■ Botox®

Smile. Your frown lines are about to disappear.

Before Treatment	After Treatment

As you age, you may begin to notice a change in your expressions; a deepening of the creases in your forehead and between your brows, as well as more lines and “crinkling” around your eyes.

BOTOX® Cosmetic works to smooth and erase worry lines, frown lines, crow's feet and other facial wrinkles, reversing the signs of aging. You enjoy the firmer, more youthful look you remember as Botox® works to erase the lines you do not want while still allowing your natural facial expressions to come through.

Botox® is proven most effective before the age of sixty-five and is not indicated as a method for improving sagging skin or damage caused by the sun. That’s why we are here - to discuss your options and create a beauty plan designed just for you.

Botox®, approved by the Food and Drug Administration (FDA), is a safe muscle relaxing agent derived from Botulinum that boasts many varied and growing applications. Although it is most widely known for its effectiveness in reducing wrinkles and fine lines; it is also used to treat ophthalmological and neurologic disorders, in the prevention of migraine headaches and even to stop excessive sweating.

Preparation:

There is no preparation for Botox®.

Procedure:

Got a few minutes? That’s all it takes to realize the anti-aging results of Botox®.

First, your healthcare provider will determine where the muscles that need to be treated are located. You may be asked to smile or frown to illustrate the natural movement of your face. A topical anesthetic may be applied, although most individuals do not require any, as there is little or no discomfort associated with the procedure.

Using a tiny micro needle, an extremely small amount of Botox is precisely injected into your face in the designated muscles. Each area of your face takes approximately five minutes to treat.

Aftercare:

With Botox, there is virtually no aftercare required. You may cover any minor temporary bruising that may occur with makeup and continue with your daily schedule. You can drive yourself to and from your appointment. For best results, it is recommended that you do not drink alcohol and that you remain upright for several hours after your treatment.

You may experience a temporary headache or irritation at the injection site. Additional side effects are rare. Discuss any conditions or concerns with one of our healthcare providers.

Results:

You can expect to see results within a few days after your procedure. These results will begin to fade over three to six months, however, you can safely repeat your Botox® treatment two-to-three times a year to maintain the look you desire. The best news is that Botox® actually prevents new lines from occurring. With continued use, your face will begin to “forget” to wrinkle and over time you will see that you require less treatments, less often.

Precautions:

Possible side effects vary depending on the muscles being treated. In rare cases, patients have reported a temporary weakness in muscles near the injected area. Also in rare cases, there can be a drooping of eyelid or asymmetry of facial expression. But as the effects of Botox® are temporary, any adverse side effects would also be short-lived.

■ CHEMICAL PEEL

Put your best face forward.

Rejuvenating Chemical Peels have been used for over a century to remove dead skin cells and stimulate the production of new ones. A chemical peel is indicated when you are looking to:

• brighten your skin
• remove spots or light freckling
• minimize fine lines
• even pigmentation
• smooth shallow acne scars
• erase sun damage
• control active acne

With age, the natural rejuvenation process of skin cells slows down. A chemical peel facilitates renewal, making skin appear tighter and less wrinkled, leaving you with a more youthful glowing appearance.

A chemical peel is often performed in concert with a facelift as it improves texture and tone while a facelift targets loose or excess skin. A chemical peel is not indicated as an alternative procedure to the facelift.

Depending on the goal for your peel, we may use one chemical, such as glycolic or trichloroacetic acid, hydroquinone or a combination of chemicals. The solution used defines the chemical peel as a light or superficial peel, medium peel or deep peel. The doctor, or one of our highly trained, licensed medical estheticians will determine the best strength and combination of chemical agents for your skin.

Preparation:

You may be asked to use a skincare regimen leading up to the day of your Chemical Peel in order to prep the skin prior to the procedure for maximum result.

Procedure:

Unless you are having a very deep peel, you will not require any form of anesthesia.

During your treatment, a chemical solution is applied to the affected area, which, in the case of a Chemical Peel, is usually the complete surface of the face. The chemical agents immediately begin to peel any dead skin from the outer surface layers of your treatment area.

During the application, you can expect to feel a cool, warm or hot sensation as well as some stinging that can last for 10 minutes or more, depending on the strength and length of your peel.

Aftercare:

Because the strength of Chemical Peels vary, it is important that you follow your specific aftercare directions closely to encourage healing and minimize any risk of complications.

After a light peel, you should expect:

• Some redness
• Possible scaling that lasts a few days

After a medium or deep peel, you should expect:

• Possible swelling and blisters
• Blisters will break and form a crust and turn brown
• Peeling which can last 5-8 days
• Ointments and creams may be applied to keep the skin moist

After medium or deep peel, your new skin will have the appearance of a sunburn. The redness will become pink over time and could take up to several weeks as it heals. You can apply makeup after approximately 7 days. Every individual heals differently and we are here to guide you in your particular aftercare regimen.

As a rule, after all Chemical Peels, it is best to avoid sun exposure and apply sun-block with an SPF of 15 or higher at all times before going outside. Avoid makeup until your skin is healed enough to wear it. Again, we are here to help you determine the right progression for you based on your individual healing.

After a peel, it is not uncommon to experience a temporary breakout as the chemical agents that have been applied begin to generate new cells and your skin adjusts and heals.

Your skin is very sensitive at this time. Take good care of it and you will be rewarded by its rejuvenation. Be sure to let your skincare provider know of any concerns you may have throughout the healing process.

Results:

This is the part where people tell you how great you look; that your skin is glowing. That’s because it is. After a Chemical Peel, the surface of your skin is new. It will be tighter and smoother.

The result from your peel can last for months and you may want to follow-up with a series of treatments to maintain that fresh-face appearance. For many who want to fend off the advancement of fine lines and age spots, a long-term regimen of Chemical Peels is the perfect plan. We will work with you to create the best regimen for feeling comfortable in your skin.

Talk to us about our complete menu of treatments that may work with your Chemical Peel to give you an even greater result.

Precautions:

Be sure to avoid sun exposure after any Chemical Peel and follow your aftercare instructions closely. Individuals heal differently and strengths of chemicals used vary, so be sure to contact us with any reactions that may concern you.

■ EARLOBE REDUCTION

Earlobe Repair and Reduction
Either through earlobe repair or reduction we can change what age, genetics or those long heavy dangling earrings have done to your ears. Earlobes are often lengthened and damaged over time and aesthetic earlobe reshaping can help you achieve a more youthful appearance.

It is believed that we have our fully developed ear size very early in our lives; therefore genetics play a large role in how our ear is shaped and sized. The most common cause of our ear disorder is the trauma we ourselves cause to them. And lastly, as we age our ears lengthen with gravity pulling in a downward position. Our goal is to restore that form and function to your earlobe; to alter the shape for a more aesthetically desired look.

