Norman Chideckel MD Vein Center
212-993-6133

Welcome to the Vascular Surgery and Vein Center

Welcome to the Vascular Surgery and Vein Center, a comprehensive vascular practice providing state-of-the-art care to patients throughout the tri-state area. Under the direction of board-certified surgeon Dr. Norman Chideckel, we utilize our advanced skills and many years of experience to help patients achieve clear, beautiful and healthy legs.

With our convenient Manhattan location, Dr. Chideckel offers patients a wide range of services to treat varicose and spider veins, deep vein thrombosis, and other vascular conditions, including:

Dedicated to helping patients achieve their desired results through the most effective and minimally invasive treatments available, Dr. Chideckel and his staff take the time to talk with each individual patient and address any concerns or questions they may have before undergoing treatment. Your comfort and satisfaction are among our top priorities.

To learn more about the services provided by Dr. Chideckel, please contact us to schedule an appointment. We always welcome new patients and look forward to meeting you.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016

Call us today at 212-993-6133 to schedule an appointment.

We now offer Telemedicine sessions.  Please call us for more information or to schedule a Telemedicine appointment.


See Our Main Website At www.VeinsDoc.com
Blog Posts Are Below:


When Is Vein Removal Necessary?

When is vein removal required to treat a venous condition? Many people struggling with varicose veins complain about the discomfort and pain they experience. The aching and cramping occur in the legs (where the veins normally emerge). A few other symptoms that many people with spider and varicose veins experience are as follows:

  • Burning sensation
  • Throbbing
  • Heaviness in legs
  • Tiredness
  • Restlessness (often due to pain in the legs)
  • Tingling

Moreover, another common symptom that many people with damaged veins observe is they feel relieved once they elevate their legs. Many of them experience pain relief due to support hose and support stockings.

Vein Removal Specialist NYC
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In women, the damaged veins’ condition can worsen due to their menstrual periods and pregnancy. Ulcers and swelling around the damaged vein area are also common symptoms. All in all, damaged veins can pose significant health risks and deteriorate the circulatory system leading to other health conditions.

What Are Spider Veins?

Spider veins are tiny damaged veins that may appear as blue, red, or purple in color. People often go for cosmetic vein treatments to get rid of the unpleasant appearance of web-like and sunburst emergence of small veins on their skins.

Commonly, spider veins occur on the face or legs but can appear on other parts of the body as well.

What Are Varicose Veins?

Varicose veins are dissimilar to spider veins in terms of enlargement, swelling, and the twisted patterns they form. Moreover, they may also appear as dark blue, purple, or green on the skin. They occur when the valves in the veins are no longer able to function adequately. It leads to the accumulation and pooling of blood trying to flow in the correct direction.

According to data, on average, one in every 4 US adults develops varicose veins. Furthermore, nearly 23 percent of adults might also experience varicose veins at some point in their lifetime.

What Causes Varicose and Spider Veins?

There are some possible factors that make you prone to varicose and spider veins. Some of them include:

  • Hereditary diseases
  • Obesity
  • Birth control pills usage
  • Hormonal stress due to menopause, puberty, and pregnancy
  • Hormonal Replacement (postmenopausal)
  • Extended standing
  • Trauma to the skin
  • Injury or physical damage to the skin
  • Blood clot health condition history
  • Increase in abdominal pressure due to conditions like constipation
  • Extra-tight garments and clothing around the body parts

What Are the Risk Factors for Varicose and Spider Veins?

Experts suggest certain factors increase the risk of varicose and spider veins in the body. Below are some of those risk factors:

  • Pregnancy
  • Genetics (data)
  • Old age (veins weaken)
  • Hormonal influence and pressure
  • Prolonged standing or sitting (even as an occupational activity)
  • Being female (data)
  • History of blood clots or similar conditions
  • Overweight and obesity

When Does A Vein Need To Be Removed?

Normally, when people see varicose or spider veins on their skin, they use home treatments. Home remedies are not at all invasive and promote better health. However, there is little evidence of how home treatments can help make the varicose veins disappear or fade away.

Here are some of the home treatment options that may help to remove damaged veins in the body:

  • Compression hoses or stockings
  • Exercise
  • Weight control
  • Diet planning
  • Elevating legs when there is a chance

Regardless, if the pain and other discomforting symptoms do exist or you want to get rid of the appearance of the damaged veins, removal and closure surgeries are some options.

Vein Removal: Treatments and Surgical Procedures

Treatments and surgical procedures for damaged veins can help to restore function and enable healthy blood flow by closing, sealing, or completely removing them.

Moreover, the surgical procedures range from minimal to moderate invasion into the body. Here are some of the treatment methods that vascular surgeons use for damaged vein treatment.

When is vein removal necessary?
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Surgery

Varicose veins are larger and swollen veins that do not fade easily or may take time before they disappear after non-invasive procedures. Therefore, you can choose to go for the ligation and stripping procedure.

The vascular surgeon uses numbing agents on the affected area and then removes the varicose veins from the damaged blood vessel network. They may tie the ends and remove only the damaged part of a vein. In addition, you might require stitches in the end.

Non-Invasive Procedures

Your surgeon does not need to shift you to the Operation Theater for these non-invasive procedures. They can easily take place in a general doctor’s clinic or lab.

  • External Laser Therapy: to close and seal off small veins that are present near the surface of the skin using laser.
  • Sclerotherapy: to damage the inside of the vein, which creates scar tissue leading to the closure of the vein.
  • Laser Ablation Therapy: involves passing radiation beam through a small fiber wire to heat the veins without making incisions. The vein experiences damage that leads to the closure of the skin.

Vein Removal: Conclusion

Do you want to treat your damaged vein to alleviate pain or improve your aesthetic condition through the most effective treatment? The Vascular Surgery & Vein Center can provide you with the best treatments and care.

Dr. Norman Chideckel, MD, is a highly experienced vascular surgeon will consult with you about your venous condition and suggest the best vein removal options. Give us a call at 212-993-6133 to schedule a meeting today.

Visit our official website to learn more.

Vascular Surgeons Training

What is involved with vascular surgeons training? Many common diseases can affect our vascular system, creating a doorway to other health risks. It is important for an individual to receive immediate treatment if they notice an issue in their vascular system. Some cases involve different types of treatments that may even require major surgery.

