FAQ’s

Do you specialize in spider and varicose vein laser treatment and removal here in Arizona?
Arizona laser vein treatment from Arizona Vein Specialists Center is the #1 vein removal facility in Arizona. Our specialized vein clinic was one of the first performing Endovenous Laser Treatment in early 2001 and Dr. Presant was invited to speak at medical conferences on this new therapy for laser vein treatment. Scottsdale laser vein removal with endovenous laser has proven over the past six years at our clinic to be a more effective cosmetic replacement for vein stripping. This is a non invasive method for varicose vein laser treatment. We receive referrals from other local doctors and vein care professionals.

What are Varicose Veins?
Varicose veins are veins that have become permanently dilated. They impede blood flow and hinder the return of oxygen-poor blood from the lower extremities to the heart and lungs. The usual cause for this is a damaged valve within the veins. This causes reflux, which is venous blood flowing backwards (i.e. towards the feet not the heart).

What Causes Varicose Veins?
Varicose veins are an extremely common disorder affecting about one half of the population. Most of these unfortunately are women. The exact cause of varicosities is unknown, but some of the risk factors are: heredity, pregnancy, menopause, obesity, prolonged standing or sitting, estrogens, birth control pills, tight girdles and garter belts, trauma and aging.

What is Sclerotherapy?
Sclerotherapy is a non-surgical procedure that involves injecting a medication into a diseased dilated vein or spider vein. This causes a reaction within the wall of the vein allowing it to close and route the blood back to the heart.

Ultrasound-Guided Injection is a newer and more advanced form of sclerotherapy. With this procedure the diseased vein
which is too deep to be seen with the naked eye is injected, allowing the ultrasound picture to “guide” the needle into the diseased vein. The medication is then directed to the precise location safely to seal the vein with the best cosmetic and functional result.

Can all kinds of Varicose Veins be treated?
Yes, large veins, blue veins (reticular), and spider veins.

How many treatments will it take?
This is dependent upon the extent of your disease but usually between 2 and 4 treatments.

How many injections will I get with each visit?
This depends on the size and amount of your diseased veins. In spider veins, we usually perform approximately 50 injections per session. With blue veins approximately 12 to 15 injections, and with large veins 2 to 10 injections. It is not the number of injections that determines the effectiveness of the treatment, but rather the sclerosing agent used, its dosage and the site of injections.

Does it hurt?
With spider veins it is practically painless. With the larger veins there is a slight pinprick and sometimes some bruising.

Once the veins have been treated can they come back?
No, once treated those veins are gone forever. However, new veins may develop in the future.

Will I have to rest in bed after treatments
No, there is absolutely no “down time”, we actually encourage walking immediately after treatments.

Is this covered by insurance?
Many medical insurance companies do reimburse if it is determined to be a medical problem, rather than a cosmetic procedure. As a courtesy we will help file your claims.

Does insurance cover Spider Veins?
No, these are considered cosmetic and usually not covered by standard insurance policies.

What kind of testing is required?
For spider veins alone, no testing is required. However if the varicosity is more extensive, a thorough non-invasive
examination of both the superficial and deep venous systems is usually necessary. These diagnostic procedures (duplex ultrasound and Doppler exam) are done in the office and are usually covered by most insurance companies.

Will I leave the office with my legs bandaged?
For spider veins, a wrap will be taped to your legs at the injection sites. For larger veins, compression stockings are usually required for a few weeks following injections.

How soon will the veins disappear?
After treatment the veins disappear over a period of 2 weeks to 3 months.

Are there certain veins which tend to recur more commonly?
Yes, the “TELANGIECTIC MATTING”. These are extremely fine “COBWEBS” that are too small to inject.

How often can I be treated?
Once an area is injected it should be allowed to heal for a three to four week period. Additional areas may be treated weekly.

What are other methods of treating Varicose Veins?
The following are some alternative treatments.
1. Laser/Pulsed Light – this is most effective for the tiny facial “cobwebbing” vessels. The laser is a very expensive tool so these treatments are much more costly.
2. Electro Dessication – this method uses an electrical needle or knife and destroys both the vessel and the overlying skin, thus producing a greater incidence of scarring.
3. Endo-Venous Laser – an intravascular laser treats large varicose veins from inside the vein, an alternative to surgery.
4. Surgical Ligation / Micro-Extraction – this procedure should be reserved for those vessels which are greater than one centimeter in diameter.

What can I do to prevent Varicose and Spider Veins after treatment?
Wear comfortable low-heeled shoes, avoid wearing girdles, garter belts, and knee high stockings. Exercising regularly and reducing weight may also be helpful.

Are there any serious side effects?
The following are some possible side effects:
1. Slight blistering may occur around an injection site, but this usually resolves within a day or two.
2. A few patients will develop a small, brown, freckle-like spot at an injection site. 80% of them usually disappear within three to six months, and the remainder usually disappear within one year.
3. Sometimes, a small clot will develop within the injected vessel. This clot will never cause internal problems, but removing it within two weeks prevents any skin staining.
4. A small, superficial ulcer may form at the injection site. These are most common below the anklebone and usually tend to not leave any permanent scars.
5. Superficial thrombophlebitis is an inflammation, which occurs within a superficial vein. This occurs in less than 1 per 1000 patients and is usually treated on an outpatient basis with elevation, heat, anti-inflammatory agents and compression stockings.

What shoud I do before my appointment?
Stop all aspirin products for one week prior to your appointment. If you are on any blood thinners, notify us at least one week prior to your appointment. Do not shave your legs the day of your appointment. Bring comfortable shorts to wear during the procedure and slacks or a long dress to wear home.

What shoud I do after Sclerotherapy?
We prefer you to walk for at least 30 minutes per day. We ask you not to do any free weight lifting or strenuous aerobics for three to six weeks. If you have been prescribed compression stockings, wear them continuously for one to two weeks.

Is there any hospitalization or anesthesia required?
No, the procedure is handled completely in the office.

Does your Arizona Facility offer Botox injections?
Arizona Botox has been elevated to an art form at Arizona Vein Specialists. With over 1,000 Botox injections at our cosmetic procedure facility, rest assured our Botox cosmetic injections will be a pain free, long lasting, low cost and non invasive wrinkle treatment. Our Arizona Botox services started in 2001. We established our reputation for Botox cosmetic injections on patient satisfaction with their experience and results of our cosmetic Botox injections over their treatment at any other facility.

Does your center offer a dermal filler product such as Restylane treatment?
Arizona Juvederm from Arizona Vein Specialists is the #1 Scottsdale Juvederm injection provider in the Valley! Similar to treatments such as Collagen and Radiesse, our dermal filler and wrinkle filler injections will have you looking years younger in no time at all! Our procedure for Juvederm treatment focuses on softening facial lines and lip injection for added fullness. It is one of the most versatile wrinkle fillers. It is an easily moldable dermal filler for smoother feeling results. Scottsdale Juvederm injection cost is reasonable. Unlike collagen, Juvederm treatment is non allergenic.

ranking arizona winner
2 Time Winner 2016 & 2107
phlebologist-award