During your initial consultation, Dr. Seiger will discuss the changes that you would like for your particular problem. You should discuss in detail your concerns so the appropriate aesthetic results can be performed. Prior to your procedure, a complete health history will be performed and specific instructions will be given to assist you in preparation for your procedure.

Earlobe surgery, for the most part has no risk involved. Complications are infrequent, however, as with any surgical procedure there are certain potential risks and complications that will be reviewed with you prior to your surgical procedure. The appropriate technique will depend on the nature of the specific problem to correct. Earlobe surgery will take 30-90 minutes to complete and is done using local anesthesia and a relaxing sedative. Earlobe surgery is often used in conjunction with other facial surgery techniques such as our One Hour Facelift.

Earlobe Repair
This is a simple, common, cosmetic procedure of torn earlobes. The procedure is done with local anesthesia and takes approximately 30 minutes to perform. Elongated slits and often complete split lobes are repaired. A special incision is made to repair the torn lobe and sutures are placed and remain intact for 5-7 days. The surgical site must be allowed to heal for approximately eight weeks before re-piercing can be completed. After the healing, very minimal scarring remains allowing for an aesthetically pleasing end result.

Earlobe Reduction
This is a procedure designed to remove excess skin and tissue from a small incision that blends into the ears natural creases. The procedure is done with local anesthesia and takes approximately 60 minutes to perform. Dr. Seiger will remove the skin and suture the lobe area leaving only a faint scar in the back of the earlobe allowing for the aesthetic reshaping and ear rejuvenation. The technique used will depend on your ears current shape and the result you wish to achieve.

Earlobe Wrinkling
This condition can be corrected by above procedures and also by laser treatment. This will aide in restoring smooth and youthful texture to the earlobe.

Recovery after Earlobe Rejuvenation
With earlobe rejuvenation you may be placed in a head dressing for compression. You will be given specific instructions for your individual care and suture removal. You will be up and around within a few hours and can resume your activities of daily living. You will complete your prescribed antibiotic and a mild pain medication will be prescribed. Your ear will be somewhat sore. With realistic expectations, you can expect your ear surgery to produce pleasing aesthetic results.

■ ENDOTINE BROW LIFT

The ENDOTINE, also known as a brow lift or "Power lift", is a surgical cosmetic procedure to remove wrinkles and folds from the forehead. This offers a novel and effective solution for fixation of the scalp tissue, completing the endoscopic forehead lift procedure. The ENDOTINE features suture-less MultiPoint Technology (MPT), a breakthrough platform technology designed to facilitate minimally invasive procedures, reduced operating time and improve surgical outcome.

The device's unique design provides multiple points of contact with the suspended tissue, distributing tension to maximize fixation strength.

The design is:

• FAST - The ENDOTINE allows fixation times approaching less than one minute per side.

• ADJUSTABLE - The ENDOTINE design allows simple readjustment of the tissue for greater aesthetic control of the brow height and shape.

• SECURE - The ENDOTINE's robust construction and multiple tine design secure strength throughout the crucial, early healing period.

The ENDOTINE is a patented bio-absorbable fixation device with tine elevation. There are multiple tines for high structural integrity and balanced distribution of tension. The implant ideally lies under hair bearing scalp at the conclusion of the procedure.

The procedure is not time consuming and requires only the following steps:

• A bilateral 1-2cm incision is made in the frontal hairline
• The drill site is selected and the insertion site is made
• The ENDOTINE is implanted
• The brow tissue is elevated to the desired position
• The incision is sutured closed

The patient will be given specific post-operative and icing instructions.

■ EYELID (UPPER AND LOWER) SURGERY

Eyelid surgery, or Blepharoplasty, is one of the most common procedures performed for men and women looking to retain their youthful appearance.

It seems that the first thing you notice in the mirror is that you do not look rested in the morning; that the appearance of being tired begins too soon and lasts too long, sometimes throughout the day. Although common with age, in some cases, sagging or puffy eyelids develop early on.

The goal of eyelid surgery is to remove excess skin and fat, correcting sagging eyelids, diminishing fatty pouches beneath the eyes and removing excess skin from upper eyelids. An eyebrow lift is often performed simultaneously, as eyebrows often droop at the same time as the eyelids begin to change. Some patients opt to have a facelift or laser skin resurfacing with their eyelift, depending on what they want to achieve. At Skin & Vein, we work with you to be sure you know all of the options available to realize your greatest result.

Preparation:

Photos will be taken before your treatment to document your results.

Procedure:

Eyelid lifts are generally performed under local anesthesia.

For problems of the upper eye, Dr. Seiger places fine incisions in the crease above each eye and removes a thin crescent of excess skin and muscle. The incisions are then closed with very fine sutures.

To remove the fatty deposits under the eyes, Dr. Seiger places fine incisions just inside the lower eyelid and the fat is then excised.

Incisions are strategically placed in the natural folds and creases of the upper and/or lower eyelids and will become invisible or camouflaged over time.

You may require only upper or lower eyelid surgery. Some people benefit by having both procedures performed at the same time. Depending upon the extent of the procedure, surgery can take from 1 to 2 hours..

Aftercare:

After an eyelid lift, you will be instructed to keep your head elevated to minimize bruising and swelling. Cold compresses periodically placed on the eyes will also be helpful in alleviating swelling and discomfort. After about 7 days, make-up may be worn, if desired.

Results:

The more youthful, softer appearance you wished to see in the mirror returns. The hairline scars disappear. Friends and family are wondering where you went for vacation. You may even enjoy a wider field of vision if you had excessive skin that could have been blocking your view removed.

Precautions:

■ Esthetician Services - Face Solutions

The Best Solutions for Your Skin.

Skin and Vein is committed to providing you with the latest in cutting edge treatments and skin care products to enhance the healthy appearance of your skin.  Our skin rejuvenation treatments are designed to help achieve a youthful and glowing appearance by repairing  normal skin cell function.  Our professionally licensed and medically trained skin care specialists are available to design a treatment program and home care routine that's best for you.

Our estheticians work under the direct supervision of the physician and treat patients for a wide range of conditions such as: hyperpigmentation, fine scarring, wrinkles and overall skin health.  They educate as well as treat patients.  They are well trained regarding all aspects of the skin and products that are carried in our offices.

Our product lines are as follows:

• IMAGE International Professional Skin Care
• Karin Herzog
• Jan Marini Skin Research
• Jane Iredale Minerals

Chemical Treatments
Rejuvenates the skin in a safe and effective way. Chemicals are applied to the skin to peel away the top cell layers, which will be replaced during the healing process with a fresh, new skin surface.

