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.