Dermacare Medical, PC

(212) 223-2235
36 West 44 Street

Suite 1205
New York, NY 10036

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Laser vein treatment

Laser Vein Treatment
for the Face and Body to treat a broad range of visible blood vessels from tiny spider veins or "telangiectasias" to deep blue reticular veins quickly, safely and effectively in all skin types. Patients with port wine stains and other vascular lesions respond well to Coolglide Vein Therapy usually with just one treatment.

The Cutera CoolGlide system delivers pulses of light energy, which cause the blood within the vein to coagulate, eventually destroying the vessel, which is later absorbed by your body. Blood flow will then be redirected to veins deeper below your skin’s surface, just where it should be. Patients normally resume routine activities immediately. However, it is recommended that you avoid vigorous activities such as strenuous exercise for the first 24 hours after treatment.

Frequently Asked Questions
  • How much does the treatment cost?

The cost of laser treatment for spider veins depends on the extent of the problem and number of treatment required. We usually offer free initial evaluation during which the doctor can give an estimate of the cost which may range from $100 to $500 on average which is very modest price for New York City.

  • What areas of the body can be treated?
ALL parts of the body can be treated with the Cutera CoolGlide™ laser. 
  • How many treatments are needed?

It depends on:
-The desired degree of blood vessel reduction
-Hormonal status
-The area being treated
-Medications, (prednisone can increase superficial blood vessel growth)
Typically, one or tree treatments are needed for significant improvement of spider veins. Treatment can be done every 6 weeks on the face, and every 2-3 months on the legs. Cherry hemangiomas (red dots on the body) usually only require one or two treatments. 

Some people start with the area that troubles them the most, and then when they can see the results they often return to have other areas treated.
Additional "touchup" teatments on small troublesome areas can be arranged at relatively low cost. There is no safety limit on the number of treatments a person can have. People who have been partially treated with other types of blood vessel removing laser and/or injection sclerotherapy might in some cases need a smaller number of CoolGlide™ laser treatments.

  • Am I a good candidate for laser removal of unwanted, unsightly blood vessels? 
The unique design of the CoolGlide™ laser, and the long wavelength, allows treatment of people with all skin colors. A smaller number of treatments are needed when the skin is light colored .We do not treat patients with a fresh sunburn. 
  • What questions should I ask myself when considering laser blood vessel removal? 
How much are you embarrassed by unwanted blood vessels?
How much are you bothered by the time you spend concealing your unwanted blood vessels?
Do your unwanted blood vessels (for example, on you legs) inhibit your choice of clothing or limit the activities that you engage in (for example, swimming)? 
  • What will happen on treatment day? 
Other than your regular skin care routine, there is no standard preparation for this procedure. There are no restrictions on what you may eat or drink prior to your appointment. Many people like to take 2 tabs of Tylenol (500mg. tablets) to prevent or reduce discomfort. Please shave the areas to be treated before you come in for treatment. Excess dark hair above the surface of the skin absorbs and wastes laser energy, and reduces the amount of energy that reaches the undesired blood vessels. Excess hair above the surface of the skin also increases the chance of burning or irritating the skin.
When you come for treatment, it is important not to wear any makeup over the area being treated because makeup can absorb laser energy. This could interfere with treatment, or even cause overheating of the skin surface and blistering. Makeup can be re-applied immediately after Cutera CoolGlide™ laser treatment.
After all of your last minute questions have been answered and paperwork handled, the areas you wish to have treated will be cleansed and pre treatment photos may be taken. Everyone in the treatment room must wear protective goggles when the laser is turned on. The length of the procedure itself can range from a few minutes for a few spider veins to an hour or more for very extensive blood vessels on the thighs and lower legs.
  • The Procedure
Immediately before the laser is used on an area, a thin coat of clear gel is lightly smoothed over the skin, and then the laser pulses are quickly and evenly applied to the unwanted vessels. The cooling head of the CoolGlide Excel may be applied to the skin immediately before and after each pulse of the laser, to further protect your skin and prevent or reduce any discomfort. 
  • Does it hurt?
The laser emits only light. You may feel a tingling or snapping sensation like a rubber band. There is no bleeding and no open wound is created. Some people find the FIRST laser treatment more uncomfortable than subsequent treatments. Maybe this is because there are more blood vessels which are destroyed during the first treatment; and perhaps also because some people are more apprehensive during the first treatment, because they are not sure of what to expect.
While some areas of the body like the nose are more sensitive than others, many patients report little or no discomfort. If there is unusual discomfort, please let us know so that we can apply more cooling or adjust the settings on the laser.
Most people find it helpful to simply take two tabs of Tylenol (500mg tablets), 2 hours before coming in for treatment.
  • What will happen after treatment? 
Redness often has faded greatly by the next day. It would not be uncommon for the skin to be slightly drier that evening and to require more moisturizing cream.
The treated blood vessels, in particular on the legs, may appear slightly more obvious or a bit darker for the next week or two, but this is seldom a major cosmetic problem. Occasionally on the legs, less frequently on the face, there can be isolated superficial bruising which generally is a nuisance and resolves within a week or two on the face, or several weeks on the legs without needing any treatment.
  • Why do the blood vessels sometimes look more obvious for several weeks after treatment?
After the blood vessels are treated with laser energy, they sometimes swell up slightly, and the body moves in to begin the job of removing the treated vessels.
Sometimes portions of the vessels will seal off immediately, and a bit of blood stays behind in the treated vessels, causing temporary red or purple coloration. If this happens, the blood in the vessels is usually reabsorbed along with the vessels themselves by the body over a period of several weeks to a couple of months on the legs, without needing any additional treatment.
Because the CoolGlide™ laser can produce a longer, gentler pulse there is much less chance of bruising compared to treatment with first and second generation lasers. Patients who have previously been treated with dye lasers are always impressed by the fact that they look good immediately after CoolGlide™ treatment, with little or no discoloration of the skin.
  • Are there any restrictions on my activity after treatment? 

