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What Types of Veins Can We Treat?

Most vein of these vein problems occur in the legs. There are many causes for their development. Standing for long periods of time increases pressure in the lower areas of your body. Age causes veins to lose their elasticity which makes them stretch and Heredity also plays a large role. For some people varicose veins can be a painful problem, but in most cases the treatment of visible veins is a cosmetic concern.

  • Telangiectasia: superficial, red spider veins
  • Reticular veins: large, slightly deeper blue veins
  • Varicose Veins: gnarled, enlarged veins

CoolTouch CTEV

With the CoolTouch CTEV, an endovenous laser treatment, a small single needle incision is made and a fiber is inserted into the varicose vein. The laser is activated and the fiber gently heats and safely closes the vein. Once the vein is closed, blood that was circulating through this vein is rerouted to healthy veins while the varicose vein vanishes.


Sclerotherapy is the injection of a solution called sodium tetradecyl directly into the problem veins. The solution irritates the lining of the vein and causes it to close off. Without blood, the vein is less visible, and over time it disintegrates and is reabsorbed. Sclerotherapy can treat telangiectasia, reticular veins, and small varicose veins.

The number of treatments needed depends on the severity of the problem. On average most patients need 2-4 treatments. Any larger veins are treated in earlier sessions, working down to smaller ones.


Phlebectomy involves making small incisions through which varicose veins can be removed.

Our Vein Expert: Philip Fried, MD, FAAD

Dr. Philip Fried is Advanced Dermatology’s vein treatment expert. He has been treating patients with unsightly varicose veins for over twenty years at this practice. A dedicated researcher in his field, Dr. Fried has conducted numerous studies on dermatological diseases and has done special investigative research on wounds and burn healing. His work has been published in the Journal of Infectious Diseases and Annals of Internal Medicine.

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