That’s where vascular surgeons come in; they can regulate your circulatory system through surgery. Vascular surgeries are very complicated, and medical professionals must acquire a specific set of skills before they can become vascular doctors. If you want to learn more about vascular surgeons and how they attain training, read further below.

Vascular Surgeons Training
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Vascular Surgeons Training

Vascular surgeons are highly trained doctors specializing in treating diseases related to the vascular system. The veins in your body play a major role in affecting the functions of your heart as your arteries carry oxygen-rich blood and veins carry blood back to the heart. For healthy circulatory system functions, your veins need to be working properly. If there is any issue, vascular surgeons can help treat it. Your body requires a smooth flow of blood to function properly, and this is why conditions such as varicose veins require immediate effective treatment.

It is not easy becoming a vascular surgeon as you need to attain various qualifications and undergo rigorous training. Usually, this can take a few years for the average medical student. Nevertheless, passionate students show dedication and perseverance. Below, you will learn about the steps involved in training vascular surgeons.

Training Steps for Becoming a Vascular Surgeon

Training for vascular surgeons can be quite lengthy, and there is a lot that goes into it. If you plan to become a vascular surgeon in the future, the steps mentioned below will give you a slight idea of what you’re getting into and what you will have to do to get there on a professional scale.

How to Start Preparing to Become a Vascular Surgeon

Students get an opportunity to decide which field they want to pursue medical expertise in, as they have many opportunities. Pre-medical students can explore the domain of vascular surgery if that’s what they want to get into. Usually, these students are in their first and second year of studies, and they will have to go take up an elective offered by the Department of Surgery every fall quarter.

This elective comprises an introduction to Vascular and Cardiovascular Interventions, which gives students a faint idea of what vascular surgery is. There are the same students who get the opportunity to take part in a few vascular surgeries in the operating room or in separate clinics.

The vascular surgery faculties at different universities in the US are very excited and devoted to mentoring students interested in this specific program. They also mentor students through summer RAPtr programs. The best time for students to enroll is during the summer between the first and second years of medical school. Students are also encouraged to work with clinical research projects while also doing their pre-clinical coursework.

The Training Variations in Becoming a Vascular Surgeon

To become a vascular surgeon, you have to go through two training pathways: the traditional pathway and the integrated pathway.

Vascular Surgeons - What type of training?
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The Traditional Pathway

The traditional pathway, also known as the “5+2,” consists of a general surgery residency that includes five years of clinical training, and you also have the option for research time. The completion of this is followed by the vascular surgery fellowship, which lasts for two years. In total, you receive seven years of training after graduating from medical school.

Once you complete this route of training, you are eligible for board certification in both vascular and general surgery. This is important if you want to practice privately and want to take part in both vascular and general surgery. It is not easy to attain this certification as it involves years of hard work, dedication, and experience.

The Integrated Pathway

The integrated pathway, also known as the “0+5” fellowship, includes directly jumping into the vascular surgery residency program after medical school. The curriculum for this differs in every institution, but they typically include training in general surgery for 24 months, followed by vascular surgery training for 36 months.  It takes about five years to complete this program, depending on the mandatory and optional choices.

Both these pathways have been accredited by the ACGME, but the integrated pathway is not that old as it started in 2006. Consequently, you will find only a handful of students studying in this residency program.

Vascular Surgeons Training: Takeaway

Now that you’re aware of the training vascular surgeons receive, you must make sure to study and understand the level of commitment required before choosing which specific pathway to take. 

For vascular surgery services, contact Dr. Norman Chideckel. Dr. Chideckel is one of the top vascular surgeons in New York. Call today for an immediate appointment.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016
212-993-6133

When is Ambulatory Phlebectomy The Best Option To Treat Veins?

What is ambulatory phlebectomy and when is it the best option to treat veins? When you develop bulging veins in your feet or other parts of the body, a vascular surgeon may suggest an ambulatory phlebectomy to remove the vein. This procedure is not invasive, and the surgeon will perform it in their office. In this treatment, you do not have to worry about recovery time and general anesthesia because of its non-invasive nature. As the surgeon will only make tiny cuts in the area, they will inject local anesthesia. They will use a hook-type instrument to hold the damaged vein and pull it out.

Ambulatory Phlebectomy The Best Option To Treat Veins
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Your vascular surgeon might also recommend surgeries such as sclerotherapy or endovenous laser ablation. However, these alternatives will take a lot of time in contrast to ambulatory phlebectomy for vein removal. You do not have to wait for tissues to absorb the vein or undergo surgery numerous times for the best results. In this technique, the surgeon will immediately remove the problematic veins from your body.

Diagnosis of Ambulatory Phlebectomy

On your first visit to the surgeon, they will diagnose your condition by tracing the veins with their fingers. They will check the depth of the veins and if there is blood clotting or not. After that, they will identify the main reason behind the venous disorder. For an accurate diagnosis, a vascular surgeon uses an ultrasound machine to visualize the varicose veins.

Procedure for Ambulatory Phlebectomy

As the procedure does not require emergency rooms, the surgeon can perform the treatment in their office. Though in severe conditions, they might admit you before your procedure and diagnose the conditions and complications. You can ask the surgeon if they will admit you or perform the surgery in their office.

The surgeon will start by injecting local anesthesia around the varicose vein so you won’t feel any pain during incisions. You might feel a brief burn or sting in the area. As you won’t feel the pain during the procedure due to numbness, you will be awake the entire time.

After injecting anesthesia into your skin, the surgeon will clean the skin above varicose veins. Then, they will make small incisions, tracing the vein. After making incisions, they will remove the vein by pulling it out of the cut. To grab the damaged vein, they will use a hook-shaped tool. The surgery will last between 30 minutes and one hour.

Common Facts about Ambulatory Phlebectomy

Ambulatory phlebectomy is the first-choice treatment for many people who want to eliminate varicose veins and avoid further complications. Below, you will find some facts about ambulatory phlebectomy that you should know before undergoing the procedure:

1.    Perfect for Varicose Veins

Ambulatory phlebectomy is the ideal treatment for bulging varicose veins. When the vein is close to the skin, it’s easier for the surgeon to remove the vein completely while performing the procedure. This way, you do not have to make frequent visits.

