Preparing for Spider Vein Treatment | Austin DermatologyOutstanding preparation will help to achieve the desired goals of spider vein treatment in a safe and effective manner. A comfortable rapport between the skin care expert and the patient is vital to the preparation as well as treatment process. Patients in Austin, TX and surrounding locations have an opportunity to receive spider vein treatments from accomplished dermatologist Dr. Steven Zimmet.


Medical Review

Medical review is a key part of the prior preparation for spider vein dermatology treatment. The provider will:

  • Assess the condition of the involved veins
  • Look for any underlying blood vessel disease
  • Review the patient’s health records to know about recent illnesses or conditions such as heart disease or blood clot history
  • Seek a list of current medications and supplements that the patient may be taking, including blood thinners, NSAIDs, and herbal supplements
  • History of allergies
  • Past treatment for spider or varicose veins and the results



In some cases, the dermatologist may order ultrasound imaging test for the affected areas of the legs. This will depend on which veins are involved. Ultrasound is a quick and painless procedure, and can help the treatment provider to know about the precise nature and extent of the spider veins and plan the treatment appropriately.


Determining the Treatment

The patient may have a choice between sclerotherapy or certain light-based or laser treatments to eliminate unwanted spider veins. The dermatology expert will discuss the pros and cons of each treatment option, and help the patient make the right choice according to their personal needs and goals.


Preparation for Sclerotherapy

Sclerotherapy is a time-tested and effective non-surgical procedure to get rid of spider veins. Dr. Zimmet receives patients from Austin, TX and nearby areas for sclerotherapy. The patient may be required to take a few simple preparatory steps prior to sclerotherapy, which are listed as follows:

  • Avoid the use of vitamin E or NSAIDs and aspirin for at least one week prior to the treatment, unless instructed by the physician. Tylenol may be a good substitute, but any change should be made in consultation with the physician.
  • Choose comfortable and loose fitting clothing when visiting the dermatology office for sclerotherapy treatment.
  • Keep compression stockings ready for use after the needle procedure. The dermatologist’s staff may help to ensure that the stockings are available and appropriately sized. The stockings may be of medium compression and knee-high or thigh-high depending on the treatment area.
  • Avoid shaving or apply any creams to the legs for at least 24 hours prior to the treatment.
  • Have a nutritious meal prior to the procedure, and maintain sufficient hydration before and after the treatment.


Post-Op Instructions

The treatment provider will give a few post-treatment instructions to ensure safe and quick recovery from sclerotherapy. A cream of gel may be prescribed to expedite the healing of minor bruises. An ice pack may be recommended for the first one or two days after the treatment. Running, weight lifting, and other high impact activities should be avoided for at least 24 hours.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Your Spider Vein Treatment Consultation | Austin DermatologySpider vein is a common skin care issue that may affect both women and men, particularly after the age of 40. The skin in the affected areas can appear unsightly due to spider veins, and in a few cases, the condition may cause discomfort if left untreated for long.

Dr. Steven Zimmet is an experienced dermatologist providing state of the art solutions for spider veins for patients in Austin, TX and surrounding locations.


Pre-operative Consultation

The consultation for spider vein treatment will lay the foundation for a successful procedure. The patient should play a proactive role during the consultation process, and be prepared to follow the treatment provider’s instructions for pre- and post-treatment phases. During the consultation, the provider will help the patient choose the most appropriate dermatology treatment option to address their condition of spider veins.


Asking Questions

New patients will usually have various questions and concerns related to the spider vein treatment as well as the expertise of the dermatologist. They may want to know more about the dermatologist’s experience in this area, skill and training of the support staff, and the facilities provided. The patient should also clarify about different treatment options and their pros and cons so that they can make a well-considered decision.

Cost aspects should also be discussed at the time of initial consultation. The provider or their staff can advise whether it may be possible to receive insurance in certain cases of spider vein treatment. Alternatively, the patient can seek information about any financing options and payment methods at the dermatology practice. Potential downtime and recovery process should also be reviewed during the consultation.


