Dr. Adam Goldman

We use the same numbing, and then each place that we mark where the veins are kind of popping out on the surface, and then we make a hole with a needle, an 18-gauge needle, and basically go with this little hook, and we hook the vein, we pull it out.

And then we can sometimes get out a long segment, sometimes a short segment.

It all depends.

It depends on how big the vein, how tenacious.

But we try to get as much of the vein as possible.

So you end up with these little tiny dots where we went in,

Those will often fade over time, but you'll definitely have a better result than if we used the Barathena, the injections.

So, yeah, depending on the anatomy.

I mean, it's totally gone.

You end up leaving some communications.

Sometimes we even do both procedures.

We'll treat one area where they're very large, we'll pull them out, and then we have another chain that's not as prominent that we'll come back and we'll inject, because if we inject it, you could say you could really...

eliminate all the communications.

So it helps.

I'm pretty sure it helps with the recurrences that you're being more thorough in your treatments.

So basically, if you have one

area that is affected and you've closed the vein and you see the superficial varicosities you're pretty much done so then people often will come back and get their spider veins injected as well because cosmetically they want that treated often oh and you can't get those treated yeah those problems coexist um that's not covered by insurance but if someone you know is not happy with so they yeah my big veins are gone but look at all these little veins i have how much is that out of pocket

So it depends on the clinic.

I mean, we're pretty reasonable.

We charge $250 a session, and it's not how many injections we do.