The first step in the process is to get a referral from your doctor to visit Doctor Cohen. Once you have a referral, you’ll have an initial consultation, which will allow Doctor Cohen to understand your main areas of concern, and to have a visual inspection of the veins in question. At the consultation, Doctor Cohen will take your full vascular medical history to help understand the underlying cause of your problem veins.
In some instances, an ultrasound of the leg will be required to help look at the larger veins that feed the smaller veins on the surface of the skin. At the end of the consult, a treatment strategy will be discussed to help get the results you’re after
The treatment of your veins depends on the type of veins you have, as well as the underlying cause of them. They can be broadly separated into two categories:
1. Spider Veins: in most cases are only superficial veins with no problems in the underlying venous system. To treat spider veins, we often use Injection Sclerotherapy and Surface Laser interventions.
2.Varicose Veins: which are the larger lumpier veins. These veins generally have a problem with the underlying vein, more so that then smaller vein that is visible on the surface of the skin. To treat varicose veins, we often use Radiofrequency Ablation, or RFA, or VenaSeal interventions.
In most instances, problematic veins will be a combination of both spider veins and varicose veins, which is why a well-considered treatment plan is so important.