Light peels give the skin a softer, smoother, brighter look.

Medium peels are very effective in treating mild wrinkles, pigmentation disorders and lower grades of acne.

Deep peels help to increase production of collagen creating younger, less wrinkled and healthier skin.

Microdermabrasion
Restores healthy skin using a gentle non-invasive stream of microscopic crystals over the surface of the skin. Erases fine lines and pigmentation and smoothes acne scars.

Intervention & Maintenance
Enzymes help rid the skin of unwanted debris. Suitable for all skin types, but especially for sensitive skin.

Oxygen aids in radically reducing healing time from surgery and laser, great for maintaining results gained from chemical treatments by keeping the skin hydrated, plump and soft.

Age Intervention revitalizes and restores your skins normal hormonal balance, suppleness and elasticity.

4 Layer Peel tightens, lightens and brightens your skin by using Vitamin C, which is a powerful anti-inflammatory and antioxidant agent. Helps rosacea, sensitive, dehydrated and smokers skin. Safe during pregnancy.

Please call for a complimentary consultation with Glenda or Bev.

■ HAIR RESTORATION

What does hair restoration or transplantation involve?
Hair transplantation involves taking mini (four to seven hairs) or micro (one to three hairs) grafts from the back and sides of the scalp and replacing them into the bald area. What many patients do not realize until speaking with surgeons from Skin & Vein is that the hair from the back and sides of the head is genetically programmed in the root to grow for a lifetime. This means that hair restoration is a permanent form of treatment. Just as important, the donor site from which the transplanted hair was taken will not become bald. Once relocated to the balding area, transplanted hair will retain the same color, texture and growth rate as the area from which it was taken.

Will it look natural?
Smaller grafts are spread out more evenly, thus giving a natural-looking hairline. Surgeons at Skin & Vein closely study each patient's hair topography. By controlling the size of graft, distribution and precise direction of natural hair growth, transplanted hair becomes virtually indistinguishable. This customized approach creates the most aesthetically-pleasing appearance possible.

Am I a candidate for natural hair transplantation?
With advances in technology, options are now available for candidates who were once refused transplantations due to extensive hair loss. Both male and female patients of Skin & Vein regularly experience a renewed sense of confidence and contentment from this healthy, natural solution to baldness. Your surgeon should be aware of any medical condition or disorder, such as: heart disease, anemia or bleeding abnormalities, epilepsy, allergies or drug reactions, nervous or eating disorders, and all medications being taken.

How many sessions will be necessary and when can I expect to see results?
This varies with each patient, depending on the extensiveness of hair loss. One hundred to 800 grafts of various sizes can be transplanted at each session, which takes up to three hours to complete. During your initial consultation, a surgeon from Skin & Vein will estimate the anticipated number of sessions.

How long does it take for the transplanted hair to grow?
Transplanted hair needs time to "rest" after surgery. It will usually shed after four weeks with new growth appearing approximately 12 weeks later at a rate of 1/4 inch per month. If more than one session is required, we typically schedule patients to come back for their second session in three months.

How long will the procedure last?
Unlike topical treatments in which the user must apply the treatment on an ongoing basis for hair growth to continue, transplanted hair lasts a lifetime.

Is the procedure painful?
Hair transplantation is relatively painless. Using a local anesthetic, the procedure is performed by skilled surgeons at Skin & Vein in the comfort of our office. Patients remain fully alert throughout the surgery and can usually return to work within 24 hours. Mild discomfort may occur after the procedure when the anesthesia wears off. This is easily remedied with a mild analgesic.

Is there any risk involved?
With any surgical procedure, there is some risk involved. Fortunately, complications are rare and can usually be avoided with adherence to the pre-operative instructions and a thorough medical review of all patients. Some of the complications that may occur, but are rare, include: 

• Bleeding - which is easily controlled by pressure
• Infection and Swelling - which are medication controlled
• Temporary Numbness - which will resolve typically within three to six months.

There is generally a 95 percent graft survival rate.

■ LASER HAIR REMOVAL

The best method for removing unwanted hair.

Just as we have made astounding advancements in other areas of cosmetic procedures, we have moved “light” years ahead in the development of hair removal solutions. With lasers now doing the job that more antiquated - and time intensive methods once performed, they have become the treatment of choice for eliminating unwanted hair. Laser Hair Removal is an ideal option for those looking for long-lasting results, smooth and silky skin without the hassle. And, we have made it extremely affordable.

Technologically advanced, Laser Hair Removal can treat small to large areas of your body. That upper lip or bikini line, underarms, back, or leg hair can be lasered away safely, quickly, and - perhaps best of all - gently. Razors, waxes, crèmes and electrolysis (which uses a much slower process where a needle is actually inserted into each hair follicle followed by an electric shock to burn the follicle), are no match for the quicker and far more comfortable laser, which uses cool light to quickly scan and treat the desired area.

Since hair grows in cycles and Laser Hair Removal treatment only captures hair that is growing at the time of the procedure, a series of treatments is required. Along with your hair’s growth which varies due to age, weight, hormones, diet, medication and metabolism -- many factors dictate the amount of recommended treatments; the area you wish to have treated, hair density, hair color and ethnicity.

Generally, African Americans or Hispanics require a longer series of treatments than those individuals with lighter skin.

Our very experienced laser techs (we've been doing it for many, many years) can give you an estimate of the number of treatments it will take to realize your desired outcome. We use the absolute best laser around for laser hair removal - the Lumenis, Lightsheer laser.

Please note: As of this writing there are no lasers today that effectively treat non-pigmented hair (white, blond, grey or red). If someone tells you they do, insist on speaking to their "light-haired" patients who had it done.

Procedure

Your Laser Hair Removal begins with a cleansing of the area that will be receiving treatment. Your technician will then shave the area before scanning it with the laser. As the laser moves over the treatment area, energy passes through the skin and is absorbed by the pigment in the hair follicle. All of the treated hair follicles are disabled in less than a second. Depending on the size of the area being treated, the procedure can take from a few minutes to a few hours.

It is a common misconception that you should let your hair grow out before receiving Laser Hair Removal. Although you should not tweeze, wax or use depilatory creams 2-3 weeks prior to your laser hair removal treatments, it is recommended you shave on the day of your appointment.

Aftercare

At the end of your laser procedure, the treated area is cleansed and you can return to your normal activities.

Sunscreen should be used on any area exposed to the sun. A special skin care line or routine may be recommended for your specific skin type as well.

Redness and swelling around the hair follicle of the treated area 20 minutes to 24 hours after treatment is a normal part of the treatment process.

