While preparing this blog, I was reminded of the little song we sang in grade school.  I always want to keep you informed about  new techniques in vein care, but on the other hand, I think my patients need to remember some information we have posted in old blogs.  So after I tell you about some new developments, I am re-posting an earlier blog that I think will be of benefit.


Our patients continue to experience good results from the new Varithena  foam  for those twisty (doctor-speak is tortuous) varicose veins.  Previously these twisting veins were difficult to treat with the closure procedure, but now the Varithena foam readily spreads into even the most difficult reaches of these tortuous veins.  Seeing  such a high degree of patient satisfaction is indeed gratifying.   Getting rid of leg heaviness, achiness, swelling, throbbing and itching is always a good thing.

What could be newer?  GLUE!  Yes, now there is a glue for treatment of varicose veins.   And with this treatment, the wearing of compression hose for a week or so after treatment  is unnecessary.    Plus, we are finding most patients need less numbing during treatment.   Every improvement in vein treatment is easier and easier for the patient.


Sometimes it takes a while for our insurance carriers to catch up with the newest developments in treatment.  We are now seeing most insurance companies coming on board with approval for Varithena foam treatment.  And we expect to have insurance approval for glue by the first of the year.

Despite advances, old fears and confusion about the issue of the safety of treating varicose veins continues to resurface.    So I am reposting information that is still very relevant, even though it is from a previous blog.  We all needed to be reminded of this timely information.  Read on……



Patients sometimes wonder if having varicose vein treatment is a smart move.  They think they might need those leg veins (great saphenous veins) if they need bypass surgery in the future.

This is a good question!  Because in the past there was concern among physicians to preserve this vein.  The great saphenous vein was  often used as a replacement for an artery in heart bypass surgery.

Now, many cardiac surgeons prefer the radial artery from the forearm or the left internal mammary artery from inside the chest as a conduit for coronary arterial bypass procedures.



 Things have changed!  Doctors now believe there is no reason NOT to treat the great saphenous vein in the leg if needed.  If the vein is badly damaged, it will not work as a vein graft anyway.  Truth is, refluxing varicose veins (which have broken valves allowing the blood to flow back)  are unsuitable for use in these situations.  They are not healthy, functioning veins.

When  bypass surgery is needed,  heart surgeons  want the best veins possible for a good outcome that would last for many years to come.  And diseased veins would not be the best choice. There are several arteries that can be used as grafts for bypass surgery, but the most common is the left internal mammary artery (LIMA). The right internal mammary artery (RIMA) may also be used as a graft. These arteries are accessed thru the same chest incision used to access the heart. Occasionally, the radial (in the arm) or the gastroepiploic (near the stomach) arteries may be used, each accessed thru separate incisions.

Because we have many substitutes that can be used for the saphenous vein it makes it easy to recommend having the veins treated by thermal ablation.  In this way the patient’s symptoms and lifestyle can be improved without having to worry about needing this damaged and inferior vein for later bypass cardiac procedures.




This post was written by Vein and Skin Laser Center | June 29, 2017


Lottie Espinosa (2)

November and December are busy months at the Vein and Skin Laser Center for multiple reasons. 

First, many patients prefer to do vein treatments when the weather is cooler. Compression stockings  are recommended after varicose vein treatments for a few days.  In the cooler months,  our female patients wear  longer dresses or pants more frequently,  which helps to conceal the compression hose.   Many patients seems to travel  less during this time of year and have more time to dedicate to the treatment process.veins compression hose pretty girl

Second, patients try to take advantage of their insurance deductible policies.  Usually later in the year is more  financially beneficial for them to have the treatment because they have met their insurance deductible.


A third reason is the upcoming holiday season. Patients  are trying to squeeze in  procedures prior to the holiday season so they can enjoy the holidays more.

vein holiday model

At Vein & Skin, we are aware of all these considerations, and we try to work in as many patients as possible at the end of the year before the holidays.  We will even do treatments  between  Christmas and New Year  to help meet the end-of –year insurance  deadline for treatment prior to 2016. For patients  that are trying to get treatments before the end of the year, it is imperative to come in earlier than the planned date for treatment  so that we can get insurance approval.  Patients  can also take advantage of our  free vein screening offers to see if you qualify for insurance. Check our webpage for screening dates or just call 404-508-4320 to inquire about upcoming screening dates.


Call our office now to save your spot.  Our staff will help  meet your scheduling needs and  work  with your insurance company to  get the approval you need for  treatment before year’s end.  Benefit from the payments you have already made on your deductible by treating yourself to beautiful legs before year’s end!

beautiful lots of legs

This post was written by Vein and Skin Laser Center | November 4, 2015