The following questions are helpful in determining if your leg veins are healthy or unhealthy and in need of treatment. Answer the following questions to determine whether you have chronic venous insufficiency (i.e. varicose vein “disease”) and are a proper candidate for treatment.

How healthy are your leg veins?
1. Do you have heaviness, aching, swelling, throbbing, or itching of the legs? Or do your legs feel tired at the end of the day?
2. Do you have bulging “varicose” veins (varicose veins are large, bulging veins, as opposed to spider veins, which are thin, branching veins just beneath the skin’s surface)?
3. Have you ever had an ulcer or open sore on your lower leg(s)?
4. Have you ever had thrombosis or blood clot in your leg(s)?
5. Have you ever worn, or been advised to wear compression stockings?
6. Have you had any treatments or procedures for vein problems?

If you answered YES to two or more of these questions you would greatly benefit from a consultation with Dr. Joshua Tepper, our vascular and interventional radiologist.
Sclerotherapy
What is sclerotherapy?
The physician uses a small needle to inject a sclerosant, which is a chemical irritant, directly into the vein. This destroys the vein wall lining and causes the vein to collapse.
What can sclerotherapy treat?
Sclerotherapy is most commonly used to treat spider veins. (can link to this page)
What is the recovery time after sclerotherapy?
The procedure is relatively painless, and patients can return to their normal activities immediately after the procedure.
Multiple treatments may be required to fully treat the veins with sclerotherapy. Typically, the veins will fade in a few weeks.
Laser Vein Removal
What is laser vein removal?
A state of the art laser fiber is inserted into the vein and activated using real-time ultrasound for guidance. The activated laser closes the vein and re-routes the venous blood to healthy veins.
What vein diseases can be treated with laser vein removal?
Laser vein treatment is most commonly used to treat varicose veins. (can link to this page)
What is the recovery time after laser vein treatment?
The process typically takes under an hour to complete. Patients leave the office with no stitches, and minimal downtime, often returning to work and regular activities the same or next day.
Imagine being free of painful or unsightly varicose veins, spider veins or other superficial blemishes! At The Derm®, our clinicians offer a multidisciplinary approach to your superficial venous disease. Here at The Derm* we specialize in identifying and treating the underlying etiology of your vascular disease. Using our combined training in Dermatology, Radiology, and Vascular/Interventional radiology we focus on your specific complaints to derive a treatment plan that will be durable and beyond your expectations. We treat varicose veins, spider veins, fine red lines, and cherry angiomas.
Dr. Tepper, a Board Certified Diagnostic and Vascular and Interventional Radiologist, specializes in treating lower extremity varicose veins, spider veins, pelvic veins, and deep vein thrombosis. He offers minimally invasive, outpatient, low risk treatment with a state of the art laser that allows you to return to your normal activities the very next day.
Call our office to book your consultation with Dr. Tepper.
Varicose veins of the legs are twisted, enlarged veins near the surface of the skin. They’re easy to see and extremely common, affecting nearly 40 million Americans….