Results

Smoother, hair-free skin.

Precautions

Those patients who are exposed to the sun, use tanning beds or spray tan, take medications such as Retin-A or antibiotics, or have recently had a chemical peel are more vulnerable to more serious side effects such as hyper and hypo pigmentation or scarring. Be sure to tell your technician if any of the above applies, before starting treatment.

Laser Hair Removal Quick Look

Procedure

• Series of gentle laser treatments; number to be determined by Individual hair type and area of treatment

Preparation

• Do not tweeze, wax or use depilatory creams 2-3 weeks prior to your laser hair removal treatments.
• Yes, shave on the day of your appointment.

Length of Procedure

• A few minutes to a few hours depending on area being treated

Recovery/Downtime

• None

Pain

• Possible mild discomfort
• Possible temporary redness/swelling after procedure

Results

• Hair-free, smooth skin

■ Laser Skin Resurfacing

Your beautiful book can be read by its newly resurfaced cover.
The benefits of Laser Skin Resurfacing are many and include:

• Reduced wrinkles and fine lines
• Softening of deep frown lines
• Improved skin tone and texture
• Minimized acne scars
• New collagen formation and plumper skin

Laser skin resurfacing works to remove fine lines and smooth deep creases that occur due to age, exposure to the environment, smoking and stress – between and around the eyes, on the sides of the mouth, on the surface of the forehead. Research shows that some laser resurfacing also lifts and tightens as it shrinks collagen as much as 30%.

The bottom line: After Laser Skin Resurfacing you can experience up to a 50% improvement in your skin, depending on the level of treatment.

During your complimentary consultation we will review your medical history, age, skin color and condition to determine if you are a candidate for Laser Skin Resurfacing. Other procedures may also be recommended to be sure to give you your desired and most long-term results.

At Skin & Vein, from lighter-to-deeper peels, we use a new generation of resurfacing lasers that include Sciton’s Profractional laser, COAG Total Skin Resurfacing laser and the Erbium micro-laser.

The result of a single Laser Skin Resurfacing procedure can be great and immediately realized. You may see continued improvement over a period of six months, with results lasting for up to 2-5 years but some of the milder laser treatments may require yearly maintenance to maintain the result.

Ask us how Laser Skin Resurfacing can replace lines and scars, with a fresh surface that will leave you feeling— unconditionally—comfortable in your own skin.

Preparation

There is no preparation indicated for Laser Skin Resurfacing

Procedure

The laser peel is an outpatient procedure lasting between an hour and an hour and a half.

A local, topical anesthetic is applied and allowed to sit for approximately half an hour in order to numb the surface of your skin. Although discomfort is generally mild, a mild sedative may be given or recommended prior to the procedure.

During the procedure, a laser, moved over the surface of your skin, emits an intense beam of energy. This beam heats and vaporizes the tissues of the outer layer of your damaged skin upon contact, leaving neighboring, healthier tissue unaffected by the laser.

You can expect to feel a sensation much like sunburn, immediately following.

Aftercare

For more aggressive laser treatments you may be given a mild sedative and therefore need a driver to assist you home.

You can expect to experience redness and some swelling. You will be given directions for caring for your tender skin which may include ice, cleansing, and topical products to aid in healing. Depending on the type and depth of your treatment, expected downtime can be as little as one week, but may be longer. With lighter peels, you may experience pink skin for up to two weeks. With deeper peels, the skin may remain pink for up to four months. In all cases, your skin can be easily covered with makeup. We will give you a realistic idea of the of healing process and time you will need to plan for in regards to your specific treatment.

As with any treatment of the skin, avoid the sun and use sun-block at all times.

Precautions

Your doctor will address any precautions or concerns you may have on an individual basis. Inform us of all medications you are taking at the time of your complimentary consultation.

Results

Fresh, younger looking skin that will continue to rejuvenate over several months, and give you glowing results for years to come.

■ LASER TREATMENT OF FACIAL VEINS

Are laser treatments safe?
Yes. Lasers have been used in medicine for a wide range of treatments since the early 1960s by many specialties. In the hands of a trained healthcare professional, the use of a laser is safe and effective.

How does the laser work?
A laser generates an intense beam of light. This beam brings energy to a specific site, through a small hand piece connected to the laser.

The laser light is absorbed by oxy hemoglobin (bright red blood cells carrying oxygen) and melanin/pigment (black or brown pigment found in the skin) causing decomposition or destruction by heat of unwanted cells while leaving healthy cells intact.

What is a vascular lesion?
A vascular lesion is formed by abnormally large or numerous blood vessels located directly under the surface of the skin. These vessels may be visible through the skin or result in a red appearance of the skin. Spider veins (telangiectasia), shown below, are the most common vascular lesions.

Before Immediately After

What is a pigmented lesion?
Melanin is the dark pigment present in skin and is produced by melanocytes. Pigmented lesions occur when an abundance of melanocytes are found in the skin. When dark pigment multiplies, it forms freckles, brown age spots and moles. Lentigines, pictured below, are an example of a pigmented lesion.

Before Treatment After Treatment

What should a patient expect during and after treatment?
Treatment may vary, depending upon patient characteristics and the area being treated.

You will be asked to wear special goggles to protect your eyes from the intense beam of laser light.

You will be placed in a reclined position, depending on the location of treatment. The technician will use a pencil thin hand piece to direct a beam of laser light to the lesion. In most cases, anesthesia is not required.

Some patients report feeling a slight stinging sensation during the treatment followed by some redness which usually goes away in 2-4 hours. Some swelling may also be experienced and may last 1-2 days. There will not be any purple skin discoloration or bruised appearance to the treated skin.

Postoperative care is minimal. Your doctor may ask you to use an anti-bacterial ointment on the treated area for a short period of time and will suggest that you stay out of the sun during the healing process.

Final treatment results should be evident within 10-14 days after treatment for vascular lesions and within 2-3 weeks after treatment for pigmented lesions. In the meantime, normal daily activities can be resumed with only a slight redness evident at the treatment area.

What does the laser look and sound like?
The laser is small - about the size of a VCR. As pulses of energy leave the end of the hand piece fiber, you will hear a soft beeping sound.

What conditions are treated with the laser?