Health Assessment

The dermatologist will assess during the consultation whether the patient is a suitable candidate for sclerotherapy or another spider vein treatment method. They may review the patient’s health records and examine the current condition of the affected areas and skin type. Specific issues to be determined during the consultation may include:

  • Whether the patient has suffered any pain, injury or skin allergy in the past in the affected area
  • Whether the patient has received any surgery in the past around the area to be treated
  • Whether any type of vein treatment has been previously received
  • What type of prescription and non-prescription drugs the patient may be currently using
  • Patient’s history of smoking and drinking
  • Any family history of vein or vascular diseases

Dr. Zimmet receives patients from Austin, TX and nearby areas.


Examining the Veins

The dermatologist will conduct a thorough examination of the spider vein condition in order to plan a customized treatment. If the problem is more extensive, the provider may look for signs of deeper vein issues as well as larger varicose veins. If any swelling, sores or skin changes are noticed, it may indicate more serious concerns.

Following the assessment, the dermatologist will discuss the potential risk factors with the patient. If more serious vascular problems are identified, the patient will be apprised of appropriate advanced vascular treatments to address the condition.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Spider Vein Treatment Risks and Safety | Austin DermatologySclerotherapy is a safe, practiced, and effective skin care procedure to treat spider veins. The procedure has been around for nearly a century, and has evolved over time with advancing techniques and technology. However, the decision to undergo spider vein treatment is very personal, and the patient should consider whether the potential risks are acceptable to them.

At the time of initial consultation, the treatment provider will explain the risks and complications in order to ensure that the patient makes a well-considered decision. Safety and success rate of the procedure is, however, very high when sclerotherapy is performed by an experienced provider. Accomplished dermatologist Dr. Steven Zimmet provides sclerotherapy to patients in Austin, TX and surrounding locations.


Temporary Side Effects

Sclerotherapy to treat spider veins is an injectable procedure, and may have a few common side effects that may occur at the injection sites. These include:

  • Mild bruising
  • Raised red areas
  • Tiny skin sores
  • Darkened skin in the form of lines or spots
  • Multiple red blood vessels

These side effects will generally dissipate within a few days to a few weeks. However, in exceptional cases, the side effects may take months or even years to completely disappear.


Serious Complications

In rare cases, more serious complications may occur after sclerotherapy dermatology procedure, which may need to be medically treated. These include:


Inflammation is generally mild, but may lead to discomfort, warmth and swelling around the site of injections. Aspirin may be prescribed by the treatment provider to mitigate inflammation.


Blood Clotting

In a few cases, a lump of clotted blood may occur in a treated vein that will need to be drained. Very rarely, a blood clot may travel to a deeper vein in the treated area. This condition is known as deep vein thrombosis.


Pulmonary Embolism

Deep vein thrombosis involves a risk of pulmonary embolism, which is an extremely rare complication of sclerotherapy. This is an emergency where the clot travels from the injection site to the lungs and blocks a crucial artery. If the patient experiences dizziness, chest pain or difficulty in breathing, they should seek prompt medical care.


Formation of Air Bubbles

Tiny air bubbles may form in the bloodstream. Sometimes these bubbles will not cause symptoms, but if they do, these could include headaches, visual difficulties, nausea and fainting. The symptoms will usually go way, but if the patient experiences difficulties with sensation or limb movement, they should seek medical help.


Allergic Reaction

A few patients may experience an allergic reaction to the solution used in the sclerotherapy injectable procedure. However, this is an uncommon occurrence.


How to Minimize Risk

The patient should ideally receive sclerotherapy treatment from a qualified and experienced dermatology professional. Each treatment session should be performed a few weeks apart to allow the treated veins to respond and ensure sustainable results. Following the procedure, the patient may be encouraged to walk on a treadmill for about 15 minutes.