2.    Minimally Invasive

In this procedure, the surgeon will only cut three mm on your skin, making this treatment minimally invasive. Moreover, you will receive local anesthesia before the procedure, so you won’t feel any pain. Most of the time, the surgeon performs the procedure in their office.

3.    Quick Recovery

You can immediately go home after the procedure. Although you may experience some pain afterward, the doctor will prescribe painkillers to cope with it. Bruises and swelling around the area are also post-procedure symptoms. Your surgeon will suggest compression stockings to help with the recovery process. In most conditions, patients can return to their regular activities after the surgery.

4.    Fewer Complications

Similar to any other surgical procedure, ambulatory phlebectomy also includes few risks. Although these complications do not carry many risks, you might develop an allergic reaction due to local anesthesia. At the same time, there are risks for developing an infection, bruising, or inflammation. That is why you need to consult with an experienced and professional vascular surgeon. If you experience complications after the treatment, consult with a doctor immediately.

Ambulatory Phlebectomy Treat Veins
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5.    Different Treatment Options

Clearly, ambulatory phlebectomy is a popular treatment, but other options for removing the abnormal veins are available as well. Your surgeon might also recommend sclerotherapy, endovenous laser treatment, or transdermal laser treatment. Before deciding upon a suitable treatment process, the surgeon will perform a diagnosis and find the best treatment option.

It is likely that your doctor may suggest conservative treatments that you can perform at home. These treatments include compression stockings, leg elevation, and weight loss. However, these are only for when your condition is not as severe.

What is Ambulatory Phlebectomy: Conclusion

Dr. Norman Chideckel has many years of experience performing ambulatory phlebectomy to treat veins. You can visit him and his team at the Vascular Surgery and Vein Center for a consultation in New York City. Contact us to set-up an appointment for your venous condition. Our clinic’s expert surgeons will observe the severity of the damaged vein and recommend the best treatment.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016
212-993-6133

Dr. Norman Chideckel: Vascular & Venous Procedures

What are the main vascular & venous procedures used to treat vascular disease? Our body contains an extensive network of blood vessels that make up the circulatory system. They are responsible for the effective and healthy blood flow insider our body to perform internal and peripheral functions.

Our blood vessels network comprises:

  • Arteries- that carry blood from our heart to the other parts of our body
  • Veins- that carry blood from our different parts of the body back to the heart

Vascular & Venous Procedures
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What Are Vascular and Venous Diseases?

Vascular diseases and conditions comprise the health problems that affect our circulatory system. Overall, vascular and venous diseases affect our blood vessels (i.e., veins and arteries) that lead to ineffective and unhealthy blood flow conditions.

Consequently, such diseases pose a significant threat to our overall health and may even lead to severe health problems. Here are a few types of vascular and venous diseases:

  • Atherosclerosis – it is a condition in which plaque builds up insider your arteries that comprises calcium, fat, cholesterol, and some other substances. Generally, this creates a blockage, disrupting the blood flow and damaging the vein structure.
  • Raynaud’s Disease – it causes the blood vessels to become narrow when you are under stress or feeling cold.
  • Varicose Veins – these are large, twisted, swollen, and colored veins that appear on the skin (usually the backside of the legs).
  • Aneurysm – it is the bulging of the wall of an artery (or arteries).
  • Coronary Arterial Diseases
  • Carotid Artery Disease
  • Blood Clots
  • Deep vein Thrombosis
  • Pulmonary Embolism
  • Vasculitis – blood vessels inflammation
  • Stroke

When Might a Surgery Be Necessary?

Surgeries are critical once the blood clots or the pooling of blood creates disruption in the circulatory system. The condition is progressive, which means that it can lead to severe symptoms over time.

They might include occasional discomfort around the skin area, pain, aching, tingling, etc. Aside from that, there may be a need for surgical procedures to take place once your vascular surgeon suggests that the condition may be moving towards severity.

Vascular & Venous Procedures: Non-Invasive Surgical Procedures

Angioplasty

During angioplasty, your vascular surgeon will insert a catheter tube that will carry a small wire holding deflated balloon. Once the wire reaches the narrowest point of the vein, the balloon will inflate to stretch and expand the vein.

Similar to angioplasty, during stenting, a vascular surgeon uses a small cylindrical cage that expands along with the balloon to keep the vein open.

Sclerotherapy

Sclerotherapy is the injection of chemicals that are highly concentrated salt solutions. Once they enter the damaged veins, they form a foam-like or liquid solution that helps to seal off the enlarged, swollen, and twisted veins. Eventually, the damaged veins collapse, and within a few weeks of time, they disappear.

Catheter Thrombolytic Therapy

Thrombolytic therapy involves delivering clot-dissolving substances and medications to the part of a damaged vein where the blood clot exists. Your vascular surgeon might use a catheter to deliver the clot-dissolving medication.

Endovenous Laser Ablation Therapy

It involves the use of radio waves (high frequency) or laser to close the damaged veins by heating to form scar tissue.

Percutaneous Vena Cava Filters

Percutaneous Vena Cava Filters is a treatment option most suitable for people that are intolerant to or cannot take blood-thinning medication (anticoagulant).

Vascular & Venous Procedures: Surgical Treatments (Invasive Surgeries)

Ligation/Stripping

Ligation/stripping is a combination of two separate procedures that deliver effective results in most cases. It is the use of surgical instruments to mark precise incisions or cuts on the skin area with the damaged veins.

Your vascular surgeon may utilize several different approaches. However, they may tie the ends and remove the damaged part of the vein entirely.

Vascular & Venous Procedures Treatment Options
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Subfascial Endoscopic Perforator Surgery (SEPS)

SEPS is a minimally invasive surgical procedure to treat chronic venous diseases and conditions, such as ulcers. Ulcers may appear due to deep vein thrombosis and, often, due to chronic venous insufficiency. In these conditions, perforating veins disrupt the blood flow between the superficial and deep veins (usually above the ankles).

During the procedure, your vascular surgeon may use a balloon to separate the damaged vein from surrounding tissues. Consequently, your vascular surgeon may dissect the damaged veins to enable healing of the ulcers.

Bypass Operation

In simple words, bypass is the use of surgical methods to create alternate pathways for the blood to flow away from the damaged and blocked blood vessels. This rerouting procedure for the blood flow involves blood vessel grafting.

