Cosmetic Vein Issues and Treatment Options

Most people think of vein disease only in the legs. It is true that the majority of patients that seek treatment do so for their leg veins, however many people are
also concerned about both symptomatic and cosmetic vein problems elsewhere on their bodies. At the Kimmel Institute, we oer various treatments for nearly all body areas where veins are a problem. With our extensive experience, professional staff and attention to detail, the Kimmel Institute is the place for you!

HAND VEINS: are a common concern, especially in women who are thin. Over time, as the body fat stores diminish, the veins in the hand become more noticeable. While not truly varicose veins, they are of cosmetic concern to many patients. While there are three generally acceptable options for these veins, a
limited microphlebectomy (removal of the veins) can be done in the office as simple procedure with a low complication rate and very good cosmetic outcomes. The other options include the injection of dermafiller into the hand to help restore the tissue volume, making the veins less obvious, or injection Sclerotherapy
to close down the veins.

FACIAL VEINS: these veins can occur in various locations, but are usually found around the nose, chin and cheeks. Because of their small size, the treatment is usually with laser ablation. Surface lasers are used to close these veins. Often a series of 2-3 treatments are necessary over a period of several weeks. For some
patients, a small amount of Sclerotherapy injection is needed. It is very important to stay out of the sun both prior to and following the laser treatments to the face to avoid long term scaring. Reoccurrence is not uncommon, especially in Florida, due to ongoing sun exposure. Rosacea can also be treated with laser, and usually requires several initial treatments followed by follow up treatments once or twice a year for maintenance.

BREAST VEINS: are commonly seen as bluish green prominent veins that are large and more noticeable following breast augmentation surgery, after nursing and with advancing age. While this common condition is not dangerous and rarely symptomatic, it can be cause for cosmetic concern for many women. treatment
is both simple and highly effective with foam sclerotherapy. A tiny needle is used to access the veins near the areola to inject the solution. A tight bra with additional padding is used for 24-48 hours to help compress the vein. Cosmetic results are usually excellent, and often the veins disappear within a week.

VULVAR VEINS: are noted most commonly in women following pregnancy. As the uterus enlarges and increases pelvic pressure, these veins can become dilated and incompetent. This is also seen in association with hemorrhoids and other types of varicose veins in the legs. We routinely evaluate patients with this problem to make sure that there is not an internal vein problem, prior to starting to treat these veins. If there is no pelvic reflux suspected, then treatment
involves either Sclerotherapy or phlebectomy. By inserting a tiny needle into the vein and injecting a sclerosing solution, the vein collapses and shrinks. It is sometimes necessary to repeat the procedure two or three times over the course of several weeks. An alternative treatment may involve actual removal of these
bulging veins under local anesthesia. The procedures are done in the office and there is minimal recovery time.

FOOT VEINS: are often due to venous insufficiency in the leg. Once the leg veins are effectively treated, the foot veins often regress. However, in some patients, they remain enlarged, painful and disfiguring. Treatment options include Sclerotherapy and microphlebectomy, but due to the location of various anatomic structures (like nerves in the area), treatment should be limited to the most advanced cases. An individual evaluation on each patient with this area of concern will lead to a discussion of the specific risks and benefits, and the best treatment option will be advised.


As the Medical Director of The Kimmel
Institute, Dr Kimmel’s training included
7 years of residency following medical
school, and he has been in private
practice in Boca Raton since 1991. He
is Board Certied as both a Vascular
and Cardiothoracic Surgeon, and has
treated thousands of patients for their
vascular problems. Currently, Dr Kimmel‘s
practice is exclusively dedicated
to the o„ce based management of
patients with vein disease (although he
still maintains hospital privileges). This
combination of advanced training and
experience makes The Kimmel Institute
one of the few South Florida offices to
provide exceptional quality care from
the right specialist for your veins.

1905 Clint Moore Road, Suite 215
Boca Raton, FL 33496