No More Creeping Around

Spider veins are easily treated with a quick, in-office procedure.

Jill Mattek knows a thing or two about problematic leg veins.
The skilled aesthetician in Vero Beach says the unsightly appearance of spider veins began to creep in on the calves of both of her legs several years ago.

Photos by Nerissa Johnson.

Jill Mattek

“I started to see them appearing some time ago, and it wasn’t all that surprising to me,” Jill asserts. “I have a family history of spider veins. Both of my sisters have had them. I just hated them. Living in Florida, I want to wear shorts, and I never liked my legs when you could see purple spider webs on them. I always wanted them gone.
“At one time, the salon had a vein specialist in the office who removed spider veins, skin blemishes and skin tags,” Jill explains. “The doctor at the spa used to treat my spider veins all the time.”
But when that vein specialist moved on, Jill found herself looking to fill the void on a personal level.
Jill would often mention to her clients about her search for a vein specialist.
“One of my clients is a nurse for Dr. Ramdev at Vascular Interventional and Vein Associates,” Jill recounts. “She told me all about him and how they treat spider veins.”

Spider Veins & Varicose Veins

Jill made an appointment with Pranay T. Ramdev, MD, a board-certified surgeon at Vascular Interventional & Vein Associates, with offices in Vero Beach and Ft. Pierce.
“Jill was initially seen for a vein screening,” states Dr. Ramdev. “Our practice offers free vein screens for patients with our registered nurse, Adele Mark and our physician assistant Michael Himes.
“Jill came in complaining of burning and aching in her legs,” he continues. “Our practice prides itself on listening intently to a patient’s symptoms, conducting a thorough evaluation and educating them on the differences between varicose and spider veins, and finding the best solution to treat the problem.”
Symptoms of these unsightly veins are few, but can include burning and aching in the area of the spider veins themselves.
Spider veins are clusters of tiny blood vessels that become swollen with stagnant blood and develop close to the surface of the skin. They are often red, blue or purple, and they have the appearance of a spider web. They are easily visible through the skin and are most often seen on the legs, chest or face. These warped blood vessels occur in up to 60 percent of adults.
Spider veins are different than varicose veins. Varicose veins are large, raised, swollen blood vessels that twist and turn. They usually develop in the legs and can be seen through the skin.

“I can say, without hesitation, that I am very glad I was referred to Dr. Ramdev.” – Jill

Typical risk factors for varicose veins and spider veins include family history, age, use of birth control pills and multiple pregnancies. Being female carries a higher propensity for developing spider veins.
“Often, a mother or father or someone in the family had these superficial skin veins,” explains Dr. Ramdev. “In addition to the role genetics can play, they can be prevalent in people who are on their feet a lot, such as nurses, hairstylists and teachers, which can cause pooling of the blood and more veins on the skin surface.”
Oftentimes, a patient comes in thinking they have varicose veins, but in reality, they are spider veins. On the opposite end of that, another patient may describe pain or discomfort in their leg. That issue is likely related to varicose veins.

Disappearing Act

Spider veins are typically treated with sclerosing injections to gently close the problematic vessels.
“Jill underwent classic sclerotherapy, a sterile technique utilizing a hypertonic saline solution that is injected into the area of the vein,” Dr. Ramdev explains. “What is seen at the skin’s surface is often just a superficial vein, but those veins at the skin’s surface are frequently fed by a deeper vein. Many times, we will use a vein light that helps to highlight those deeper, feeding veins. If we can inject into that feeding vein, we can thereby eliminate the spider veins at the skin’s surface.”

Photos by Nerissa Johnson.

Jill is proud to show off her legs!

Sclerotherapy is typically a one-hour, in-office treatment and is performed on an as-needed basis. The skilled physician says the procedure is well-tolerated by patients.
“Sclerotherapy utilizes a very small, almost microscopic needle,” Dr. Ramdev informs. “These are thinner than acupuncture needles. Patients come in, have the treatment and are back on their feet and back to work the same day. Patients are advised to stay out of the sun for a few days afterward.
“Jill did very well with the procedure and was already familiar with it, so she knew what to expect.”
Although women have traditionally been the gender most likely to seek treatment for spider veins, Dr. Ramdev has witnessed an increase in the number of men seeking treatment.
“More men are getting their spider and varicose veins treated these days than I had seen in the past,” he explains. “We used to see almost exclusively women for treatment of spider veins.
“I think men have become more conscious about their appearance, especially in Florida. They want to be wearing shorts most of the time if they’re outdoor people.”
Jill is pleased with how her legs look now and says she is comforted in knowing who to turn to for spider vein treatment.
“Dr. Ramdev is wonderful, and I am very happy with his staff, including Adele. She does wonderful work. She is the one who did the actual injections. Adele made the procedure painless and just did a phenomenal job. My legs look great!
“I can say, without hesitation, that I am very glad I was referred to
Dr. Ramdev.”

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