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Map / Directions
Office Directions:
We are conveniently located just
outside Columbus in Dublin Ohio.
Call today to schedule a
consultation.
614-793-VEIN (8346)
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FAQ's
Sclerotherapy
What is sclerotherapy?
Sclerotherapy is used to treat
both spider veins and certain
types of varicose veins.
Sclerotherapy involves the
injection of a special
medication into the diseased
vein which causes it to close
off. Here at our center, we use
an FDA-approved drug called
Sotradecol (sodium tetradecyl
sulfate). Sotradecol is not
painful like saline injections,
which are used by many other
clinics.
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Will it hurt?
Most patients describe minimal
itching and burning for 5-15
minutes following sclerotherapy,
but you will leave the office
free of discomfort. You will
feel the prick of the needle
being inserted into the skin.
However, we use the tiniest
needles possible to reduce the
discomfort felt by our patients.
If you are very concerned about
pain, please talk to Dr. de
Bourbon. They will be more than
willing to discuss some possible
solutions.
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Is this treatment permanent?
Most people who have spider
veins also have diseased veins
which “feed” the spider veins.
Here at our center, we make
every effort to treat the
underlying problem, as well as
the spider veins. By treating
the underlying veins, the
chances of recurrence are much
lower.
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How many treatments will I need?
It depends on the severity of
your problem. If we are able to
treat the “feeder” veins
effectively, you may require
only one or two treatments.
However, if you have a more
severe problem, such as numerous
spider veins over a larger area,
we may require 3 – 5 sessions to
take care of you. These are
spaced approximately 4-6 weeks
apart.
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Will I need to take time off of
work?
No. You will need to wear
compression hose for at least 48
hours, but you can resume normal
activities immediately after the
treatment.
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What is the cost?
This will vary depending on the
number/length of session(s) you
require, and whether you are
treating spider veins or
varicosities. We charge based on
the amount of time we spend
treating you.
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Endovenous Laser Treatment
What is ELT?
ELT stands for Endovenous Laser
Treatment. This is an exciting
new technique that is replacing
traditional vein stripping in
practices across the nation. It
is predominantly used to treat
varicose veins. ELT involves
threading a laser fiber into the
diseased vein and firing it
along the length of the vein.
This effectively “closes” the
vein, preventing blood flow and
the increased pressure
associated with varicosities.
Local anesthetic (numbing
medication) is used, and all ELT
procedures are done here at our
facility.
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Is the procedure painful?
As mentioned, the procedure is
carried out under local
anesthetic. A dilute solution
called “tumescent” is used. You
will feel the prick of the
needle used to inject the
anesthetic, but you will be
completely numb for the
remaining part of the procedure.
Many people describe a feeling
of pressure as the anesthetic is
injected into the tissue, but
this only lasts for a few
seconds until the medication
takes effect. Since the entire
area around the vein is numb,
you will feel nothing as the
laser is fired. After the
procedure, the anesthetic lasts
a few hours. We then recommend
that you take the
prescription-strength ibuprofen
we provide at regular intervals
for at least 3-4 days. This
decreases inflammation and pain.
After this, you may take
extra-strength Tylenol or
Motrin. Most people find the
pain-relief we recommend to be
more than sufficient. Very
rarely will patients require a
stronger pain-reliever, but if
they do, we are happy to
prescribe something.
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How effective is the ELT
treatment?
The ELT procedure is about 98%
effective in closing the vein.
Obviously, when a vein is
stripped, it is impossible for
it to return as it is completely
removed. However, with
traditional stripping, there is
a greater chance of new veins
growing. So even though the
original vein is gone, new ones
may recur which require
treatment in the future. With
ELT, new veins are unlikely to
grow thus greatly decreasing the
likelihood that you will require
additional treatment in the
future. In short, ELT is
considered more effective at
treating varicosities than
traditional stripping.
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Can all varicose veins be
treated with ELT?
No, unfortunately. If the vein
is greater than 2cm in diameter,
then the laser will not be
effective. Also, if the vein is
very tortuous or “winding”, then
it may be impossible to insert
the laser fiber far enough into
the vein to be helpful. If the
vein is located very close to
the surface, ELT is not
appropriate. In these cases, an
alternative treatment will be
recommended by the surgeon.
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Stab Phlebectomy
What is a stab phlebectomy?
A “stab” phlebectomy, also
called micro-phlebectomy, is
used to treat certain types of
varicose veins. The word
“phlebectomy” literally means
removing the vein. The day of
the procedure, the doctor or
nurse will mark your leg where
the veins bulge out. Then, a
special local anesthetic
(numbing medication) called
“tumescent” is injected into the
area surrounding your vein. The
doctor will make tiny incisions
or “stabs” of about 2-3mm – the
size of a ball-point pen tip –
and use a crochet-type hook to
“grab” the vein and remove it.
