Breast Veins

 A woman's chest is something that she wants to be proud of. Regardless of the size, if you want to look good at the pool or in a sexy dress, you don't want unsightly veins popping out. There are several causes of visible veins on the breasts:

Hormones - as women know well, they experience hormone changes throughout the month and throughout their lives. These fluctuations can cause veins to sometimes appear on the surface of the skin, and even bulge out at times. Hormonal vein changes are usually temporary. Weight change - both weight gain and weight loss can affect your veins and your breasts.

Weight gain - can stretch your skin, making the veins more visible. While weight loss, can decrease the fat layer that usually hides your veins. Pregnancy - a woman's body is very busy during pregnancy, so much so that the blood volume in the body increases by 20-40%. All this extra blood can leave the body, especially the breasts looking veiny. This decreases after breastfeeding is done.

Breast surgery - breast augmentation is meant to make a woman look sexier, but one unsexy side effect is increasing the visible veins. Breast implants push veins up towards the skin, and can make them more apparent.

Age - as we age, our skin becomes more transparent. Also, with aging the fat on the breasts decreases because of decreasing hormone levels. This combination can lead to more visible veins on the aging breasts.

Other health conditions - while rare, there are certain health conditions that can also increase the visibility of veins on the breast. These conditions can include, mastitis, mondor's disease, and inflammatory breast cancer.

If you suspect any of these reasons, see a doctor immediately. Once you figure out what is causing your "blue boobs", there are good options for treatment. In some cases a quick fix can be exercising regularly to stimulate blood flow or changing the size or style of your bra. A tight fitting bra can constrict the circulation to the breasts, and cause the veins to swell. If these solutions don't work, a top vein doctor can help.

Selecting the right vascular specialist should focus on board certification, vascular experience, online reviews, and treatment options. We recommend performing this online research focusing on the vein clinic and doctor credentials:

#1-The Vein Doctor

No item is as important as the physician who will be managing your condition. A vein specialist should have expertise in the diagnosis and management of both simple and complex vein conditions. This includes patients presenting not only for cosmetic veins, but also symptoms consistent with venous insufficiency. On site venous ultrasonography is what separates vein clinics from pop-up spider vein treatment centers. A quality study is the most important factor in determining your health condition related to spider and varicose veins.

# 2 Board-certification

Besides experience, we trust vein doctors who possess board-certification in vascular medicine. This includes vascular surgery, cardiology and interventional radiology. These training programs provide the necessary exposure for the diagnosis and treatment of vein conditions. Do you really trust any doctor who's training was less than an entire residency or fellowship? Unfortunately, vein treatment has no specific board certification and so it's not uncommon to find less experienced doctors from various backgrounds including internal medicine, pain management, and family medicine performing vascular procedures.

# 3 The facilities

Don't judge a book by its cover is true in most instances. However, with vein treatment, we cannot over-emphasize the importance of maintaining a clean and up to date look. Vein treatment centers engaged in keeping their practice modern will spend the extra dollars to re-invest in their technology and maintaining their site to the highest standards.

A vein doctor can determine the best course of action for you as an individual. One of the leading treatments for breast veins is sclerotherapy. Sclerotherapy is a formulated liquid that is injected into the vein. The chemical begins to then irritate the walls of the targeted veins causing them to collapse and eventually be absorbed and "disappear" on the surface of the skin.

For more information on causes and treatment of breast veins, visit a dermatologist or vascular specialist in your region.

Article Source: https://nycvaricoseveins.webgarden.com/nyc-veins/blog

Orthopedic Vein Disease

Leg pain is one of the most common issues patients face and it’s not surprising to learn that orthopedic issues and vein disease can be seen together. In fact, both conditions affecting one patient can be quite common as the 2 conditions are seen frequently in individuals over age 40. Some have coined the term “orthovenous” disease and the impact of vein disease can be quiet significant for patients considering orthopedic surgery. This includes patients who have not only undergone previous knee or hip surgery, but also considering procedures in the future. It’s important for both the varicose vein clinic near me  and orthopedic surgeon to be aware of the signs and symptoms of venous insufficiency.

 
Orthopedic patients suffering from leg swelling, visible or tender varicose veins in feet, leg cramps, charley horses, and restless legs likely have underlying vein disease. These patients should consider a venous evaluation prior to any major orthopedic surgery. Post-operatively, if swelling continues beyond the typical expected period, a similar evaluation would be recommended.
 
