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Vein Treatment Center and Dr. Karamanoukian for the treatment of spider veins, reticular veins and varicose veins with foam sclerotherapy and laser
Friday, August 16, 2013



There are different types of vein problems, some of which are cosmetic and others are medical.  Telangiectasias or spider veins are complexes of small blood veins that are pink to purple or blue in color and arborize like very fine roots of a tree.  They appear in the skin and are cosmetically unappealing to most patients.  These can be treated with a combination of topical lasers or sclerotherapy.


Topical laser therapy or skin laser therapy obliterates the spider veins using laser energy.


Sclerotherapy is a technique that has been around for more than 60 years.  Sclerotherapy was traditionally done with hypertonic saline solutions.  Physiologic saline which is administered intravenously in hospitals is 0.9% sodium chloride.  Hypertonic saline that is used for sclerotherapy is 23% by volume.  This is a highly toxic solution that is no longer used in most vein practices.


At the Vein Treatment Center, we utilize the best sclerosant solutions which are FDA approved.  These include compounds containing sodium tetradecyl sulfate.  The trademark names are Polidocanol and Fibrovein.  These sclerosant solutions are excellent in treating complexes of spider veins, reticular veins, which are larger in diameter than spider veins and bulging varicose veins.  Sodium tetradecyl sulfate is safe and rarely causes skin necrosis.  As a matter of fact studies by Dr. Goldman have shown that it causes skin necrosis in less than one in one thousand injections.


Outcomes of topical laser treatments and foam sclerotherapy are excellent in providing cosmetic relief provided that the patient wears compression stockings for a period of three months after injections or laser treatments.  We also advocate the use of topical agents to minimize hyperpigmentation in the areas that are treated. We also prescribe oral supplements containing Pycnogenol, which is extracted from pine bark tree extract to minimize this hyperpigmentation process.  Hyperpigmentation is a known side effect of cosmetic vein procedures or interventions on the veins with laser treatments or sclerotherapy.  It is self limited and when postoperative or postprocedure treatments are followed almost always disappears within 2-3 cycles of skin growth.


For more information about treatments with topical lasers for spider veins and foam sclerotherapy for spider veins, reticular veins and varicose veins, contact Dr. Karamanoukian at the Vein Treatment Centers with offices in Williamsville, New York and Clarence, New York as well as the Advanced Aesthetic Medical Spa (AAMS) in East Amherst, New York or go to,, or call 716-839-3638 to schedule an appointment for consultation. and and are partners with



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