The graft may be from another healthy vein or vessel in your body or a synthetic tube that replaces the damaged part of the blocked vein. In addition, the vascular surgeon will remove the damaged segment of the dissected part. Conclusively, the new segment will enable a healthy blood flow and may help to prevent any blockages in the long run.

Vascular & Venous Procedures: Conclusion

Do you want to discuss treatment options for venous & vascular disease with one of the best vascular surgeons in NYC? Dr. Norman Chideckel, MD at The Vascular Surgery & Vein Center is among the most qualified expert vascular surgeons.

Give us a call at 212-993-6133 to get help for your vascular & venous diseases. Visit our official website to learn more.

 


Reference Links

https://nyulangone.org/conditions/chronic-venous-insufficiency-in-adults/treatments/minimally-invasive-procedures-for-chronic-venous-insufficiency
https://www.vascularsociety.org.uk/patients/procedures/11/endovenous_ablation
https://www.urmc.rochester.edu/surgery/specialties/division-of-vascular-surgery/vein-center/treatments.aspx
https://www.webmd.com/heart-disease/vascular-disease
https://my.clevelandclinic.org/health/diseases/17604-vascular-disease

Top Hospitals in NYC for Vascular Surgery

What are some of the top hospitals in NYC for vascular surgery? Vascular surgery is becoming more and more common as Americans suffer from different vascular issues because of veins and arteries. Vascular surgery is essential when individuals suffer from a major disease in their vascular system, which affects the arteries and veins. Before things can get complicated, you need to receive effective treatment. Vascular surgeons can provide such treatment, and it’s available in many hospitals.

Some surgeons practice at private clinics as well. You will come across many, but you need to make sure you’re choosing the right one in NYC. Without proper consultation from a vascular surgeon, you can’t proceed with safe treatment for your vascular system. This makes it very important. Read further below to learn how you can choose the best hospital for vascular surgery in New York.

Top Hospitals in NYC for Vascular Surgery
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How to Choose the Best Vascular Surgeon in NYC

You will come across many hospitals and clinics in New York with big teams of vascular surgeons. Some surgeons also practice independently in their clinics. Vascular surgery is a complicated procedure, so you want to be sure you’re choosing the right team and doctor to treat your issue. To help you make the right choice, mentioned below are a few things you should keep in mind when choosing a hospital or doctor for vascular surgery:

The Level of Experience

You will come across many trained and professional vascular surgeons, but what matters is the level of experience they have in performing surgeries in this specific field.  There are many ways to treat vascular issues, such as varicose veins and many more, and you would want the best possible treatment options.

For this, you need to seek guidance from a vascular surgeon who has adequate experience. Doing so means you don’t have to worry about getting the wrong treatment. When your preferred surgeon has the proper experience, you can rest assured that the surgeon is well aware of what they have to do during the procedure.

Education/Certification

When choosing a vascular surgeon, another thing you must keep in mind in mind is the surgeon’s certification and accreditation. This tells you about his years of dedication and service in this field. You can rest assured that you’re getting quality care from professionals who will offer high-quality care. You can call and check with the hospital or clinic to see if all of the doctors have a certification from the American Board of Surgery. This is proof that they have received proper education and training. There are many other credited boards you can check from.

Treatment Options Available

When getting treated for vascular issues, especially varicose veins, there are many stages in the treatment to ensure its efficacy. Check with the hospital to see if they offer the procedure option you require. You must also check if they provide customized treatment options according to your medical need.

Then, you should consider if the hospital you’re considering offers the latest, advanced treatments.  Hence, the hospital that you chooe must staff doctors who stay updated with the latest vascular surgery trends in order, so you receive the best treatment.

Best Hospitals in NYC for Vascular Surgery
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Check for Reviews and References

If you know of a family member or friend who has recently been to a vascular surgeon for their treatment, ask them to refer the best ones. Or, you can also check the hospital’s online reviews. Many vascular surgeons provide references to their former patients who have received treatment for their veins.

This is a very important thing to consider. It is best to always look for recommendations by listening to other people’s experiences with a certain hospital or doctor before you make a decision on your own.

Level of Comfort

You can always visit the hospital or clinic before you go through any vascular treatments. By visiting the hospital, you can check to see if you’re comfortable with seeking treatment from a specific institution.  The environment plays a major role, as well as the attitude of the doctors and other staff. If you experience a comfortable environment, you can select that particular hospital.

Major Hospitals in NYC for Vascular Surgery

  1. NYU Langone
  2. Weil Cornell
  3. Mount Sinai
  4. Columbia Presbyterian Medical Center
  5. New York Presbyterian

Hospitals in NYC for Vascular Surgery: Final Thoughts

If you want to receive the best vascular surgery in NYC, consult Dr. Norman Chideckel, MD, an award winning board certified vascular surgeon. Visit Dr. Chideckel’s website here to book an appointment and consultation.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016
212-993-6133

Dr. Norman Chideckel: Vascular Surgeons

What are vascular surgeons and what are the typical procedures performed by them? Vascular diseases relate to the blood vessels in our body that make up the circulatory system responsible for the effective and healthy flow of blood. Diseases affecting veins or arteries that also affect the healthy blood circulation in our body fall under the classification of vascular and/or venous disease.

Dr. Norman Chideckel | Vascular Surgeons
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For instance, an obstruction such as the hardening of the arteries can lead to blockages in the blood flow, which can result in serious health problems. Vascular surgeons learn and train in the specialties that deal with vascular and venous diseases. Moreover, your primary healthcare provider might suggest you see a vascular surgeon when they detect a health problem exhibiting symptoms of vascular diseases. They include leg pain due to potential arterial diseases, etc.

Keep in mind that people with unhealthy blood flow in their bodies due to high blood pressure, cholesterol, obesity, diabetes, etc., can also consult vascular specialists.

What are Vascular Surgeons and Their Services?

Vascular surgeons detect, diagnose, treat, and manage vascular and venous diseases in their patients. These diseases pose a grave threat to overall health as they affect the blood flow, which can lead to potential dysfunction of the human body.

They provide treatment and medication for all major and minor arteries and veins (i.e., the blood vessel network) inside the body. They can perform surgeries to help relieve pain in their patients. Other than that, they also specialize in providing the best course of medications and advice to help their patients alleviate and treat the symptoms of vascular diseases.

