Thursday, July 3rd, 2014
Hi Cyleste. I would be happy to see you for consult for sclerotherapy. It is one of my favorite treatments. In our clinic, we treat all the vessels that we see in one treatment session - so we don't time the session, or limit it to a certain # of syringes (unless we need to go over the maximum for safety - then we have to break it into two sessions). This doesn't usually happen. We use both high concentration salt solution (hypertonic saline), and Asclera. I do like to have patients wear compression stockings for 24 hours after the treatment. It can take more than one treatment session (usually 2-3). We space them at least 4 weeks apart. Sclerotherapy is very safe and affective. I do prefer it over the lasers that can be used to treat spider veins on the legs. Since I trained extensively in leg vein treatment, I will also examine you to be sure that your vessels are not true vericose veins. If you have large rope-like vericose veins, the best treatment is to have a diagnostic ultrasound to see if your greater saphenous vein is not competent. If this is the case, then the treatment of choice is endovenous laser ablation (EVLT).
I will have my receptionist, Mellissa, call you. Or, you can call us at 206-859-5777 to schedule an appointment. Be sure to mention realself and the consult fee is waived.
Thanks. I look forward to seeing you.
Jennifer Reichel MD
Director, Pacific Dermatology & Cosmetic Center
11011 Meridian Avenue N Suite 102
Seattle WA 98133
Wednesday, July 25th, 2012
Dear Dr. Reichel;
I'm actually not a U.S. citizen, but I do travel to the U.S. sometimes. I hope you can provide with some information about your KTP-laser. I suffer from a lot of fine red vessels on my legs, which actually appeared after sclerotherapy (matting). Unfortunately, they appear all over my legs and they have been there since 2004. I always cover my legs because of these and just recently I decided to treat these. I had some treatments with the YAG-laser, but the vessels didn't respond well. Now I'm looking to treat this either by thermocoagulation with the Veinwave system or again by laser - but with the KTP laser. Can you please tell me how the results are with the KTP-laser on the legs? Do these red fine vessels respond well on the legs? Thank you so much. Best regards.
Thank you for your question. I did extensive training on leg vein treatments in my cosmetic fellowship. In my experience, treating hundreds of patients, sclerotherapy remains the "gold standard" (the best) treatment for small red vessels on the legs. I use very fine needles, and am able to inject even into the smallest of "matting" vessels. It almost always takes more than one treatment. I like to space the treatments at least 4 weeks apart, but you can space them more than that. Sometimes it may feel like we are chasing the vessels around, as matting does occur when you treat larger vessels. However, if you are persistent, and have a really good injector, sclerotherapy is the best option.
I have used many lasers on leg veins, and have not found one that works as well as sclerotherapy. The KTP laser is an amazing laser, but it is really only good for facial vessels, and for cherry angiomas on the body. It just can't reach the leg veins well without leaving the possibility of scarring. Likewise, I think the Yag-laser is less superior. You can look into the Veinwave system, but I have seen several patients who have developed significant matting after this procedure.
I certainly hope that this helps, and I would love to see you if you come to Seattle.
Thank you, Dr. Reichel, Pacific Dermatology & Cosmetic Center.
Friday, March 16th, 2012