Varicose Vein and Leg Vein FAQ

General Information

  • Where should I be having my treatments?

    Of course it is an easy decision if the clinic of your choice is already an accredited vein center by the Intersocietal Accreditation Committee (IAC), since that would imply they have already met the highest standards set forth by the society. We strongly suggest that you visit as many websites as possible to familiarize yourself with the treatment options. This should help you with your expectations.

Insurance

  • Does insurance cover varicose vein treatment?

    Many insurance companies cover laser ablation for symptomatic varicose veins and venous insufficiency.

  • Do You Have Care Credit?

    Yes we do. Our insurance clerk will be glad to answer questions regarding your payment plan.

  • Do Insurance Companies Cover All My Treatments?

    Of course it is an easy decision if the clinic of your choice is already an accredited vein center by the Intersocietal Accreditation Committee (IAC), since that would imply they have already met the highest standards set forth by the society. We strongly suggest that you visit as many websites as possible to familiarize yourself with the treatment options. This should help you with your expectations.

Varicose Veins

  • Will varicose vein treatment increase my risk of blood clots?

    Although any treatment has a risk of clots, having varicose veins itself is a risk factor for clots (DVT).

  • I have spider veins, not varicose veins. Do they need treatment?

    During our free initial screenings, we find that many patients with spider veins also have varicose veins. It is advisable to do an ultrasound to see which should be treated as spider veins and which should be treated as varicose veins. The wrong treatment could potentially lead to clots in the deeper veins. It is important to know what you’re treating!

  • How many people are affected by varicose veins?

    It’s estimated that as many as 1 in 2 people in the U.S. over age 50 have some trouble with varicose veins. Women are more likely to develop them after menopause or during pregnancy; men typically notice them starting around age 45. This is based on one reported series.

  • What are the symptoms of venous disease?

    The symptoms can be aching, throbbing, cramping, swelling, rashes, itching, darkening of skin, restless legs, soreness of skin, bleeding, superficial phlebitis (clotting of superficial veins, Lipodermatosclerosis (the skins above the ankle shrinks and the fat under the skin becomes scarred), poor healing after minor injuries to the leg, whitened scar-like patches on the ankle (atrophy blanche) and even more.

    The number of people with spider and varicose veins seem to be higher at 50 to 55 years of age for women, 40 to 45 for men. The staggering fact is that one in every two people in the US over 50 is being affected by this.

    About 35% of people who form DVT (clots in deep veins) seem to be affected by congenital disease which can be diagnosed with a blood test.

  • Will treating my varicose veins improve skin damage, discoloration and swelling?

    Most patients will see significant improvement in swelling, discomfort and the texture of their skin over time, although some of the changes may be permanent.

  • Can all veins be treated?

    At DermOne Scarless Vein Care, we have a treatment for every size and type of varicose vein.

  • Will my legs look better after varicose vein surgery?

    Yes! We have many patients who were ashamed to show their legs in public due to discoloration and varicose veins. After treatment, most people are able to show off their legs with pride. The smaller, cosmetic asymptomatic spider veins however are not covered by insurance companies. The patients are usually responsible financially for these (cosmetic) treatments.

  • Does varicose vein removal leave large scars?

    Although vein stripping left scars up to an inch long, the small pinpoint scars from laser ablation usually disappear without a trace.

  • Don’t varicose veins just come back after they’re treated?

    A 40 percent recurrence rate was common with vein stripping. But with minimally invasive laser ablation, the recurrence rate is about 3 percent. We have seen even less than a 3 percent recurrence rate since 2002, when we started using a laser approved by the Food and Drug Administration to treat varicose veins in our office.

  • Doesn’t removing varicose veins cause new ones to form?

    No. Although an older surgical procedure called vein stripping was associated with new vein formation, this doesn’t seem to be the case with new therapies such as ablation.

  • When can I go back to work after varicose vein surgery?

    Patients treated with ablation—a procedure that uses energy to close varicose veins—are encouraged to walk the day of surgery, and can usually return to work in a day if not the same day.

  • To remove varicose veins, do you have to have surgery in the hospital with general anesthesia?

    Thanks to new, less-invasive procedures, almost all leg veins, no matter the size, can be treated in the office under local anesthesia (numbing medicine) with minimal discomfort.

  • Is there a cure for varicose veins?

    There are many possible treatments for varicose veins, from compression stockings and leg elevation to advanced surgical and nonsurgical procedures.

  • Can varicose veins rupture or bleed?

    Yes, veins near the surface of the skin can sometimes burst. They can also be accidentally cut while shaving, causing profuse bleeding.

  • Can varicose veins be used for bypass surgery?

    No, these are diseased veins and not healthy enough for bypass surgery.

  • Are Varicose Veins Harmless?

    Not necessarily. Although some people may have varicose veins for years with no significant symptoms, others may develop swelling, dark pigmentation or thickening of the skin, rash or leg ulcers. Occasionally, a blood clot could develop—a condition that needs immediate medical attention.

  • Are Varicose Veins Painful?

    Not always, but they can cause other symptoms, such as stinging, burning or a tired feeling at the end of the day. Most people notice that their veins become bigger and more tender as the day goes on; elevating the legs helps the veins drain, improving the tired feeling. Vein size isn’t an indication of the amount of discomfort. Large veins might not cause any symptoms, whereas a small vein might cause pain, stinging or burning.

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