatment, such spider vein removal or varicose vein removal, you should ask about screening for vascular disease.


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.



Sara’s Testimonial: Varicose Vein Removal

Sara’s Testimonial: Varicose Vein Removal

Varicose Veins and phlebitis (inflammation of a vein) run in Sarah’s family. Sarah began showing signs of varicose veins as a teenager. The condition worsened in her adult years, so she and her family researched the best vascular center for varicose vein treatment in San Diego and surrounding Orange County and Riverside County. Their research led them to the San Diego Vascular Center for Sarah’s varicose vein removal and continued monitoring of her condition.

Sarah was pleased with her doctor’s holistic approach to vein health, which includes nutrition, exercise, and an understanding of vascular health and managing vascular conditions.

Sara noticed that other women in her family waited too long before addressing their varicose vein treatment, such that they became painful. Allowing the condition to go untreated not only worsened the condition, but it affected their daily life, ability to feel good about their bodies and their looks, and their ability to travel. Because of this, Sara was to be proactive about early varicose vein removal.

Sara’s varicose vein treatment in San Diego at our vascular center was very successful, and Sara is happy that she can feel completely comfortable wearing shorts again.

For more information on Varicose Vein Removal, click here.

Watch the video of Sarah’s testimonial below.

We specialize 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.

What To Expect After Varicose Vein Treatment

varicose vein treatment san diego Congratulations! You’ve decided to join the millions of people who free themselves from painful and unsightly varicose veins. What should you expect after your procedure?

The procedure is safe and effective, and by removing the ineffective veins, blood will now flow more effectively to the heart. Regardless of which method your doctor uses to treat your varicose veins, compression stockings are the first item on the list. In fact, compression stockings (or other types of thromboembolus deterrent garments) are used after all kinds of surgeries, not just varicose vein removal, to prevent blood clots in the legs (Deep Vein Thrombosis) by preventing blood from pooling in the veins. Popular brands of compression stockings are TED hose or Jobst stockings. Most vascular surgeons recommend compression stockings for spider vein removal as well as varicose vein removal.

In addition to compression stockings, compression bandages may be used to increase compression locally after varicose vein treatment. Compression should be applied for at least 4-5 days, but most doctors recommend 10-14 days. The compression will also aid in providing comfort to the area.

Post-treatment bruising is normal, and may take up to 2-3 weeks to fade. While many people report general soreness, or a tingling or burning sensation, you should report any incidences of deep or sharp pain to your doctor immediately, as recovery is generally not painful. Soreness may feel worse in the few days following surgery.

You will be able to eat and return to normal activity after surgery. Your doctor might prescribe a light pain medication. If there are any visible incisions, they usually subside gradually over time. Propping your legs up on a pillow when resting is also helpful.
it is important to resume your normal level of activity or exercise as soon as possible. Your doctor may ask you to increase your normal level of activity by walking or using equipment such as a treadmill. Although it may seem uncomfortable to resume exercise immediately, physical activity will lessen the likelihood of blood clotting and promote faster recovery.

You should be able to resume normal functions such as bathing, lifting and driving within 2 days. Your doctor will advise you regarding how soon you should be returning to work (depending on your job).

If you had simple laser treatment for either spider veins or varicose veins, you can return to your normal life quickly. If you had endovenous laser treatment or vein ligation (stripping), particularly to the larger veins in the legs, your doctor may request a follow up visit for a duplex ultrasound imaging, to ensure that the troublesome veins have properly closed.

While most of our patients at the San Diego Vascular Center are from San Diego (San Diego County) and Orange County, many also travel to us for varicose vein treatment from Riverside County. While you should have someone drive you to and from our facility, it is in no way a hindrance or risk to ride in a car after varicose vein treatment (provided all other post-treatment instructions are followed).


We specialize 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


Watch Spider Veins Disappear Before Your Eyes!

Watch Spider Veins Disappear Before Your Eyes!

I would venture to guess that most people walking around with spider veins do not realize how easily they can be removed, so I’ve attached this short but amazing video. It’s no secret to us how fast and effective our treatments are, after all, even patients seeking spider vein removal in Orange County find it worth the drive to our facility for expert care. And those looking for spider vein removal in San Diego know that we are right in their backyard.

The question came up as to how to explain to those not familiar with the San Diego Vascular Center, or the various treatments available, just how quick and effective our procedures are, so if you have one minute, please watch the video to see spider veins literally disappear before your eyes.

The first procedure in the video demonstrates sclerotherapy, a simple procedure in which a solution is injected into the veins, causing the small veins to close and the blood to be rerouted to healthier veins.

The second procedure in the video shows Vari-Lite Laser treatment, where the small, focused laser is directed at the unhealthy vein, causing it to close.

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


wound care1

Why See A Vascular Surgeon for Wound Care?

wound care san diego

In today’s times, with advertising media everywhere and our never-ending need to look our best, many people associate vascular centers with cosmetic procedures. For example, someone looking for varicose vein treatment  in San Diego, or spider vein removal in Orange County, might not be aware of the depth and breadth of serious conditions treated by vascular surgery centers.

What is a Chronic Wound?