They may suggest exercise, diet, weight management, medication, and various lifestyle changes. Their procedures involve invasive as well as non-invasive surgeries that are complex yet successful in most cases. However, vascular surgeons don’t treat diseases related to the brain and heart, which require other specialists.

Qualification and Training of Vascular Surgeons

After medical school and successfully completing their medical residency, those who want to be vascular surgeons undergo additional specialized training for five or seven years.

What’s more, they train in both invasive and non-invasive surgeries, including traditional vascular surgeries. They take an exam that allows the board specialists and experts to measure their expertise and knowledge. Finally, they become board-certified to diagnose and treat vascular and venous diseases.

What Do Vascular Surgeons Treat?

Vascular diseases include a long list of conditions and blood vessel disorders that can deteriorate the overall health and lifestyle of patients. However, here are some of those conditions and vascular diseases that vascular surgeons treat using different methods, including surgeries and medication.

A Range of Circulatory Conditions:

  • Buerger’s Diseases
  • Raynaud’s phenomenon
  • Critical Limb Ischaemia
  • Abdominal Aortic Aneurysm
  • Renovascular Hypertension
  • Vascular Malformation
  • Carotid Artery Disease
  • Peripheral Vascular Disease
  • Varicose Veins
  • Deep Vein Thrombosis

Other Conditions They Treat:

Ulcers (Leg)

Leg ulcers often require surgical procedures, and vascular surgeons have the training to perform these surgeries. Leg ulcers usually develop infections due to poor blood supply.

Aneurysms

Aneurysms involve the inflammation and the bulging of arteries inside the body, usually around the lower part of the body. Often, these bugled arteries can burst and, therefore, require special treatment and care.

Venous Disease

Venous diseases involve treating abnormal veins (responsible for carrying blood back to the heart) formation and/or function, such as varicose veins. However, vascular surgeons can repair and operate the affected area to remove these bulged veins.

What Procedures Do Vascular Surgeons Perform?

Bypass Operation

A surgical bypass is necessary when irreversible narrowing or blockage occurs to a vein. The procedure involves the attachment of new segments of veins or arteries to the original one (i.e., from other vessels) on either side. Hence, post-procedure, the original vessel literally bypasses any previous blockage around it.

Dr. Norman Chideckel | Top Vascular Surgeons NYC
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Angioplasty

Angioplasty involves inserting a wire into the blocked or narrowed vessel. The wire generally carries a small deflated balloon into the vessel that inflates when the wire reaches the blockage or narrowing point.

Consequently, the narrowed or blocked blood vessel opens up and results in a healthy blood flow post-procedure.

Embolectomy

Embolectomy is a surgical procedure that involves the removal of a blood clot from an artery or a vein.

Stenting

Stenting is similar to angioplasty, except it involves a small cylindrical cage in which the small deflated balloon is present. As the wire passes through the blocked or narrowed blood vessel, the balloon inflates at the maximal narrowing point.

Unlike angioplasty, when the balloon inflates, it also expands the cylindrical cage, which keeping the blood vessel open post-procedure when the vascular surgeon withdraws the fine wire.

When Should You See a Vascular Surgeon?

Most of the time, your primary healthcare provider might be able to use suitable medication and treatment methods to help you with any health condition. However, upon detection and appearance of symptoms of diseases, such as vascular aneurysms, etc., your primary healthcare provider might refer you to a vascular surgeon.

Vascular Surgeons: Conclusion

Only an experienced and expert vascular surgeon can help you effectively manage the symptoms and treat your vascular disease. Consult Dr. Norman Chideckel, at the Vascular Surgery & Vein Center to reduce the chances of permanent disability and damage to your overall health.

Give us a call today at 212-993-6133 to schedule a meeting with our expert. Visit our official website for more info and pay us a personal visit at 161 Madison Avenue Suite 9SE New York, NY 10016.

 


Reference & Related Links:

https://www.metrohealth.org/vascular-surgery/what-is-a-vascular-surgeon
https://www.rcseng.ac.uk/news-and-events/media-centre/media-background-briefings-and-statistics/vascular-surgery/
https://www.healthgrades.com/right-care/vascular-conditions/vascular-surgeon-your-vein-surgery-specialist
https://www.mayoclinic.org/departments-centers/vascular-and-endovascular-surgery/overview/ovc-20458819
https://www.healthgrades.com/right-care/vascular-conditions/vascular-surgery
https://vascular.org/news-advocacy/why-do-you-need-see-vascular-surgeon
https://www.webmd.com/a-to-z-guides/what-is-vascular-surgeon

 

Norman Chideckel MD: Cosmetic Vein Treatments

Cosmetic vein treatments involve the closure or even the complete surgical removal of bulging veins that usually appear on the most visible parts of the thighs, legs, or even face. Various vein abnormalities like varicose veins, spider veins, and other vascular diseases can affect your physical appearance. For that reason, people tend to seek cosmetic vein treatments.

Many people don’t like the appearance and the unnatural look of purple (or other colored) and/or bulging veins. Besides, such vascular diseases and conditions can pose some health threats.

Therefore, we will take a look at the most common cosmetic vein treatments that will help you improve your appearance and potentially lower the health risks.

What Are Spider Veins and Varicose Veins?

Spider Veins

As the name suggests, these veins look like a spider web. However, these are smaller in comparison to varicose veins. You may find blue or red spider veins on the skin that appear like a spider web or sunburst.

Varicose Veins

Varicose veins are large and twisted veins that can appear anywhere on the body but generally occur near the visible and backside of the legs. They are not uncomfortable or a serious medical condition. However, people may face occasional embarrassment due to the appearance of large varicose veins.

Endovenous Laser Ablation

Endovenous laser ablation is a laser surgery that involves the closure and reduction of the varicose veins in the body. It is a non-invasive surgical procedure that effectively treats bulging veins on thighs and/or calves. Your surgeon closes the varicose veins with the use of a laser device that emits thin radiation beams.

Cosmetic Vein Treatments - Endovenous Laser Ablation
(Source)

The laser device radiates thin heat beams that help shrink the varicose veins. Eventually, scar tissue forms that help in sealing the bulging vein.

Procedure

The procedure does not require an operation theater and may even take place in your primary healthcare provider’s office. Moreover, it is neither lengthy nor does it require you to stay hospitalized post-procedure. In fact, you can go home the same day of treatment and carry out routine tasks while following your surgeon’s precise instructions.

