Many of the 80 million Americans who suffer from varicose veins are familiar with one or more of these symptoms: swelling of the ankles, fatigue, aching, burning and non-healing sores, among many others. Having treated venous insufficiency and the associated varicose veins for more than 25 years, Dr. Miller will recommend a treatment plan customized to your specific condition. This may include one or a combination of the following procedures, which are performed in our office under local anesthesia only and with minimal discomfort for the patient.
Venefit Procedure (VNUS Closure) and Endovenous Laser Treatment (ELT)
These procedures treat the saphenous veins, which are frequently the source of the varicose veins and which used to be removed by a procedure known as surgical or vein stripping. Under ultrasound imaging, Dr. Miller inserts a thin catheter into the vein through a small puncture at the thigh, knee or calf level and guides it to the top of the vein. The Venefit Procedure relies on radiofrequency (RF) energy while the ELT uses laser energy. Both techniques will cause the vein to collapse and seal shut by heating the inner wall of the vein.
Normand Miller, MD
Dr. Miller has had extensive experience with both technologies and is proud to have both options available in his office, giving him the versatility needed to approach the most difficult cases.
Ultrasound Guided Chemical Ablation
Also known as Ultrasound Guided Sclerotherapy, or Endovenous Chemical Ablation, this procedure eliminates the abnormal veins that can only be detected by ultrasound. A sclerosant solution, an FDA-approved chemical irritant, is injected into the vein using ultrasound guidance for placement. Because these particular veins cannot be seen by the naked eye, the ultrasound ensures that the medication is accurately injected.
Also called Ambulatory Phlebectomy and Stab Phlebectomy, this procedure eliminates the bulging varicose veins (of any size) that are close to the surface of the skin. It typically does not require stitches, and the incisions, approximately 1/16 to 1/8 inch in length, are barely visible once healed. Patients can resume normal levels of activity 48 to 72 hours after the procedure.
The use of prescription strength (at least 20-30 mm Hg) compression stockings is the most conservative treatment option for vein disease. For some patients, it may be the best and safest solution. Worn daily, compression stockings can mitigate the symptoms caused by varicose veins. They do not, however, eliminate or treat the varicose veins. A trial of compression stockings is now required by most insurance companies before they consider covering any varicose vein procedure.
To learn more about varicose vein treatment, visit www.newhampshireveins.com and discover why Dr. Normand Miller is the answer for your leg vein problems.
What are spider veins of the legs?
Spider veins of the legs may be associated with “feeder veins” or larger underlying (reticular or varicose) veins. It is most important to identify and treat these feeder veins to prevent reoccurrence and provide long lasting results.
How are spider veins of the legs treated?
There are two main types of treatment for spider veins: sclerotherapy and skin laser/light-based treatment. Sclerotherapy is the most effective treatment for the majority of patients; however, some patients may benefit from a combination of treatments.
Sclerotherapy is a treatment that uses FDA-approved solutions such as Sotradecol and Polidocanol. A microneedle is used to inject the solution into the spider vein, causing the vein to seal shut. Blood is then diverted through normal veins. The treated vein is absorbed over time and eventually becomes nearly invisible or disappears altogether. These solutions give superior results and are better tolerated than the traditional hypertonic saline injections. The “feeder” veins are best treated by this technique.
Laser Vein Therapy
Laser treatment of spider veins is accomplished using a state-of-the-art 1064 Nd: YAG laser. This laser is superior to others because it allows for the precise treatment of visible vessels, broken capillaries, spider veins and vascular lesions with minimal discomfort.
For some patients, the laser may also be used to treat the larger blue “reticular” veins; however, Dr. Normand Miller may suggest other treatment options for those veins, such as sclerotherapy. Knotty or bulging varicose veins should not be treated with skin laser.
A Discussion on
Normand Miller, MD
What are spider veins of the face and trunk?
You may have noticed fine, little red veins appearing on your nose, chin, cheeks, or trunk. Unfortunately, spider veins of the face and trunk are a normal part of aging and affect both men and women.
How are facial spider veins treated?
The recommended treatment is based on your medical history, the depth and length of time you have had the facial veins, and a variety of other factors that will be evaluated during your consultation. The exact type of laser treatment and number of treatments will be discussed with you.
Learn more about spider vein treatment. Visit www.newhampshireveins.com to discover why Dr. Normand Miller is the answer for your leg vein problems.