Vascular Lesions
• Telangiectasia - facial spider veins caused by a dilation of capillary vessels or arterioles.
• Cherry Angiomas - slightly raised, red lesions
• Spider Angiomas - slightly raised, red spider-like lesions
• Rosacea - red facial lesions around the nose and cheeks causing a sunburn look

Pigmented Lesions
• Lentigines - a flat, brown spot on the skin present on skin with frequent sun exposure
• Keratoses - slightly elevated pigmented spots often found on the back and hands
• Freckles - a brownish spot on the skin common on people with fair skin
• Dermatosis Papulosis Nigra - small, black marks seen primarily on people of Asian or African descent

As a patient, what does the laser mean to me? What are the benefits?
• Excellent and consistent outcome  - minimal to no discoloration, swelling or complications
• Friendly and gentle treatment - typically performed without anesthesia or pain
• Simple treatment  - minimal care before and after treatment
• Comfortable surroundings - treatment is performed in your doctor’s office and takes only minutes

■ LIP ENHANCEMENTS (RESTYLANE)

The sexy pout, the pin-up smile, the fabulous fullness of Luscious Lips…

You may not want Brad for your life partner (really?), but it doesn’t mean you can’t have lips as luscious as Angelina. With today’s cosmetic advancements, you definitely can.

The fact is that with the aging process, collagen and elastin fibers begin to wear out. Exposure to the sun, smoking and other elements can also affect elasticity. Lips can droop. The v-shape or “Cupid’s Bow” of your upper lip may have lost, or never had, the sumptuous fullness you would like. Have creases developed around your lips, causing your lipstick to bleed?

Put your lips together and ask us about two of the most frequently requested procedures we offer: lip enhancement and rejuvenation. Whatever your goal, we will present the options and together you and Doctor Seiger will decide the best method to realize your desired result.

Treatments include the use of natural injectable fillers, such as Restylane® and lasers treatments. They are popular, safe choices sure to leave your lips with a soft, organic look and feel.

Injectable Fillers

This is the most often asked about treatment and there are many injectable fillers to choose from. In most cases Dr. Seiger's injectable of choice is Restylane. Other product names you may be familiar with include: Perlane, Juvederm, Radiance, Captique, HylaForm, Artefill and Evolence. Depending on your desired result, and the shape and condition of your lips, Doctor Seiger will recommend the best injectable filler for you.

Preparation:

Before treatment, you will be instructed to discontinue use of any non-steroidal anti-inflammatory medications, aspirin, St. John's Wort, or high doses of Vitamin E supplements (as these may increase any bleeding or bruising at the injection site. Be sure to tell us if you have previously suffered from facial cold sores as a medication may be prescribed to minimize recurrence.

Procedure:

An anesthetic cream may be applied to your lips to numb them, reducing any discomfort from the treatment. A very small needle is then inserted and a very small amount of filler is injected into your lips to achieve the desired effect.

After any minor swelling subsides, a follow-up treatment may be needed to refine your result.

Aftercare:

You may return to normal activities directly after treatment.

Although, you may experience some swelling as well as redness and tenderness at the injection site for a few hours, these symptoms will normally disappear within seven days.

Results:

After your quick and easy lip enhancement, you will enjoy “Luscious Lips” that will last up to eight months, or longer.

Precautions:

The use of injectable fillers is not indicated for anyone who may be pregnant, breastfeeding, or under the age of 18. Discuss any conditions, medications or concerns with us at the time of your appointment.

■ Restylane - Redefining Beauty

Before Treatment After Treatment

What is Restylane?
Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds. 

What is Restylane made of?
Restylane is the first cosmetic dermal filler made of non-animal-based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. The hyaluronic acid in Restylane is a crystal-clear gel called NASHA or Non-Animal Stabilized Hyaluronic Acid. NASHA is biodegradable and fully biocompatible with human hyaluronic acid.

How is Restylane different than other hyaluronic acid-based products?
Unlike rooster-derived hyaluronic acid-based products, Restylane is free from animal proteins. This quality limits any risk of animal-based disease transmission or allergic reaction. Additionally, Restylane has the highest concentration of hyaluronic acid available in a dermal filler.

Is Restylane safe?
Yes. Restylane has been used by dermatologists and plastic surgeons since 1996 worldwide. There is limited risk of allergic reaction. Restylane is fully biocompatible and allergy testing is not required. After your treatment, you might have some redness or swelling. This will normally last less than seven days. Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappear. If you are pregnant, breastfeeding, or under 18, you shouldn't use Restylane.

Can Restylane be used anywhere on my face?
Restylane has been used in more than 1.5 million treatments in over 60 countries to correct a variety of wrinkles. In the U.S. the FDA has approved Restylane for wrinkles and folds like the ones from the nose to the corners of the mouth. Your doctor will consult with you prior to your injection regarding common treatment areas.

How long does Restylane last?
Restylane is proven to deliver long-lasting results. Studies have shown that Restylane effects generally last for about six months! Restylane stabilization technology helps maintain the cosmetic effect until the injected material is nearly gone.

How often should I have Restylane treatments done?
Treatments are typically scheduled two to three times a year. Having a touch-up treatment before the product has fully dissipated may enhance the lasting effect.

What should patients do prior to treatment?
Restylane requires no pretesting, but you should take a few precautions before being treated. Avoid using aspirin, non-steroidal anti-inflammatory medications, St. John's Wort, or high doses of Vitamin E supplements prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, discuss this with your physician. He/She may consider prescribing a medication to minimize recurrence.

How is Restylane different from BOTOX Cosmetic?
Restylane is a natural, cosmetic filler. In contrast, Botox Cosmetic is a drug that blocks nerve transmission and relaxes the underlying muscles. Many patients have been very pleased after receiving treatment with both products.

How is Restylane different from bovine collagen?
Bovine collagen is derived from animals (cows) and requires an allergy test. Restylane can he administered immediately-no waiting is required.

■ MICRODERMABRASION

Skincare today is commonly considered an integral part of a standard beauty, or even healthcare regimen. With all of the external elements such as sun and pollution, as well as the internal conditions, including acne and aging that effect the skin - many individuals schedule a series of microdermabrasion appointments as routinely as they do their hair. It’s written all over your face: Acne Early effects of aging Sunspots Blotches Dry skin ...and your dissatisfaction when you look in the mirror.

With microdermabrasion, the reflection in your mirror will improve quickly and easily. You will likely see, and feel, an improvement in your skin after a single treatment. And for far less cost than many other more drastic skin procedures.

Non-invasive, and indicated for most skin types, as well as those allergic to some chemicals, microdermabrasion gently sloughs away the outer layer of dead skin cells, leaving your skin:

• Fresher
• Smoother
• Softer to the touch
• Rejuvenated, with collagen promoting stimulation

If you do not want to give up your outdoor activity time or, do not have any time to give up, microdermabrasion treatments may be the perfect choice for you.

Preparation:

During your consultation with us, you may be given a skincare regimen to follow that will help “prep” your skin.