Apart from that, vascular surgeons suggest that the patient wear loose clothes post-procedure. The procedure usually takes an hour or a time duration close to an hour.

Here is the process of the endovenous laser varicose surgery:

  • You change into hospital clothes and wear special goggles to protect your eyes from the laser light.
  • The vascular surgeon will provide a numbing agent to the location of the varicose veins under treatment. Consequently, the vascular surgeon will produce an ultrasound image using a Doppler Ultrasound device.
  • Next, the vascular surgeon will make a precise incision suitable enough to insert the catheter. Further, they will provide a numbing agent to the length of the varicose vein. The catheter will contain a laser fiber that will heat up the vein. Subsequently, the vein will heat up and start to shrink, which will lead to its closure.
  • Finally, without the need for stitches, your vascular surgeon will ensure the placement of a bandage near the incision site.

Outlook (Post-Procedure)

After the procedure, you will have to follow bathing instructions and certain activities you should avoid. Moreover, you will have to wear stockings for at least two weeks. Normally, you may be able to carry on with your normal tasks and routines.

Sclerotherapy

Sclerotherapy is a minimally invasive surgical procedure to treat spider and varicose veins. In sclerotherapy, your vascular surgeon will inject chemicals (sclerosing agents) into your damaged veins.

While spider veins are small and discomforting, varicose veins cause pain, cramps, and itching. In 2017, around 300,000 sclerotherapy surgical procedures took place in the United States. Moreover, research shows that nearly 20 percent of adults might experience varicose veins in their life at some point.

Cosmetic Vein Treatments | Sclerotherapy
(Source)

Procedure

The procedure will take somewhere between 15 minutes to an hour, depending on the severity. You might have to elevate your legs and lay face forward.

The procedure begins when your vascular surgeon cleans the skin area where the damaged veins are. Using a sharp needle, they will insert a sclerosing agent into the vein that will cause foam or liquid solution to seal it. Consequently, the blood flow redirects towards healthy veins, and the body absorbs the damaged vein over time.

Outlook

Smaller veins might be easy to treat, while larger and bulging veins may require multiple treatments. The results might be visible within a few weeks. However, with larger varicose veins, the results might appear after several months.

Despite the results’ visibility, over 80 percent of sclerotherapy patients in a study reported lower pain and discomfort.

Cosmetic Vein Treatments: Conclusion

If you are looking to get rid of the uncomfortable and bulging veins on your legs, thighs, face, or anywhere in the body, we’re here to help. At the Vascular Surgery & Vein Center, Dr. Norman Chideckel serves as a highly experienced and expert vascular surgeon and doctor.

Give us a call at 212-993-6133 to set a consultation meeting today. Visit our official website to gather more info.

 


References & Related Links:

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/endovenous-laser-varicose-vein-surgery
https://www.hopkinsmedicine.org/health/conditions-and-diseases/varicose-veins
https://www.sciencedirect.com/topics/materials-science/laser-ablation
https://www.webmd.com/skin-problems-and-treatments/surgery-for-varicose-veins
https://www.healthlinkbc.ca/health-topics/tn10097
https://www.webmd.com/skin-problems-and-treatments/cosmetic-procedures-sclerotherapy
https://www.medicalnewstoday.com/articles/320282#risks-of-sclerotherapy
https://www.healthline.com/health/venous-insufficiency#prevention
https://www.healthline.com/health/varicose-veins

Signs of a Competent Surgeon

What are the signs and qualifications of a competent surgeon? The journey of a surgeon begins with a bachelor’s degree from a credible university. They can also receive their bachelor’s degree from a pre-medical program. Getting into a medical school can be tough due to the high competition. To maintain the credibility of their college, the medical schools seek applicants with a high-grade point average. These students must also have a high score in the MCAT or Medical College Admission Test.

Signs of a competent surgeon
(Source)

Students have to go through a four years intense course, including lectures and laboratory. This course also includes a supervised clinical practice. After completing their medical school, a student willing to pursue their career as a surgeon should complete their residency training. The residency training will involve specialty courses. For instance, after completing their general education of five years, an aspiring surgeon chooses the residency in vascular surgery. That is if they want to treat vascular conditions. The residency usually requires six years of courses.

1.     Academic Skills

A competent surgeon should have superior academic ability. Science subjects are compulsory to become a surgeon. To become a general surgeon, they should study for four years in a medical college. They will continue their training with five years of residency in a desired specialized subject. A physician can become a surgeon after taking one to four years of residency. Surgeons should maintain their consistency and interest in the residency subject for years.

2.     Other Mental Characteristics

During their residency, the surgeon develops their skills to multitask. For instance, surgeons should concentrate on different technical and physical aspects of the operation. They must know how to watch the vital signs of patients while performing their surgery. A surgeon should have problem-solving capabilities as well. Especially when the condition becomes too dangerous and tough, they should maintain their focus and make effective decisions. For instance, when a patient unexpectedly starts bleeding, a surgeon knows the methods to stop it. Delays can cause life-threatening consequences.

3.     Physical Abilities

A surgeon has the stamina and strength to perform tasks during extensive hours. Their surgeries may extend due to various reasons. Therefore, they must have the ability to perform incisions without affecting the patients and need superior manual dexterity. They must also have a clear vision. Stitching and incision require close and proper vision and concentration.

4.     Communication Skills

The surgeon will also have great communication skills. They have the skills to accurately communicate with patients, record their histories, and answer their questions before or after the surgery. Explaining the instructions to the patient can be challenging.

Patients have little knowledge about the condition and the procedure. Therefore, a surgeon needs to be more comprehensive. Not only that, they should have the ability to instruct the procedure to the healthcare workers. Having teamwork skills will help them perform the surgery in a well-organized manner.

5.     Character Traits

Competent surgeons know how to tackle new challenges. Learning new technologies and skills is a must. Since the field of surgery is consistently adopting new technology, they should be aware of the latest methods and procedures. They also have leadership qualities and take responsibility for their patient’s outcomes.

It is important to stay cool and level-headed while performing surgery. Furthermore, they know how to empathize with their patients and their families. Their focus should be on helping the patients.