Aerobic activity, such as walking or biking, may be recommended for about 30 minutes a day for at least one week. Compression stockings should be worn for about three to seven days, depending on the extent of treatment. Highly accomplished dermatologist Dr. Zimmet receives patients from Austin, TX for sclerotherapy.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Spider Vein Procedure Steps | Austin DermatologySpider veins are a common problem, which can create an unsightly skin appearance in the affected area. Sclerotherapy is a time-tested and appropriate skin care procedure in most cases to treat spider veins. At the time of initial consultation, the treatment provider will discuss the steps involved in the sclerotherapy procedure.

The provider will address all questions of the patient related to the procedure and other aspects, and help them make a well-informed decision. Dr. Steven Zimmet is a dedicated dermatologist providing spider vein treatment and various other procedures to patients in Austin, TX and surrounding locations.



The first step in the spider vein treatment process will be to have a detailed consultation with the skin care expert who will perform the procedure. At this time, the patient will have an opportunity to ask questions and clear all their doubts and concerns related to spider veins and the treatment. The provider will apprise the patient about different treatment options along with their benefits and limitations so that the patient can make the right choice.

The provider may present spider vein treatment before and after photos to help the patient develop realistic expectations. Testimonials of past patients may be shared to give insights about the treatment from their perspective. The provider will also discuss the estimated costs involved in this dermatology procedure at this stage.


Treatment Planning

Prior to administering sclerotherapy treatment for spider vein removal, Dr. Zimmet will assess the candidacy of a patient for this procedure and determine the most appropriate treatment option. A single treatment approach or a combination of techniques may be employed, depending on the patient evaluation.

Dr. Zimmet will consider the patient’s current condition of spider veins, their previous history with the problem if any, and also the patient’s personal needs and goals. These inputs will be incorporated while creating a customized spider vein treatment plan for the patient.


Administering Sclerotherapy

The actual sclerotherapy procedure may involve one of the three key techniques: liquid sclerotherapy, foam sclerotherapy or ultrasound guided sclerotherapy. In a few cases, sclerotherapy may be used in conjunction with other vein treatments such as endovenous laser procedure or ambulatory phlebectomy in order to address the condition more comprehensively.

In case of small spider veins, Dr. Zimmet and his team will apply the liquid sclerotherapy technique. In this procedure, the sclerosant solution is directly injected into the targeted veins using small needles. These veins are visible on the surface of the skin, which makes it easier to identify them and eliminate them with injectable medication.

If the patient suffers from larger varicose veins in addition to small spider veins, foam sclerotherapy may be applied for the larger veins. In this case, a specialized foamy solution is created with Asclera or Sotradecol mixed with air or another gas. This increases the potency of the solution and helps to effectively remove the larger varicose veins.

Ultrasound guided sclerotherapy may be used to address veins that are below the surface. Highly judicious dermatologist Dr. Zimmet receives patients from Austin, TX and nearby areas for spider vein and varicose vein treatments.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Spider Vein Treatment Recovery | Austin DermatologySpider vein treatment may involve advanced skin care procedures such as sclerotherapy, laser therapy, or a combination of the two. These are safe, proven, and salient treatments that will cause little to no discomfort. The patient will experience an overall improvement in the appearance of spider veins. No downtime is usually involved, and the patient can return to their normal routine immediately.

However, certain level of aftercare is required during the recovery phase following spider vein treatment. The treatment provider will discuss the recovery in detail and provide instructions about the do’s and don’ts to be followed for a certain period of time. Dr. Steven Zimmet is an experienced dermatologist providing spider vein treatments to patients in Austin, TX, and surrounding communities.   

Immediate Post-Treatment Phase

The patient will receive instructions about the care to be taken during the immediate post-treatment phase. This will include recommendations about skin care and the normal symptoms that are expected. The provider will also inform about the potential signs of complications, in which case the patient should seek prompt medical attention.

Following the spider vein treatment procedure, the patient will notice a significant reduction in the appearance of these unsightly veins. If the patient has undergone sclerotherapy, they may expect that about 50 to 75 percent of the diseased veins will be permanently eliminated. In case of laser treatment, some veins may disappear just after the first treatment session while others may require multiple treatments.