A wound is considered to chronic when it does not heal in the expected time frame consistent with the type of wound. Treating wounds is critical, as improper or lack of wound care can result in amputation or even death. Wound care is an enormous health problem impacting our health care system, and people with chronic wounds must often choose between meeting their work obligations or treating their wounds. Since chronic wounds are usually caused by inadequate blood supply to the wound site, as vascular specialist should be your first choice for care and treatment.



Typically, wounds fail to heal from lack of oxygen and nutrients supplied by the circulation of blood to the affected area, or from infection. Pressure wounds, such as bedsores, must be treated by first removing the cause of pressure resulting in lack of blood flow. Varicose veins can cause ulceration due to lack of blood flow through damaged valves.  It is important to know that when one considers something as seemingly simple as varicose vein treatment in San Diego, for reasons of the fact that varicose veins can be indicative of a larger problem, a vascular surgeon should be your first choice. Ischema, or lack of blood circulation (as with diabetes patients), is also a major cause of chronic wounds.


Types of wounds

  • Acute post- surgery wounds – deep incisions from surgery that must be monitored with care to ensure proper healing
  • Acute wounds from accident – traumatic wounds account for approximately 6% of all emergency room visits, and must be especially treated and monitored due to tissue and circulatory damage resulting from blunt force.
  • Pressure wounds – the most common pressure wound is a bed sore, where continued pressure prohibits circulation and damages tissue. Severe pressure wounds can also lead to bone, muscle and tendon damage.
  • Radiation Wounds – Exposure to ionizing radioactive materials of any type (gamma ray, x-ray, etc.) can lead to wounds by both tissue damage at the site of exposure, and by compromising the immune system to affect the body’s ability to heal.
  • Diabetic ulcers It is imperative that diabetic patients get their feet checked regularly, as they are prone to ulcers that can become chronic or lead to amputation. Neuropathy is also common in diabetics, which is nerve damage that causes one to lose feeling in their feet. Thus, they could have an open wound and not realize it in time.
  • Vascular ulcers- many factors can result in vascular ulcers, both venous and arterial. Hypertension, venous insufficiency, atherosclerosis, certain types of cancer, and obesity can all lead to chronic vascular ulcers that put the patient at risk for amputation.



Chronic wounds should be treated systemically, as the patient’s overall health, nutrition, and underlying diseases must be managed to support the healing process. Vascular surgeons treat and dress wounds, often applying layers of medicated compression bandages, to improve circulation and nutrition to the wound, in a germ-free environment. Irrigation is also standard. Sophisticated analysis would lead them to determine if curettage is required to remove damaged tissue.
The San Diego Vascular Center is the premier 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, our team of board-certified doctors is at your service.

Why insist on a vascular surgeon for varicose vein removal?

Spider Vein Removal in San Diego

In addition to vascular surgeons, several other types of providers offer varicose vein and spider vein removal or treatment, such as dermatologists, technicians and ‘med spas’. It is important to know the differences in services and certification, before making a choice for varicose vein removal in San Diego.

While some people will go directly to a vascular care center or vascular surgeon, others might ask their primary care physician for a referral, and others might respond to internet ads for varicose vein or spider vein removal in San Diego.

Here’s why you should insist on a vascular surgeon:

While dermatologists specialize in skin conditions, some also treat varicose veins and spider veins, although they are blood vessels that appear through the skin. While treatments a dermatologist may offer for spider veins often coincide with the same treatments that a vascular surgeon would perform, they are usually limited to one or two types of spider vein removal, such as sclerotherapy for spider veins, or laser ablation for varicose veins. The same goes for technicians or medical spas; their practice may be limited, and care should be taken to assess whether they can meet your medical needs.

While treating spider veins is relatively harmless, a vascular surgeon should be considered for varicose veins. Varicose veins may be harmless in most cases, but they could be indicative of a more serious underlying vein condition.

Vascular Surgeons, on the other hand, specialize in all conditions relating to the vascular systems of arteries and veins, ranging from the more serious aneurysms and atherosclerosis, to varicose veins and spider veins. Their extensive knowledge and experience in the field make them the optimum choice for any vascular issues, including cosmetic procedures.

In some cases, laser ablation is not suitable for varicose veins, particularly if the vein mass has developed into a twisted shape, or if the veins have constricted greatly, which would then require ambulatory phlebectomy. In even more severe cases, such as when the veins begin to ulcerate, endoscopic vein surgery or vein stripping and ligation may be indicated, all of which must be performed by a vascular surgeon.

Here’s a brief review of the different treatments for spider veins and varicose veins. All procedures involve either removing the affected veins, or closing them off to reroute blood through healthy veins.

  • Sclerotherapy: injection of a saline solution into the varicose or spider vein, wherein the resulting scarring of the vein causes blood flow to reroute.
  • Endovenous Laser Ablation: A catheter is used to insert an image-guided laser into the vein, where the vein will be cauterized (closed), so that blood can reroute to healthier veins.
  • Ambulatory Phlebectomy:  A series of very small incisions are made in the skin, through which problematic veins are removed.
  • Vein Stripping and Ligation: The ligation procedure involves the surgical tying off a large vein, whereas vein stripping involves tying off (ligation) of smaller veins that branch off of large veins.

The San Diego Vascular Center is the premiere vascular surgery center  for varicose vein removal in San Diego.

Contact the San Diego Vascular Center.