ELVeS (Endovenous Laser)

EndoLaser Vein System is an advanced technique that began in 2001. Unlike surface lasers which have several limitations, ELVeS literally heats the vessel from inside the vein. It is indicated for patients who have reverse blood flow (reflux) originating high in the leg at the sapheno-femoral junction. The most accurate way to make this diagnosis is by using colorflow duplex ultrasound. Patients with this reflux often have large varicose veins. The vessel is closed from the knee area to just below the junction. The procedure is done under local anesthesia and has a greater than 97% success rate. Recovery is quite mild and the procedure takes approximately an hour. For further details on ELVeS, check the website at www.Biolitec-us.com.

Conventional Sclerotherapy

Developed over 40 years ago in Europe, sclerotherapy at Elite Vein Specialists utilizes only FDA approved drugs to close undesired veins. It is a simple, nearly painless, vessel injection technique that causes vein closure. Veins most commonly treated are leg spider veins, blue-green veins (that often are the blood supply to nests of spider veins) and varicose veins. Other successful areas for sclerotherapy include hands, breasts, and small spiders on shoulders or back. A treatment session typically lasts 30 minutes after which stockings are applied and walking for 20-30 minutes occurs to complete the session. Patients often benefit if they also are having leg fatigue or pain due to their vein disease.

Ultrasound Guided Sclerotherapy

All diseased veins - from the largest of varicose veins to the tiniest of spiders - are caused by abnormal leakage of blood through faulty valves located inside veins deep beneath the surface of the skin.  Over time, this abnormal leakage of blood, also called reflux causes veins visible on the skin surface to dilate and turn into diseased veins we call varicose veins and spiders.  In order for sclerotherapy to be successful, the source of this venous reflux must be both identified by the treating doctor and injected or treated with sclerosing solution so the varicose vein caused by this leakage will disappear.

Often the source of reflux causing varicose veins and even spiders is much deeper than can be reached by injecting from the skin surface, and since conventional sclerotherapy is done right on the surface of the skin, regular sclerotherapy will not be effective in treating veins  caused by such a source of reflux.

We also offer ultrasound guided sclerotherapy which allows us to isolate deeper vessels below the skin that may be causing your varicose vein problems.

If abnormal veins deep under the skin can be visualized with the ultrasound machine, then Dr. Hyde can successfully guide a needle directly into the source of reflux and satisfactorily treat that source with the result of complete disappearance of the varicose vein originating from that source. 

 

Foam Sclerotherapy

Foam sclerotherapy is an emulsion of the same drug that we use for conventional sclerotherapy. It appears to have much greater clinical effect on the inner wall of veins. It suffers less dilution from blood and perhaps displaces blood rather than simply mixing with it. The results are very positive probably due to greater drug-vessel wall surface contact. This procedure provides outstanding results with less concentrated drug requirements. This often leads to faster results with less treatment sessions. Foam sclerotherapy works extremely well on larger vessels in conjunction with ultrasound guided injections.

 

Ambulatory Phlebectomy

This is an advanced technique of micro extraction of surface varicose veins. Unlike vein stripping, ambulatory phlebectomy utilizes special instruments and microincisions to extract undesired veins. It is performed by Dr. Hyde under local anesthesia on an outpatient basis with no required sutures. The incisions are so small that there is virtually no scarring. This technique works extremely well on large thick walled veins on legs and hands.

 

 

Veinlite Sclerotherapy

When treating spider veins it is crucial to locate and close any and all feeder vessels. These are blue-green in color and are called reticular veins. If untreated, spider patches can often become subject to early recurrance. These feeder vessels can often originate 4-8 inches away from a zone of spiders. The Veinlite transilluminates veins below the skin and allows Dr. Hyde to accurately map out the course of these feeder vessels prior to injecting the spider veins. The Veinlite also sees vessels below the skin which may not be visible to the naked eye. Comprehensive precise vein closure is the advantage of Veinlite guided sclerotherapy. It is similar to ultrasound guided sclerotherapy but concentrates on superficial rather than deeper feeder vessels.

close-up view of subdermal feeder vessels using Veinlite transillumination

Injection Specialists

Taking advantage of Dr. Hyde's skills and experience with needles, EVS is delighted to offer botox therapy in two discreet areas. Firstly, for cosmetic diminution of fine wrinkles around eyes and forehead. Secondly, we are very proud to help those patients suffering from hyperhidrosis. Our botox injection therapy has yielded excellent results with approximately 16-24 weeks of benefit from symptoms. We also do axillary mapping to insure more accurate injections at the site of the overactive sweat glands. Please contact us if you have any questions or would like to arrange for a treatment session.

 


Dr. Nicholas H. Hyde, Bay Area Vein Specialists, is Medical Director of Elite Vein Specialists. At the Varicose Vein Center of Excellence they excel at complex recurrent vein problems, endovenous laser ablation, ultrasound guided foam sclerotherapy, varicose vein treatment, spider vein removal and hand vein treatments. All treatments are nonsurgical, physician performed in a caring & attentive environment.

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