Procedure:

A delicate hand-wand is “waved” over your face, using micro-crystals that actually polish your skin. The vacuum-like motion works to slough off the dead top layer and leave the surface of your skin flake-free, renewed and glowing.

Immediately following, your face may be treated with special products designed to moisturize your skin.

Microdermabrasion treatments last about a half hour, and with the relaxing application of soothing products post treatment, you can expect to be in the office for approximately an hour.

Although you will see immediate results from one session, microdermabrasion has a cumulative effect. The schedule is generally set for you to come in for treatment once every two weeks for 2-to-12 treatments, depending on your particular skin condition and desired results.

There is no discomfort or recovery period associated with microdermabrasion and you can continue your daily activities after your appointment. In fact, your skin will look so good, you will probably want to.

Aftercare:

We suggest you follow a skincare regimen that includes the use of sunblock with an SPF of fifteen or greater. At Skin & Vein, we are passionate about carrying the most advanced skin products and cosmetic lines on the market to help keep your skin looking its best. You will learn about all of this and more during your Complimentary Consultation with our skincare specialists.

Results:

A soft and glowing complexion.

Precautions:

There are very few risks associated with microdermabrasion. But as with all things about your skincare, buyer beware. Having the procedure performed here at Skin & Vein, under the supervision of Board Certified Dermatologists, as opposed to a salon or spa, greatly reduces any possible risks.

■ MICROLASER (ERBIUM) PEEL - "THE ARTIC PEEL"

Does this sound like you?
I've always been active. Years ago I was unaware of the effects of sun and wind on my skin. Although I don't feel as old as I sometimes look I'm not ready for surgery or a long recovery process, but I'd love to look as young as I feel!

The "weekend" skin peel, the MicroLaserPeel, treats skin conditions associated with aging and an active lifestyle. You can see real improvements in just a few days. Your technician can advise you on how best to protect your skin to maintain the benefits you will see from your MicroLaserPeel, and can answer any question you might have.

Answers to your Questions

What is the MicroLaserPeel?
It is an intra-epidermal laser peel that precisely ablates the outermost layers of the skin. The procedure is individually tailored to the nature of the condition to be corrected.

Skin conditions such as: wrinkles, scars, acne scars, keratoses, or pigment problems have been very successfully treated with a MicroLaserPeel.

Who Should Consider a MicroLaserPeel?
If you are looking for more than microdermabrasion or light chemical peels, and have little time for a prolonged healing process, then the MicroLaserPeel was designed for you.

How is the MicroLaserPeel different from Microdermabrasion?
Generally, microdermabrasion only removes the stratum corneum (2-4 microns). The MicroLaserPeel is a partial-to-full epidermal peel (20-50 microns) and is performed with topical anesthetic. Because this procedure ablates deeper into the epidermis, it is the perfect step between microdermabrasion and full skin resurfacing.

Before Treatment After Treatment

How many MicroLaserPeels can be done?
Typically, the procedure is repeated 2-5 times, spaced 4-6 weeks apart, but many peels may be done to achieve the desired result.

What can you expect?
You will experience smoother, healthier, more vibrant skin, with a significant, immediate change in skin texture and tightness as compared to microdermabrasion.

How long is the healing process?
Healing takes 2-5 days. The procedure can be performed on a Thursday or Friday, so you can return to work the following Monday. Symptoms immediately following the procedure resemble a sunburn, with minor sloughing on the second day. Redness will begin to fade by the third day, and be easily covered by makeup on the fourth day.

What should I know about pre- and post-treatment care?
Your technician will provide you with very detailed pre- and post-treatment information.

■ TATTOO REMOVAL

We are not aware of any other medical facility in Michigan that possess the combined technologies necessary to effectively remove ALL colors in tattoos. We use two lasers as needed. The Medlite C6 and the Candela TriAdvantage Alexandrite laser.

Click here to learn more about "Freedom Ink" founded by Dr. Eric Seiger that gives former gang members a new lease on life by removing their gang-related tattoos.

You thought “Joe” or “Tina” would be permanent and the black rose was a great idea - at the time. Well, times change. Fortunately, so do technological advancements. With laser tattoo removal, your tattoo can also become just a memory.

Laser treatment is the application of choice for people from all walks of life looking to erase a tattoo they have outgrown. Laser Tattoo Removal is the non-invasive, safer alternative that specifically targets the skin layer that holds the ink used to create the tattoo.

Treatments are scheduled between four to eight weeks apart in order to give each treatment time to work. The number of recommended appointments will depend on your tattoo’s size, placement, and color and can be best approximated by your technician.

At Skin & Vein, we appreciate the sensitive nature of considering cosmetic procedures. If you have a tattoo or other skin blemish that you would like removed, do not hesitate to call our office to arrange a private consultation with our experienced laser-technicians.

Preparation:

There is no preparation for Tattoo Removal

Procedure:

Most treatments do not require anesthetics. However, an anesthetic ointment may be applied to numb the treatment area before the procedure. In some cases, a local injection may be suggested.

A beam of light from the medical laser breaks up the ink particles that are then absorbed naturally through your system, lightening and, in many cases, completely removing the unwanted tattoo.

The feeling of the laser on the skin has been compared to that of a snap of a rubber band or a sting that is followed by a sunburn-like sensation.

Directly after treatment you can expect some swelling and/or redness. Your skin may appear discolored or white (hypopigmented), which is normal and will disappear over time. In the case of hypopigmentation, normal skin tone should return in six to 12 months after your last treatment. The treated area may also blister, scab, peel or swell directly after your procedure, depending on the color of ink being removed.

Your treatment will take from 5 to 10 minutes although larger tattoos may require more time.

Aftercare:

Care may vary depending on your skin's response to treatment. It is important that you do not irritate the treatment area as it will be sensitive afterward. If you do scab or blister we recommend you use a topical ointment such as vaseline, bacitracin or polysporin. Otherwise no specific care is needed but you should cover the areas to avoid sun exposure.

Results:

The results from Laser Tattoo Removal treatments can be quite dramatic and some tattoos will disappear completely. Large or heavily pigmented tattoos applied by a professional tattoo artist will probably require multiple treatments, so talk to us about the process. As long as you know what to expect going in, we can probably get your tattoo out.

Precautions:

Due to the fact that there is no regulation attached to tattoo ink, results may vary. As it is impossible to know precisely what material has been used in every application, some tattoos may be partially removed even after several sessions.

■ THE ONE-HOUR FACELIFT

When you find yourself pulling back the skin on either side of your face as you look in the mirror, it may be time to consider the amazing Mini Facelift that will put the “you” back in youth.

The Mini Facelift (also known as the Hour Lift, S Lift or Weekend Lift) is a miraculous first line of defense against early signs of aging. It is the perfect answer for men and women whose skin is beginning to lose elasticity, but are not in need of a full-scale facelift.