Things to look for in a competent surgeon
(Source)

6.     Leadership Qualities

Surgery includes a team of surgeons and caretakers. Major operations may also contain anesthesiologists, different surgeons, nurses, physician assistants, and others. There should be a leader for the lineup to keep them together and focused on achieving successful outcomes.

Having a qualified surgeon with leadership qualities in a team will ensure that everyone is on the same page. A surgeon with leadership qualities knows each individual in their team, their weaknesses and their strengths. Therefore, they can utilize each team member in the right place. They evaluate the situation, create a plan, and make their team follow the plan to achieve the desired results.

7.     Collaboration

Surgery might look like a solitary task, but it includes communication with various physicians and other healthcare professionals. You need to understand the importance of collaboration in the success of your surgery. Therefore, you need to effectively collaborate with the team before, during, and after the surgery. Other than collaborating with the healthcare workers, a surgeon should also keep their patients calm and comfortable.

How to Choose a Competent Surgeon

Usually, a doctor, after the diagnosis of your condition, will recommend a surgeon. However, you have a choice to select other surgeons by

  • Checking reviews on the internet
  • Visiting their clinic and discussing your problem
  • Talking to the previous patients of that surgeon, asking a friend to recommend you a surgeon

Signs of a Competent Surgeon: Conclusion

If you want to consult with a competent surgeon for your vascular condition, you can contact Dr. Norman Chideckel at 212-993-6133 at the Vascular Surgery and Vein Center, where you can discuss your venous problems.

As a highly qualified surgeon, Dr. Chideckel is capable of performing Sclerotherapy, Endovenous Laser Ablation, Venous Ultrasound, and other similar venous procedures.

Causes Of Spider Veins & Treatment Options

What are the causes of spider veins? Spider veins are damaged veins that may be a sign or symptom of an underlying medical condition pertaining to your circulatory system. The network of blood vessels in our body is enormous and includes arteries and veins.

Causes of spider veins
(Source)

While spider veins may pose health risks, some people get medical and surgical treatment for cosmetic reasons. This is because the spider veins affect the appearance of the skin, making people conscious.

What Are Spider Veins?

Spider veins may be red, blue, or even purple in appearance. They appear as a cluster of small veins that spread out like spider webs or branches. People may often refer to spider veins as thread veins.

What Are the Causes of Spider Veins?

Spider veins can appear on the legs when the valves inside the veins are unable to function properly. Veins are responsible for carrying the blood back to the heart. The valves are necessary to enable a one-way movement of the blood flow (i.e., towards the heart). In function, the valve closes as the blood passes through.

Once the valves inside the veins weaken or suffer damage, they may not be able to prevent the backward flow of blood. Eventually, the blood does not flow in the correct direction, creating a blood pool inside the vein.

This results in a bulge, which leads to the veins branching out in a spider-web or sunburst fashion. Spider veins can also occur when smaller veins burst inside the body. There are numerous causes and factors that can lead to the development of spider veins in the body:

  • Excessive standing (due to long working hours as a teacher, factory worker, nurse, etc.)
  • Overweight (obesity)
  • Postmenopausal Hormone replacement
  • Health conditions that increase abdominal pressure, including constipation
  • Tight garments around body parts
  • Heredity
  • Puberty, menopause, or pregnancy
  • Persistent blood clot conditions that may even be genetic
  • Birth control pills usage
  • Previous surgeries (vein surgeries)
  • Injury, trauma, or any physical damage to the skin
  • Excessive exposure to UV light

What Are the Risk Factors of Developing Spider Veins?

Here are some factors that doctors and vascular surgeons believe increase the risk of spider and varicose veins in people. They are as follows:

  • Pregnancy: Due to the additional weight of the fetus and increased blood flow, some women tend to experience extreme weight pressure when standing. This leads to severe pressure on the veins in their legs, and thus spider veins appear. However, generally, such veins disappear post-pregnancy but carry the risk of being permanent.
  • Gender factor: Females experience spider veins more than men
  • Old age: As people age, the valves inside their veins weaken. Further, the calf muscles, which act as support to the veins, also lose strength over time.
  • Genetics: People with a family history of spider veins are prone to developing spider veins.
  • Face pressure: It may be a result of forceful sneezing, coughing, or vomiting. Childbirth pain can result in excessive face pressure as well.
  • Overweight: Bodyweight plays a significant role in the pressure that your legs endure. Increased body weight would result in more pressure on the leg and the veins.
  • Previous vein damage: It can result in the weakening of the veins and valves.
  • Hormones: Estrogen in the body can weaken vein valves due to hormonal treatments of menopause or birth control.
  • Sunlight Exposure: Exposure to the sun can make the smaller veins burst or break, which ultimately leads to the emergence of spider veins on the skin.
  • Standing for Long periods: The veins in your legs experience intense exhaustion when you stand for long periods.

What Are the Treatment Options for Spider Veins?

Lifestyle Changes

Weight loss, healthy walking, and excellent skin hygiene can help in treating spider as well as varicose veins.

Sclerotherapy

In sclerotherapy, your vascular surgeon creates a small incision on the skin area with spider veins to administer the sclerosing agents. These chemicals form a foam or liquid solution that seals the vein.

Eventually, the body absorbs this damaged and dead vein while the blood redirects to other healthy veins for appropriate flow function.

Treatment and causes of spider veins
(Source)

Endovenous Laser Ablation Therapy

The surgeon inserts a small fiber wire into the damaged vein (usually larger varicose veins) to shrink them by heating through radiation. Subsequently, the walls collapse due to heating, and the veins shrink, which leads to the closure of the damaged vein.

Surgery

Surgical techniques include ligation and stripping, which means that your vascular surgeon will tie the ends and remove the damaged parts of the vein.

There are various other treatment options that your vascular surgeon may suggest after diagnostics and evaluation of your condition.

With the variety of treatment options, especially non-invasive surgical procedures, many people are getting cosmetic treatments. These help to minimize the appearance and the visual defect of the skin due to spider veins.

Causes of Spider Veins: Conclusion

Are you looking for the best vascular surgeon for your spider veins? Dr. Norman Chideckel, MD at the Vascular Surgery and Vein Center can help you with the treatment of spider and varicose veins.

Give us a call at 212-993-6133 to set an appointment with Dr. Chideckel today. Visit our official website to learn more about spider veins and the best treatment options.