Multiple treatments may be required in both sclerotherapy and laser procedure to achieve optimal outcomes. Many patients will experience temporary post-treatment symptoms such as skin reddening, bruising, discoloration, and occasionally blisters. These side effects will usually dissipate on their own in one to two months. If the symptoms become severe or persist for a longer time, the patient should get in touch with the treatment provider.

Other Aspects of Recovery

The patient may be initially required to wear support stockings to help keep the treated veins closed and to mitigate bruising. It is important to protect the treated areas from direct sun exposure during the first few weeks after the procedure. Small areas of scarring may occur in some cases where laser treatment or sclerotherapy has been performed to remove spider veins.

It is critically important for the patient to follow all the post-treatment care instructions given by the dermatologist. The compression garments should be worn diligently as per the instructions, and the level of activities performed should be within the safe limits as prescribed. Dedicated dermatology expert Dr. Zimmet receives patients from Austin, TX, and nearby areas for spider vein treatments.


Multiple treatment sessions are often needed because all the spider veins may not respond to the first treatment. In some cases, the spider vein condition may be progressive, which means the patient may require treatment every few years to maintain stellar long-term results. The patient should visit the dermatologist’s office for follow-up appointments as advised in order to ensure a complete and safe recovery and to mitigate the chances of any issues popping up.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Are You a Spider Vein Treatment Candidate? | AustinSpider veins and small varicose veins are common vascular conditions that can make the affected areas of the skin appear unsightly. In a few cases, these veins may cause discomfort or other problems if left untreated for a long time. If a patient wants to get rid of undesirable spider veins, they may consult with a skin care expert who is qualified to treat vascular conditions.

The treatment provider will carefully determine the patient’s candidacy for spider vein treatment and try to understand their reasons for seeking this procedure. Dr. Steven Zimmet is an experienced dermatologist providing innovative and advanced treatments for spider veins to patients in Austin, TX, and surrounding communities.  


Sometimes the appearance of spider veins may be very mild or insignificant, requiring no specific treatment. In such cases, the treatment provider may advise against seeking any major therapy. However, if the spider veins appear conspicuously on one or more part of the body, and the patient is unhappy or troubled by their appearance, they may make a good candidate for spider vein treatment.

The patient should have the commitment to follow the complete course of treatment prescribed by the dermatologist. They should diligently follow any preparatory or recovery instructions to achieve the full benefits of treatment. A fantastic candidate will also have a positive outlook, clear goals, and realistic expectations from the spider vein procedure. The provider may present spider vein before and after photos to help the patient decide whether they want to go ahead with the treatment.

In some cases, the treatment provider may first try to assess whether the patient has tried other alternatives such as losing weight, following a good exercise and fitness regimen, or wearing compression stockings. If the problem of spider veins has persisted despite these efforts, the patient may be an appropriate candidate for vein treatment.

If the treatment provider wants to use sclerotherapy to address the problem of spider veins, they should first discuss the procedure with the patient. If the patient is comfortable with the idea of this relatively simple and completely non-surgical procedure that involves small injections of a medicated saline solution that will be delivered directly to the affected veins, then they are likely to be a suitable candidate for sclerotherapy.

Who is not a Good Candidate?

Not everyone who suffers from spider veins and is bothered by their appearance may be a good candidate for vein treatment. The patient may not be a suitable candidate if:

  • They are suffering from a specific illness or infection that can interfere with the spider vein treatment.
  • They are bedridden or pregnant.
  • They are on anticoagulants or blood thinning medications.
  • They suffer from an arterial disease in the legs or have other vein or vascular problems.
  • They have had a blood clot. In such case, the eligibility of the candidate will depend on the cause and location of the clot.

Dedicated dermatology expert Dr. Zimmet receives patients from Austin, TX, and nearby areas for spider vein treatment and various other skin care procedures.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

One of the Best Vein Specialists in the Austin, TX AreaDr. Zimmet is a world-renowned vein specialist, and is a Past-President of the American College of Phlebology, the largest medical society devoted to vein disease in the world. He is the Founding President of the American Board of Venous & Lymphatic Medicine, an Officer of the Intersocietal Accreditation Commission’s Vein Center Board, and a Distinguished Fellow member of the American Venous Forum.