Dr. Seiger has successfully performed over 2,500 Mini Facelift cases over the last 15 years. Not as invasive as a traditional facelift, the “Mini Lift” is performed in the office, is less costly, safer and requires very little downtime. Eighty-five percent of patients get no bruising and are back to normal activities in 3 days.

During your complimentary consultation, you will view many Before and After photographs and Dr. Seiger himself will address your desires and concerns, and together map out the best treatment plan to meet and exceed your expectations.

Many people complement their Mini Facelift procedure with other treatments, as the Mini Facelift treats only the lower face and upper neck. It does not target forehead wrinkles, crow's feet or bags under the eyes. Be sure to ask about our full menu of procedures that can be added, such as an Eyelid Surgery, Brow Lift, Laser Resurfacing and Lip Enhancement.

Preparation:

Dr. Seiger often recommends the use of skincare products prior to a procedure but otherwise there is no preparation needed as long as you are in good health. [confirm this]

Procedure:

Step by Step Mini Facelift:

1.  Premedication is generally given to relax the patient.

2.  Local anesthesia utilizing the revolutionary Tumescent technique, is administered to insure the patient experiences minimal discomfort throughout the procedure.

3.  Dr. Seiger makes an incision in the natural crease of the skin. The incision originates at the temple inside the hairline, above and forward of the ear and continues around the front of the earlobe.

4.  Dr. Seiger lifts the skin outward and tightens and repositions the underlying muscles and tissues.

5.  At this point, extra skin and fat may be removed.

6.  The incision is closed with the smallest possible sutures.

From start to finish, the entire procedure takes approximately an hour and a half. Healing time varies slightly among patients, but the Tumescent technique for anesthesia allows for a shortened recovery period.

Aftercare:

You can anticipate an easy and safe recovery.

Pain is generally minimal and can be controlled with oral medication

Post surgery, instead of bandages you will wear an ice containing head garment for 24-48 hours. You then will most likely be able to shampoo and wear make-up the day after surgery.

Your sutures will be removed in six to eight days.

85% of patients experience no bruising afterwards and most likely you will be able to resume normal activities within three days.

Results:

You can expect to look rested, refreshed, five to ten years younger with results usually lasting 5- 10 years.

Precautions:

Although the risks associated with the Mini Facelift are minimal, potential complications exist whenever undergoing a surgical procedure. In rare instances, a patient could experience infection, skin trauma, bleeding or a reaction to anesthesia or sutures. Again, the risks associated with the Mini Facelift are minimal and will be reviewed with you prior to surgery. Know that we are here to answer all of your questions and address any concerns you may have at any time.

■ Thermage®

Before Treatment After 16 Treatments Before Treatment After 15 Treatments Before Treatment After 8 Treatments Before Treatment After 5 Treatments Before Treatment After 5 Treatments Before Treatment After 5 Treatments

What is the Thermage procedure?
Thermage® is a safe, non-invasive, no downtime, single treatment, cosmetic procedure that is clinically proven to tighten, contour and rejuvenate facial skin to help naturally restore a more youthful appearance.  The Thermage procedure is administered in a doctor’s office using the ThermaCool™ system, FDA cleared for the treatment of facial wrinkles, which utilizes a unique form of Capacitive Radiofrequency (CRF) technology to tighten existing collagen and stimulate new natural collagen production.  Immediate results are visible and continue to improve for up to six months.  The Thermage procedure is fast and easy, and requires no downtime from normal activities.  Unlike lasers, the procedure can be performed on patients of all skin color. 

How does the Thermage procedure work?
The procedure works by heating deep collagen fibers in the skin and underlying tissue, while protecting the skin's surface with a cooling spray. The treatment is performed with the ThermaCool device.  A ThermaTip™, attached to a handheld device, briefly touches the skin, delivering the non-invasive CRF energy deep beneath the skin.  This deep uniform heating action causes the deep structures in the skin and underlying tissue to immediately tighten.  Over time, new and remodeled collagen is produced to further tighten skin and renew facial contours.

How long does the Thermage procedure take?
The Thermage procedure is a completely non-invasive, safe treatment that is performed only in a doctor’s office. Depending on the size of the area to be treated, the procedure may take as little as 20 minutes or up to two hours.

How many treatments will I need?
Unlike many laser procedures requiring four or more sessions, a single Thermage treatment produces results in the majority of patients.  The treating technician will determine the course of treatment that is right for each patient, based on the patient’s needs and goals.

When will I see results?
Immediate results are visible, and improve over time.  Measurable tightening and contouring improvements appear gradually over a two to six month time period following a single treatment session.

What does the Thermage procedure feel like?
With each touch of the ThermaTip device, the patient experiences a brief, deep heating sensation as the CRF energy is delivered to the skin and underlying tissue.  This deep heating sensation is an indication that collagen is reaching effective temperatures for tightening.  To protect the skin and make the treatment more comfortable, the surface of the skin is cooled before, during, and after each application of CRF energy.  Patient feedback on the level of heat sensation experienced during the procedure will help guide the technician to balance procedural comfort with maximum results.  The technician may offer light pain medications prior to treatment to minimize sensation. These options should be discussed directly with the doctor as each patient’s needs vary.

How long will the effects of the Thermage procedure last?
The Thermage procedure immediately tightens existing collagen and stimulates new natural collagen production for up to six months following the treatment. Unpublished reports by experienced cosmetic doctors indicate that results may last for years and are based on the patient's natural aging process.

Is the Thermage procedure safe?
The Thermage procedure has an excellent safety record. With over 190,000 estimated worldwide patient treatments to date the reported incidence of side effects is less than 0.4%. The most frequently reported incidents are classified as swelling, redness, bumps, and blisters on or around the treated area. These side effects have disappeared in a few days or weeks. A rare (<0.11%) but longer lasting side effect described as a surface irregularity has also been reported. Consult with your physician regarding this and any other questions you may have on the safety record of the Thermage procedure.

■ VARICOSE & SPIDER VEINS

Venous Disease Introduction
Varicose veins are a very common condition affecting approximately 80 million Americans. They affect an estimated 40-50% of the female population and 20-25% of the male population. The most common factors leading to venous disease is heredity, age, gender and pregnancy. Other factors may be prolonged standing, obesity, physical trauma, hormonal changes, and sedentary lifestyle. Varicose veins usually appear as bulging or twisting rope like areas on the legs and are known to be a true medical condition, not a cosmetic issue. They are typically chronic and progress to a more serious medical issue.