Although there is a lack of abundant literature regarding the treatment of venous disease prior to orthopedic surgery, the available research has shown that patients who have their venous problems addressed prior to knee replacement or arthroscopy have a better outcome. Patients were noted to lessen the risk of leg swelling and deep vein thrombosis post- operatively when venous disease was managed prior to surgery. Similarly, the decreased swelling has been observed to improve wound healing and physical therapy.
 
Vein treatment by closing defective veins is minimally invasive, taking approximately one hour with rapid recovery times. While anyone suffering from vein disease will likely benefit from a vein evaluation, patients undergoing orthopedic surgery may be a special population that should seek earlier treatment Additional research is needed to verify some of the earlier findings and beliefs within the orthopedic and vascular community.
 
If you have leg pain and are under orthopedic evaluation, be sure to consider your vein health also. If you have concerns about varicose veins,  itchy veins, swelling, leg heaviness or skin discoloration – request a vein center near me to evaluate your leg pain. Remember, untreated vein disease can improve how you feel and recover after orthopedic surgery.

Article Source: https://southjerseyveinclinic.weebly.com/blog/orthopedic-vein-disease

Foam Vein Treatment

 The gold standard of treatment for spider veins clinics in NJ is non-surgical treatments including endovenous laser vein ablation and endovenous radiofrequency ablation.  Both forms of treatment are catheter based technologies performed using ultrasound guided percutaneous entry.  However, ablation is not suitable for all patients due to variable presentations of vein disease and anatomical considerations.  In fact, contra-indications to catheter based treatment include: 1) superficial veins close to the skin 2) proximal nerves or arterial circulation 3) tortuous veins. 

In these instances, a more suitable treatment is microfoam delivery  of polidocanol, otherwise known as foam sclerotherapy.  The difference between foam sclerotherapy and the more common and well-known sclerotherapy is the compounding of the sclerosant with mixture of air (nitrogen, oxygen, and carbon dioxide).  The elements are in variable concentrations and allow for the liquid sclerosant to be compounded into a foam mixture that adheres better to target vessel walls.  This is important for larger targets like varicose veins and in some cases reticular veins.   Vein specialists will use either foam or liquid sclerotherapy for spider vein treatment NJ depending on the condition being treated.  

• Truncual reflux–best suited for RF ablation or EVLT
• Truncal varicosities–foam sclerotherapy or ambulatory phlebectomy
• Perforating veins–targeted ablation or foam sclerotherapy or phlebectomy
• Reticular veins–foam sclerotherapy
• Spider veins–liquid sclerotherapy or laser treatment of spider veins

Foam sclerotherapy can be aided by ultrasound in certain situations prescribed by the vein doctor.  In most vein clinics, the preferred solution is now polidocanol given its efficacy and safety profile.   There is also the FDA-approved Varithena that is ideal for large varicose veins, perforators and neovascularization.  Varithena comes in 1% polidocanol pre-packaged, but is unique from physician compounded foam sclerotherapy because it is pre-packaged as a low-nitrogen microfoam that clinically has proven to be safer and more efficacious.  It can be used on the upper and lower portions of the leg.  However, despite the increased safety profile ,the medication should only be administered by qualified vein doctors near me that understand the mechanism of action and appropriate use criteria.



In general, foam sclerotherapy is administered following direct cannulation of the target vein.  With polidocanol, the preferred concentration is 0.5%-1.0% depending on the size of the target vein.   With generic polidocanol, the liquid sclerosant is mixed with an air-filled syringe in 3:1 or 4:1 ratios until a foam is created.  The injected foam has an immediate action on the vein walls inducing chemical ablation; this process continues for months to years as the vein is slow reabsorbed by the body.   It is important to inform patients of the possibilities to feel tenderness or lumpy nodules after treatment that may look worse for a period of time, but will heal with good effect.    Follow up is important post procedure as per the protocol and is standardized in most  vein centers. The post procedure care after sclerotherapy follow up will include a duplex ultrasound to evaluate vein treatment effect and any complications post sclerotherapy.

Article Source: https://centralnjveinclinic.weebly.com/blog/foam-vein-treatment

When to Visit the Vein Doctor?

 Spider veins and varicose veins are quite common.  In fact, it's estimated that up to 80% of females have some presentation of vein disease including spider veins. In most cases, the presence of spider or varicose veins is not a reason for concern.  However, whether it's for cosmetic reasons or medical reasons, you will want to make sure you are getting the right advice. 

