The short answer is that I typically recommend that a woman wait at least 3 months after the birth of her baby or when she stops breastfeeding before coming in for a Mommy Makeover...
formal consultation with a varicose vein specialist with allow your doctor to recommend the optimal treatment plan for your varicose vein disease.
Filiberto Rodriguez. MD, FACS, FAACS, RVT, RPVI
The good news is that there are treatments to eliminate painful varicose veins. These treatments include EndoVenous Laser Ablation (EVLA) of the saphenous veins, if venous insufficiency is present, followed by micro-phlebectomy procedures to directly remove the painful surface varicose veins, and finally sclerotherapy to eliminate any remaining spider veins. Some of these procedures are covered by most insurance companies. Search on the American College of Phlebology website to find a dedicated varicose vein specialist in your area.
appearance, you may be a good candidate for spider vein treatment. Spider veins can be treated using a number of different techniques. Typically, sclerotherapy injections are the most common and effective in the legs, whereas spider veins on the nose or cheeks are better treated with topical lasers. Most importantly, if a patient has larger varicose veins associated with the spider veins, or leg swelling, heaviness, skin discoloration of the lower legs, or restless-leg-syndrome, then an ultrasound exam is needed to exclude the presence of underlying venous insufficiency or reflux. It is a waste of time and money to treat the spider veins without first eliminating the reflux larger varicose veins.
For patients with symptoms of leg heaviness, leg swelling, restless leg syndrome, or a history of a leg ulcer, the presence of saphenous vein reflux (or venous insufficiency) must be determined. This is accomplished with Duplex Ultrasound Technology.
Surprisingly, even many physicians are unaware that modern treatments for varicose veins exist that can help patients with leg pain, heaviness, and swelling. When doctors do recognize the presence of varicose vein disease they often send their patients to a radiology imaging center or a vascular lab for the ultrasound testing. This is very inconvenient for the patient, and often these non-specialized imaging centers do not perform the ultrasound examination for venous insufficiency correctly, thereby
The treatment of varicose vein disease must begin with the saphenous veins if the ultrasound identifies reflux. Eliminating reflux with EndoVenous Laser Treatment (EVLT) is the modern, minimally invasive alternative to historic vein stripping surgery. EVLT treatments are performed in the office setting under local anesthesia. History of hypertension and diabetes usually does not prevent us from proceeding with the EVLT. The procedure consists of inserting a small laser fiber through a needle stick in the skin into the damaged vein under ultrasound guidance. Pulses of laser light are delivered inside the vein, which causes the vein to collapse and seal shut. The procedure is done in-office under local anesthesia with mild oral sedation. Your leg will be wrapped for one day, and you are encouraged to take a 30 minute walk the night after the procedure.
After the EVLT treatments are completed, further treatments focus on the remaining visible and painful varicose veins with MicroPhlebectomy treatments, until finally Sclerotherapy is indicated for any remaining spider veins.
F. Rodriguez, MD, FACS, FAACS
RGV Cosmetic Surgery & Vein Care