Spider Veins	Varicose Veins

Symptoms Associated with Venous Disease
In addition to visual appearance of discoloration and vein protrusion, patients commonly experience one or more of the following venous symptoms:

Failing to seek medical treatment for venous disease can lead to worsening of the veins and serious complications including:

Ways of Treating Venous Disease
We attempt to relieve your symptoms in the easiest way possible. Therefore, we first try preventative techniques and conservative management such as:

• Compression Stockings
• Elevating Lower Extremities
• Increasing Exercise / Walking
• Weight Loss
• Avoiding Long Periods of Standing or Sitting

If your varicose veins do not respond to these techniques and if traditional Sclerotherapy is not suitable for you, one or more of the following active treatments may be required:

Endovenous Laser Ablation This is a state of the art, minimally invasive procedure to treat venous insufficiency. It is safe, fast and effective.  This is done in our office under local anesthesia. A thin catheter is inserted into the vein through a small puncture near the knee using ultrasound guidance. A laser light guide is inserted through the catheter and laser energy is used to seal the faulty vein so that blood can no longer flow through it. The vein becomes fibrous after the treatment and will be dissolved by your body. The blood in your faulty veins will be diverted to your normal healthy leg veins. Following the procedure, you will leave our office with compression hose / bandaging for 4-7 days. There may be a tight feeling in your leg for a few days following the procedure. These are a few of the benefits of endovenous laser: • Treatment is well tolerated with minimal discomfort • The procedure takes only approximately one hour to perform • There is only minor soreness, bruising or swelling • There is a very high success rate of 93-98% • Noticeable relief of symptoms in 1-2 weeks with no scars • Return to normal activity in 1-2 days, with walking immediately after the procedure Most insurance companies cover this procedure after medical necessity is completed

Schematic of Endovenous Laser Treatment Catheter Inserted Vein warmed and collapses Catheter slowly withdrawn

Ambulatory Phlebectomy
This is a minimally invasive surgical removal of larger surface varicose veins. This is done in our office and often used in conjunction with endovenous laser ablation. It is done under local tumescent anesthesia. The punctures are tiny and the veins are removed through these punctures. A small suture is applied and scarring is minimal. After the vein has been removed, a compression bandage / hose will be applied for 5-7 days. You will be scheduled for a week follow-up for suture removal.

Ultrasound Guided Sclerotherapy
This procedure is performed to treat varicose veins that may be resistant to traditional Sclerotherapy or smaller varicosities that may remain below the surface of the skin after the initial treatment with endovenous laser or ambulatory phlebectomy. This is done while the patient is lying flat and the image is viewed on the ultrasound screen. A fine needle is guided into the center of the varicosity and a precise amount of sclerosing solution is injected into the vein. This seals the smaller vein, no longer allowing abnormal blood flow. You will be wearing compression hose / bandage for 2-4 days and you will be asked to walk after the treatment. Multiple treatments may be required.

Patient Spider Vein Information
Multiple treatments are necessary when treating spider veins. Spider veins are the most difficult type of veins to treat; therefore even re-injection in the same veins is usually necessary.

Every patient heals on an individual basis; some will heal much slower or quicker than others. This also makes the number of treatments variable with each patient. Some patients even with the simplest veins may require up to 3-10 visits to get good results. Before beginning your treatment; you should know treating spider veins is not a quick process, it may take weeks to many months for veins to fade.

It’s very uncommon to achieve any results with only one treatment. After each treatment, veins may even look a little worse while they are in the healing phase. We can continue to treat your veins as they are healing; we can easily see which veins are healing and closing off.

Treating your spider veins may produce some side effects for short periods of time. Any or all of these side effects may occur:

• Blue or dark discoloration (pigmentation); this may take up to 2-12 months to fade
• Bruising; which will take 1-3 weeks to fade
• Small lumps that feel hard under the skin (hematomas); these usually resolve on their own over a 1-3 month period,
• Small red, raised bumps at each injection site; these will usually resolve by the following day and they may itch a small amount,
• Ulceration; this is a small open sore - the risk of an ulcer is rare, but can occur at any injection site. Ulcers are benign and heal on their own after a few months. They may heal with a scar.

Normal spider vein injections can rarely produce an occurrence of new spider veins (matting) in the area near the injection site. These areas can also be treated along with your regular treatment.

The smaller blue veins (reticular veins) can also be treated with sclerotherapy. Treatment of these veins will help with the reduction of some spider veins. The rare side effects of treating these veins can include discoloration and sometimes production of new spider veins (matting).

A treatment will consist of a variable number of injections each time you have a session. Your treatments are not based on a certain time period, but on the amount and percentage of solution used. A trained nurse or medical assistant may be treating your spider veins.

Common questions regarding Sclerotherapy

What happens in the first session?
During the initial session, the procedures and all information is reviewed. A test dose of the solution is given at this time to determine possible allergic reaction. If testing such as a Doppler is required, an appointment will be scheduled at this time.

When do the veins disappear and do they return?
After injection, the vessel usually disappears in 4 to 8 weeks. They do not recur after proper treatment, but this treatment does not prevent new veins in the future. Some veins require multiple injections.

How often are the treatments?
Usually treatments are performed bi-weekly until completed, but can be varied.

What other forms of treatment exist?
Other treatments consist of laser, electrodessication & surgery.

What can you expect after treatment?
You will have a large amount of bruising. You may have small hard lumps at the injection sites. These lumps will fade in a few months. You may also get some discoloration on the skin, this will fade.

Questions and Answers

Can all kinds of veins be treated?
Yes. Large veins, spider veins and facial capillaries can all be safely treated.

How many injections will I be given during each visit?
The number of injections will vary. It’s not the number of injections that determines the effectiveness of the treatment, but the type of sclerosing agent used, its dosage and the site of the injections.

Does the treatment involve any risk?
All medical treatments entail a certain degree of risk. This will be discussed during your first visit. Fortunately, when sclerotherapy is administered appropriately serious complications rarely arise.

Is the treatment painful?
Pain may sometimes be induced by bruising, but is usually minimal. The small needle causes minor discomfort.

Will I have to rest in bed after each treatment?
No. You will be able to return to your normal activities right after you leave the office. In fact, normal activity and exercise is strongly recommended.

Will I have to return to the office after my treatment program is completed?
We suggest you come in for a follow-up visit once or twice a year so that we can check for any new varicose or spider veins.

Will I leave the office with my legs bandaged?
Yes. In some cases the patient will also be required to wear special support stockings. You may be required to wear the bandages anywhere from 12-72 hours.

Should I wear support hose after the treatment?
We suggest them for anyone suffering from venous congestion. They should definitely be worn whenever you have to stand for long periods of time. It will be recommended for most patients with venous insufficiency.