 

 

In this article, we review some of the top reasons patients seek out expert advice for spider and varicose vein treatment.

 

1) Spider Veins

Spider veins are fine red or purple vessels on the skin and have the appearance of spider webs. They represent the most common reason females seek out vein treatment.  Genetics, venous insufficiency, and hormonal factors are the most common cause.

 

2) Varicose veins

Protuberant, larger veins on the surface of the skin.  They are tortuous and associated with a greater degree of symptoms. The primary cause is often venous insufficiency and genetic factors.

 

3) Restless Leg Syndrome

Venous insufficiency is surprisingly a common cause of restless legs. While every patient may not have pain from varicose veins, the involuntary contractions from restless legs during the night-time can be very disturbing. A simple duplex ultrasond can help make the diagnosis.

 

4) Leg Swelling

Edema or leg swelling is more concerning symptom with venous insufficiency and results from higher venous pressures. Swelling in vein disease is an indication for treatment, however alternative causes should also be excluded.  

 

5) Leg Pain

Leg pain in venous insuffiency occurs as blood pools in the legs and causes aching and heaviness. The saphenous veins are often involved and can be diagnosed with with venous reflux study.

 

 

 

 

Making a decision about vein treatment is often guided by the symptoms you experience.  Leg pain, restless legs, and swelling are indications of medical venous disease. 

Treatment is guided by venous reflux studies to help elucidate the culprti vein.  Greather saphenous disease accounts for approximately 80% of venous insufficiency and can be relieved with simple measures including vein ablation, venaseal and varithena in appropriate candidates.

 

For more information, consider visiting www.veinspecialistcenters.com for detailed questions about vein disease and vein treatment.

Article Source: https://healthandwellnessnj.puzl.com/_news/Who-Visits-the-Vein-Doctor/291645

Vein Myths - Part II

 Vein myths dispelled (part 2)

Varicose veins and venous insufficiency represent a very common patient presentation.  The most serious symptoms are DVT, infections, ulcerations and bleeding.  Fortunately, they tend to be rare.  The most common reason for vein disease happens to be hereditary.  In fact, if one parent has vein disease, there is a 50% chance for their children to also have vein problems.  Despite this knowledge, we still hear plenty of exaggerated stories of “how varicose veins form.”  In a previous blog, we addressed 3 dispelled notions on varicose veins and in this article, we focus on 3 more concerns patients with spider and varicose veins express.


Myth 1: Varicose veins are more common in runners
Anything that promotes circulation is good for your health and that includes your leg veins.  Walking and moreso running promotes the calf muscle pump action and this reduces the amount of blood pooling in the lower extremities.  That’s a good thing!
So it’s not the running that causes varicose veins in legs, however it’s clear that anyone spending a great deal of time on their legs with varicose veins should wear compression stockings.

Myth 2: Varicose Veins Are Always Visible
Varicose veins are insidious and so long before you see any protuberant veins, the underlying venous insufficiency can be progressing.  Pay attention to symptoms including leg pain, heaviness or cramps.  Nocturnal symptoms include restless legs or charlie horses.  If you have any of these symptoms, then consider beginning your search for a varicose vein doctor near me.

Varicose veins are often the result of faulty pipes beneath the surface of the skin.  Most commonly they involve the truncal veins (great saphenous or small saphenous veins) and perforators.   As these feeder veins develop disease from incompetent valves, symptoms can start and with progression, visible varicose or spider veins may appear.  It’s important to understand that the visual presentation of varicose veins is just the tip of the iceberg. Prevention complications down the line involves treating the underlying feeder veins.
 
Myth 3: Varicose Veins Can Be CuredUnfortunately, varicose veins cannot be entirely cured.  We are fighting some long odds with genetics and given the numerous amount of veins we all have, the better goal is to manage symptoms and prevent complications.  This means starting treatment early and then maintaining ourselves with appropriate lifestyle choices including exercise!
 
Vein restoration centers in NJ and across the country are seeing more and more patients with varicose vein issues.  There are probably several factors involved here including better patient and primary care awareness, insurance coverage and increased focus on wellness and aesthetics.  Safe and effective varicose vein treatment requires proper evaluation by a leg vein doctor in NJ.

Article Source: https://mtlaurelveincenter.weebly.com/blog/vein-myths-part-ii