This interrupts the vein, causes
any remaining portions of the
vein to “clot off”, and gets rid
of those unsightly bulgy areas!
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But don’t I NEED those veins?!
What if I need bypass surgery
later?
If the veins were functioning
normally, then yes! But since
the veins are dilated and not
working properly, they are doing
more harm than good. Heart
doctors do not use varicose
veins for bypass surgery for
this very reason!
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Does it HURT?
Most patients say that the
procedure does not hurt at all.
You will feel the pin prick of
the needle as we inject the
anesthetic, but then the area is
instantly numb. You will not
feel any of the “stabs”. You
will not feel pain from the
veins being removed. We will
give you some
prescription-strength ibuprofen
to help you for the first day or
two, but the vast majority of
patients require only
extra-strength Tylenol or Motrin
to keep them comfortable. Rarely
will patients require a stronger
pain-killer post-operatively.
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What about scarring?
The incisions are so tiny, that
any scarring is not seen. Most
patients can barely see their
incisions four to six weeks
following surgery. Compared to
the “railroad tracks” associated
with traditional vein stripping,
the scars are practically
non-existent.
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What is the “down” time for a
stab phlebectomy?
The “down” time for this
procedure is negligible. You
will need to take it easy for
the first 48 hours, but walking
is encouraged to promote healing
- you will walk out of the
office! After the first two
days, normal activities are
resumed. Only strenuous exercise
is discouraged for the first
week to ten days, as are
swimming and hot tubs. After
that, it is business as usual!
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Laser Treatment for Spider Veins
What happens during the
procedure?
During the procedure, the doctor
will take a device that looks
like a large pen with a wire
attached and place the tip
directly on the skin over the
vein. He will then fire the
laser several times along the
length of the vein. You will
hear a clicking sound as the
laser fires and will feel a hot
sensation. The laser effectively
closes the vein so that blood
can no longer flow through. This
decreases or completely gets rid
of those purple/red veins.
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Is it painful?
Most patients describe the “hot”
sensation mentioned previously.
Others describe the feeling as
“tiny pinches”. Either way, the
feeling is fleeting, lasting
less than a second. Once the
firing is complete, the
discomfort disappears. We will
provide you with an ice pack to
minimize discomfort at your
request.
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When is laser used?
Laser is used instead of
injections when veins are
located on the face. Laser may
be used in addition to
sclerotherapy (injections) if
the veins are larger than 1mm in
diameter. This helps to shrink
the veins down so that
sclerotherapy is more effective.
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Is it dangerous?
Without special safety
precautions, the laser can be
dangerous. However, we ensure
patient as well as health care
worker safety by: 1. providing
safety glasses for everyone in
the room; 2. using the lowest
effective settings possible; and
3. only allowing the doctor to
perform the procedure as per the
State Board of Medical
Examiners. At the very low
energy settings we use to treat
spider veins, the danger is
minimal.
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Call today to schedule a
consultation.
614-793-VEIN (8346)
Financial Assistance
We offer a full range of
financial assistance.
Cosmetic surgery and elimination
of varicose and spider veins are
an excellent investment in an
individual's well being. Because
of this, we believe financial
considerations should not be an
obstacle to obtaining this
procedure. Since most insurance
companies consider vein therapy
a cosmetic surgery, it is
possible to finance the
procedures. Being sensitive to
the fact that different patients
have different needs, we provide
the following payment options:
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Low Monthly Payment Plan
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Cash or Check
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Credit Cards
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Low Monthly Payment Plan
Cosmetic Fee Plan is a flexible
monthly payment option. It is
specifically designed for
cosmetic surgeries and therapies
of $800 and up - with low
monthly payments.
- No initial payment
- Low, fixed rates ranging from
9.99% - 13.99%
- Low monthly payments
- First Payment Not Due for
45-60 Days
- No prepayment penalty, Terms
up to 60 months
You may apply quickly and
securely via the web. Please go
to
www.cosmeticfeeplan.com. If
you prefer, you may also apply
over the phone by calling
1-888-440-2375.
Other Financing Options Are Also
Available
Please call us at 614-793-8346
for details.
Cash or Check
If you prefer to pay by cash or
check, payment in full is due at
the time services are provided.
We require a minimum deposit or
down payment at your
pre-surgical visit, two weeks
prior to the procedure. We
accept personal and certified
checks, but not business checks.
Credit Cards
We accept major credit cards,
including:
- Visa
- MasterCard
- Discover
Please feel free to contact us
to discuss any of the options
listed above.
Call today to schedule a
consultation.
614-793-VEIN (8346)
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