He was named by Vein Magazine as one of the 25 most influential professionals in vein care worldwide. When you visit Dr. Zimmet, you can feel confident that your veins are being cared for by someone with years of experience and comprehension of this field.


  • Vein Treatments Overview
  • Vein Evaluation
  • Ambulatory Phlebectomy
  • Compression Stockings
  • Endovenous Laser Treatment (EVLT)
  • Cutera® Excel V™ Laser
  • Sclerotherapy: Liquid & Foam
  • Ultrasound-Guided Sclerotherapy
  • Long-pulsed Nd:YAG Laser
  • Advanced Fotofacial


  • Chronic Venous Insufficiency
  • Hand, Facial & Chest Veins
  • Rosacea
  • Spider Vein Treatment
  • Varicose Vein Treatment
  • Venous Ulceration


  • American Board of Venous & Lymphatic Medicine, 2008 – current
  • Registered Physician Vascular Interpretation (RPVI), 2015 – current
  • Registered Vascular Technologist (RVT), 2007 – current


  • Fellow of the American College of Phlebology, 2004
  • Emeritus Fellow of the Australasian College of Phlebology, 2007
  • American Board of Venous & Lymphatic Medicine
  • Founding President, 2007-current
  • Chair, Item Writer Committee, 2007-2015
  • American College of Phlebology
  • Accomplishments on behalf of the ACP
  • President of the ACP, Founding Chairman of the ACP Foundation, Founding President of the American Board of Venous & Lymphatic Medicine
  • Served as President/Chairman of ACP, ACPF, and ABVLM simultaneously
  • Total of 33 years on the boards of the ACP, ACPF, ABVLM, and Phlebology Journal: 15 years as President, 29 years as an Officer/Editor
  • Obtained AMA recognition for Phlebology
  • American College of Phlebology Foundation
  • Founding Chair, 2006-2009
  • American Venous Forum
  • 2010-current
  • 2015: Distinguished Fellow Member


Dr. Zimmet has given over 120 presentations at dermatology, laser, and vein conferences around the world. He has also served as faculty for the American Academy of Dermatology, American Society for Dermatologic Surgery, American College of Phlebology, American Venous Forum, Society for Interventional Radiology, German Society of Phlebology, French Society of Phlebology, Canadian Society of Phlebology, and Australian Society of Phlebology.

He gave keynote talks at the 2015 Annual Meeting of the Australasian College of Phlebology and at the 2013 Annual National Venous Interventional Summit in India.

Steven E. Zimmet MD, RPVI, RVT, FACPh


  • Doctor’s Choice 100 Top Dermatologists 2016.
  • Elected by his peers for inclusion in Best Doctors in America® from 2015-2016 and 2011-2012 (Dermatology/Phlebology).
  • Distinguished Doctor- Expert Network from 2015 to 2016 and 2011 to 2012(Dermatology/Phlebology) invitation only membership (2016).
  • Top Choice Award for Best Varicose Vein Clinic, Austin, Texas (2016).
  • Doctor’s Choice Award for Cosmetic Dermatology, Austin (2015).
  • Awarded Distinguished Fellow status by the American Venous Forum, September 2015.
  • Invited Keynote Presentation—Annual Meeting of the Australasian College of Phlebology, Noosa, Australia, February 2015
  • Officer (Secretary), Intersocietal Accreditation Commission (IAC) Vein Center Board of Directors, 2015.
  • Excellence for Education and Training in Phlebology, awarded by the Australasian College of Phlebology (February 2015).

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700. Looked at 194 Dermatologists in Austin and Picked the Top 20.

Dr. Steven Zimmet of Zimmet Vein & Dermatology was on that list!

unnamedDr. Zimmet has been practicing dermatology in Austin, Texas for over thirty years. In 2007 he became the Founding President of the American Board of Venous and Lymphatic Medicine. Dr. Zimmet was elected by his peers for inclusion in Best Doctors in America® from 2015 to 2016 and 2011 to 2012 in dermatology and phlebology (vein disease).

