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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.
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Conventional
Sclerotherapy |
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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.
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Ultrasound
Guided Sclerotherapy |
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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.
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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.
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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.
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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
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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.
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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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