 


References & Related Links:

https://www.medicalnewstoday.com/articles/324276#summary
https://www.webmd.com/skin-problems-and-treatments/cosmetic-procedures-spider-veins
https://www.onhealth.com/content/1/varicose_vein_treatment
https://www.aad.org/public/cosmetic/younger-looking/how-dermatologists-treat-leg-veins
https://www.mayoclinic.org/diseases-conditions/varicose-veins/symptoms-causes/syc-20350643
https://www.webmd.com/skin-problems-and-treatments/ss/slideshow-spider-varicose-veins#:~:text=Spider%20veins%20are%20small%2C%20twisted,from%20their%20striking%20spiderweb%20pattern.

Dr. Norman Chideckel: Cosmetic Vein Treatments

Cosmetic vein treatments involve the closure or even the complete surgical removal of bulging veins that usually appear on the most visible parts of the thighs, legs, or even face. Various vein abnormalities like varicose veins, spider veins, and other vascular diseases can affect your physical appearance. For that reason, people tend to seek cosmetic vein treatments.

Cosmetic Vein Treatments
(Source)

Many people don’t like the appearance and the unnatural look of purple (or other colored) and/or bulging veins. Besides, such vascular diseases and conditions can pose some health threats.

Therefore, we will take a look at the most common cosmetic vein treatments that will help you improve your appearance and potentially lower the health risks.

Cosmetic Vein Treatments

What Are Spider Veins and Varicose Veins?

·       Spider Veins

As the name suggests, these veins look like a spider web. However, these are smaller in comparison to varicose veins. You may find blue or red spider veins on the skin that appear like a spider web or sunburst.

·       Varicose Veins

Varicose veins are large and twisted veins that can appear anywhere on the body but generally occur near the visible and backside of the legs. They are not uncomfortable or a serious medical condition. However, people may face occasional embarrassment due to the appearance of large varicose veins.

Endovenous Laser Ablation

What Is It?

Endovenous laser ablation is a laser surgery that involves the closure and reduction of the varicose veins in the body. It is a non-invasive surgical procedure that effectively treats bulging veins on thighs and/or calves. Your surgeon closes the varicose veins with the use of a laser device that emits thin radiation beams.

The laser device radiates thin heat beams that help shrink the varicose veins. Eventually, scar tissue forms that help in sealing the bulging vein.

Procedure

The procedure does not require an operation theater and may even take place in your primary healthcare provider’s office. Moreover, it is neither lengthy nor does it require you to stay hospitalized post-procedure. In fact, you can go home the same day of treatment and carry out routine tasks while following your surgeon’s precise instructions.

Apart from that, vascular surgeons suggest that the patient wear loose clothes post-procedure. The procedure usually takes an hour or a time duration close to an hour.

Here is the process of the endovenous laser varicose surgery:

  • You change into hospital clothes and wear special goggles to protect your eyes from the laser light.
  • The vascular surgeon will provide a numbing agent to the location of the varicose veins under treatment. Consequently, the vascular surgeon will produce an ultrasound image using a Doppler Ultrasound device.
  • Next, the vascular surgeon will make a precise incision suitable enough to insert the catheter. Further, they will provide a numbing agent to the length of the varicose vein. The catheter will contain a laser fiber that will heat up the vein. Subsequently, the vein will heat up and start to shrink, which will lead to its closure.
  • Finally, without the need for stitches, your vascular surgeon will ensure the placement of a bandage near the incision site.

Outlook (Post-Procedure)

After the procedure, you will have to follow bathing instructions and certain activities you should avoid. Moreover, you will have to wear stockings for at least two weeks. Normally, you may be able to carry on with your normal tasks and routines.

Sclerotherapy

What Is It?

Sclerotherapy is a minimally invasive surgical procedure to treat spider and varicose veins. In sclerotherapy, your vascular surgeon will inject chemicals (sclerosing agents) into your damaged veins.

While spider veins are small and discomforting, varicose veins cause pain, cramps, and itching. In 2017, around 300,000 sclerotherapy surgical procedures took place in the United States. Moreover, research shows that nearly 20 percent of adults might experience varicose veins in their life at some point.

Most effective cosmetic vein treatments
(Source)

Procedure

The procedure will take somewhere between 15 minutes to an hour, depending on the severity. You might have to elevate your legs and lay face forward.

The procedure begins when your vascular surgeon cleans the skin area where the damaged veins are. Using a sharp needle, they will insert a sclerosing agent into the vein that will cause foam or liquid solution to seal it. Consequently, the blood flow redirects towards healthy veins, and the body absorbs the damaged vein over time.

Outlook

Smaller veins might be easy to treat, while larger and bulging veins may require multiple treatments. The results might be visible within a few weeks. However, with larger varicose veins, the results might appear after several months.

Despite the results’ visibility, over 80 percent of sclerotherapy patients in a study reported lower pain and discomfort.

Cosmetic Vein Treatments: Conclusion

If you are looking to get rid of the uncomfortable and bulging veins on your legs, thighs, face, or anywhere in the body, we’re here to help. At the Vascular Surgery & Vein Center, Dr. Norman Chideckel serves as a highly experienced and expert vascular surgeon and doctor.

Give us a call at 212-993-6133 to set a consultation meeting today. Visit our official website to learn more.

 


References & Related Links:

https://www.thecowboychannel.com/story/43551216/endovenous-laser-ablation-market-size-research-report-2021-by-growth-potential-market-share-price-and-forecast-to-2027-says-absolute-reports
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/endovenous-laser-varicose-vein-surgery
https://www.hopkinsmedicine.org/health/conditions-and-diseases/varicose-veins
https://www.sciencedirect.com/topics/materials-science/laser-ablation
https://www.cosmeticsurgery.org/page/SpiderVeinTreatment
https://www.webmd.com/skin-problems-and-treatments/surgery-for-varicose-veins
https://www.healthlinkbc.ca/health-topics/tn10097
https://www.webmd.com/skin-problems-and-treatments/cosmetic-procedures-sclerotherapy
https://www.medicalnewstoday.com/articles/320282#risks-of-sclerotherapy
https://www.healthline.com/health/venous-insufficiency#prevention
https://www.healthline.com/health/varicose-veins
https://www.healthline.com/health/sclerotherapy#side-effects
https://www.uofmhealth.org/health-library/aa14425#uf10104