Zimmet Vein & Dermatology provides skin and vein treatment from a convenient location in central Austin. Dr. Zimmet is the President of the American Board of Venous & Lymphatic Medicine and the editor of “Phlebology: The Journey of Venous Disease.” Zimmet Vein & Dermatology’s services include a wide variety of medical and cosmetic services, including rosacea treatment, precancerous lesion removal, acne treatment, fat reduction, body contouring, Botox, and hair removal. Zimmet Vein & Dermatology has won multiple awards, including the Patient’s Choice Award and a 2015 Doctor’s Choice award.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Photo Rejuvenation Skin Treatment | Austin DermatologyAdvanced photo rejuvenation skin care procedures have become an integral part of modern cosmetic dermatology. These treatments are particularly effective for enhancing the appearance of the face, neck, hands, arms, and chest.

Photo rejuvenation skin treatment is particularly helpful in addressing dermatology conditions such as hyperpigmentation, uneven skin tone, rosacea, enlarged pores, sun damage, rough skin texture, and redness and flushing.

Photo rejuvenation skin treatments enable patients to transform red, blotchy, or imperfect skin into a glowing, more attractive, and youthful looking skin. Dr. Steven Zimmet is a dedicated dermatologist providing state of the art photo rejuvenation skin treatment and various other procedures. Dr. Zimmet provides these procedures to patients in Austin, TX, and surrounding communities.

How does it Work?

Following a photo rejuvenation skin care procedure, facial veins, discoloration, redness, and rough texture will typically improve. Today’s advanced pulsed light photo rejuvenation procedures rarely create any bruising or skin discoloration, unlike traditional techniques. Patients may require a series of treatment sessions spaced a few weeks apart from each other.

Dr. Zimmet employs intense pulsed light (IPL) and a few additional laser wavelengths with an advanced laser called VariLite. A combination of multiple light sources can produce better outcomes than a single source. A small beam of light will be emitted by the VariLite laser to target pigmentation such as fotofacial for freckles and other pigmented lesions as well as vascular lesions, such as broken capillaries and angiomas.

These conditions commonly occur in patients suffering from aging effects, sun damage, and rosacea. Dr. Zimmet’s dermatology practice is equipped with cutting edge laser and IPL technology to deliver optimal results with photo rejuvenation.

Who should Avoid Photo Rejuvenation?

In some cases, IPL photofacial procedures may cause altered skin pigmentation in patients with tanned or naturally dark skin. For instance, African Americans and people of certain other descents should discuss the possible side effects with the dermatologist before going ahead with these treatments.

Furthermore, individuals who are using the medication Accutane should avoid having an IPL photofacial until at least six months after they have stopped taking the drug. Pregnant woman should also avoid this treatment. Experienced dermatologist Dr. Zimmet receives patients from Austin, TX, and nearby areas for photo rejuvenation skin treatments.

Photo Rejuvenation vs. Photodynamic Therapy

Moderate conditions of acne scars, rosacea, sun damage, and aging effects can be effectively treated with an IPL photofacial. However, when the condition of skin imperfections looks particularly severe, photodynamic therapy (PDT) may be preferable.

PDT is slightly more invasive, but may be necessary in some cases. Both IPL photo rejuvenation and PDT support fresh production of collagen to mitigate the effects of aging and enhance skin tone.

Photo Rejuvenation vs. Laser Skin Resurfacing

IPL photo rejuvenation is a completely non-invasive way to minimize the impact of light wrinkles and fine lines, moderate sun damage, and enlarged pores. But laser skin resurfacing is relatively more intensive, and can address deeper skin problems such as severe skin damage, acute acne scarring, and prominent wrinkles, employing the intensity of targeted laser beams.

If you would like to learn more about the procedures and treatments by Austin TX Cosmetic Dermatologist, Dr. Steven Zimmet, please contact us at (512) 485-7700.

Skin Vein