Since the laser does not burn or cut the skin in any way, no bandages are necessary. You can return to work the same day and resume all your regular activities. To reduce the chance of uneven tanning in the treated area, you should minimize sun exposure and tanning for a week or two after treatments.
Consultations about Cutera CoolGlide laser removal of hair and blood vessels can usually be arranged within one week simply by calling 212-223-2235. Treatment can sometimes be done on the same day as the consultation, or within a couple of weeks.

Pre-treatment instructions:
Please try to minimize tanning and self-tanning creams for a week or two before treatment. A fresh tan can interfere a bit with the effectiveness of the CoolGlide Laser treatment, though this is less of a problem than with older, short wavelength lasers.

  1. Please do not wear makeup on the areas to be treated. Makeup absorbs laser energy, and less energy will reach your unwanted blood vessels. Blistering may also occur.
  2. Please shave the areas to be treated the day before treatment or on the morning of treatment. Excess hair above the surface of the skin absorbs and wastes laser energy, and reduces the amount of energy that reaches the unwanted blood vessels where it is really needed. Excess hair above the surface of the skin also increases the chance of burning or irritating the skin.
  3. Some people find it helpful to take 2 tables of Tylenol (500mg tablets), 2 hours before coming in for treatment.

Post-treatment instructions:

  1. Redness often has faded within a day or two. It would not be uncommon for the skin to be slightly drier that evening and to require more of your favorite moisturizer. The treated blood vessels may appear slightly more obvious for the next week or two, but this is seldom a cosmetic problem.
  2. Try to avoid tanning for two weeks after treatment, because occasionally the tan could be somewhat irregular (lighter and/or darker in the treated areas.) If you plan to be exposed to sun use SPF25 or higher sun block.
  3. You do not need to purchase support stockings or special creams, and there is no special routine for you to follow.
  4. Blistering or scaling after Cutera CoolGlide™ laser removal of blood vessels is very rare, but usually resolve over a few days or a week with a bit of Polysporin several times a day. Please call us if this happens, or if you have any other problems or questions.
  • Can I be treated if I’m pregnant? 
Treatment is not recommended during pregnancy.
  • Once treated, will my veins reappear?
We cannot treat your predisposition to develop varicose or spider veins, so new veins may reappear in the same area or in other areas within next few years. Usually a touch-up treatment to remove new veins will be needed every 1-3 years. 
  • Will my insurance reimburse me?
Spider, reticular veins and telangiectasias are considered cosmetic problems and are not covered by most of the medical insurances. 
  • What causes spider & varicose veins?

Heredity, or genetic predisposition to weak vein walls and vein valves, is the main reason why varicose and spider veins develop. This means that there is a 60-80% chance that someone in your family already has vein problems. There are also contributing factors that can accelerate the progression of the disease, including pregnancy, birth control pills, lack of exercise, prolonged sitting or standing, and even obesity. The aging process increases the likelihood of varicose and spider veins.

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The content on this website is provided for informational purposes only, and is not intended in any way to substitute professional medical advice during an in office consultation and examination by the physician. Any photos from this web site with text “Copyright Dermacare Medical PC” on them are not allowed to be copied and reprinted in any way without written permission from Dermacare Medical PC, New York, NY.