How to remove varicose veins?

Legs can be in immaculate shape, but if veins are pronounced or unsightly veins disturb the silhouette, you still don’t like to show them. In most cases, the bluish-red veins (spider veins) are more of a cosmetic problem than a medical one. What can be done about them? How can varicose veins be removed?

Only a doctor can decide, after a thorough diagnosis, whether the veins can simply be sclerosed or whether they are a case for the surgeon. Spider veins can also be a sign of leg vein dysfunction. If varicose veins are diagnosed, they should be treated quickly. This is because thromboses, vein inflammations and ulcers can develop from them. This is the subject of an expert interview with Dr. Sonja Sattler.

Removing varicose veins, but how? Which methods help?

“Spider veins are very annoying, especially for female patients who have weak connective tissue. Unfortunately, it is known that these red veins often come back or form again in another place. It is important to do a root cause analysis before treatment if you want to treat spider veins with foam sclerotherapy or laser. Both methods are classics to get the problem under control. However, it is important to know that laser can also cause side effects or is not efficient enough. Lasers always hit only a very specific wavelength and a specific color. Therefore, it is not necessarily easy to get rid of the annoying veins with it. Someone who has done a lot of sclerotherapy, a lot of sclerotherapy, preferably with foam, will get rid of the spider veins very well without laser therapy.”

How does sclerotherapy of spider veins work?

“A fine needle is used to inject a sclerosing agent directly into the affected vessel. The sclerosant causes the inner walls of the veins to stick together so that the blood has to find a new path.”

Can spider veins also be a sign of leg vein dysfunction?

“Spider veins are not necessarily always harmless. They are often the first sign of a functional disorder of the deep leg veins. For detailed diagnostics, our experienced specialists mainly use ultrasound duplex examination. The advantage over other methods: The results can still be discussed during the initial examination.

Are there new treatments to remove varicose veins?

“The classic procedures are now almost obsolete and only necessary for recurrent varicose veins, those that come back despite treatment. Nowadays, varicose veins can be removed very well with minimally invasive methods. It is usually done endoluminally. This means that the varicose vein is punctured on the lower leg and then a probe is inserted to the point where the varicose vein has its damage. The varicose vein is then glued there with laser or radiofrequency energy. This method is minimally invasive and has been available in Germany for 15 years. The treatment has become a revolution in varicose vein therapy and has remained so to this day. We are very happy that this means we no longer have to perform these major operations with nevertheless very long downtime for our patients.”

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