Contact Us | Location

Did you know Sclerotherapy can treat bulging hand veins?

Tag Archives: sclerotherapy

Hand Vein Treatment

Sclerotherapy is an injection technique often used on spider veins in the legs but which also works elsewhere. It is quick and easy to tolerate, and causes the veins to shrink gradually over several weeks. Most people need 1-3 treatments done at about 4 week intervals.

For more information on Sclerotherapy for hands, click here.

Interested in discussing your hand vein treatment options? Call us today at (512) 489-7352

Review Us On Yelp

We are happy to count you as a part of the ZVD family!

Because our patients mostly
find out about us via reviews and word of mouth,
your testimonials/reviews are greatly appreciated.
We would like to invite you to review us online
if you are able to take the time.
Thank you.

Varicose Vein Treatment 

Varicose veins affect men and women of varied age groups and if detected in early stages can be managed by regular exercise and massage to those areas. But when they become larger and deeper at advanced stages causing symptoms like pain and cramps in legs and restless leg syndrome it becomes difficult to manage them with home treatments. Varicose veins generally are a result of long hours of standing in the same position leading to poor blood circulation and stressed veins. Scientists have not been able to find a common cause for this illness and people generally use compression stockings or prescription stockings to avoid this problem from aggravating.

  • Medical reasons behind varicose veins – These are caused by loss of elasticity in veins causing them to stretch and enlarge as they become varicose. Sometimes pregnant women also tend to develop varicose veins as pregnancy reduces flow of blood upward from legs to pelvis region and also due to hormonal changes in the body.
  • Self-care during varicose veins – To reduce chances of varicose veins being painful and leading to invasive procedures it is ideal to follow a rigorous exercise regimen which will reduce weight. To reduce pain in legs keep them elevated and avoid standing up or sitting down for long periods.


Surgical treatments for Varicose Veins

  • Sclerotherapy This treatment for varicose veins is done by injection of medication into a patient’s veins which makes them shrink to normal size so they do not appear bloated under the skin. This is the quickest procedure to treat varicose veins which takes around 20-30 minutes. A new kind of Sclerotherapy has become popular in Austin Texas, for treatment of varicose veins called Foam Sclerotherapy in which foamed medication is injected into patient’s infected veins.

Sclerotherapy Before and After Photos

  • BeforeAfer
  • Ambulatory Phlebectomy – This procedure has to be done by an experienced dermatologist as it involves making small punctures on the skin and removing small varicose veins. The area where punctures are made is injected with anesthesia to numb it and patient does not require hospitalization as within a couple of hours they can start walking. With dedicated skin care you can reduce any signs of punctures as these are only skin deep and do not leave scars.
  • Endovenous Laser Treatment – For removal of aggravated varicose veins and resulting pain you can take advice of experienced dermatologist like Dr. Steven Zimmet in Austin, Texas. He will skillfully deliver pulses of laser light into the vein making them collapse and shut down naturally. This intravenous laser treatment is carried out under local anesthesia and patient can recover within hours of the procedure.
  • Ultrasound Guided Sclerotherapy – Sometimes the varicose veins are deep under the skin and cannot be traced without the help of ultrasound machine. Through this treatment done under local anesthesia, Dr. Steven Zimmet can deliver laser directly into the deep veins after tracing them out through ultrasound to close them permanently.
  • Catheter Assisted Treatment – In this dermatology procedure the physician inserts a thin catheter into an enlarged varicose vein and then heats the tip. When the warm catheter is pulled out it destroys the vein causing it to permanently seal shut.

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 veins are a common dermatology problem that can affect the aesthetic appearance of the skin. If neglected for long, it may also lead to more complications. Dr. Steven Zimmet is an experienced dermatologist providing effective non-surgical treatments for spider vein removal. Patients in Austin, TX and surrounding communities have an opportunity to receive state of the art skin care treatments from him. 

COOLSclero Technique

One of the safest, time-tested and most effective treatments for spider vein removal is sclerotherapy. This is a non-surgical treatment that has been used by dermatologists for decades to treat the problem of spider veins. It involves treating the veins with tiny injections of special medication to eliminate the targeted spider veins.

Dr. Zimmet has adopted a highly effective and innovative technique called COOLSclero to perform spider vein treatment. With this technique, it is possible to reduce the discomfort to a negligible level, while achieving magnificent results. The technique involves a unique cooling process that allows the patient to remain comfortable as tiny needles of medication are injected directly into the diseased veins.

Sclerotherapy Procedure

Sclerotherapy is one of the most widely used treatments in dermatology for spider vein removal. The procedure involves injecting of a medication called sclerosant directly into the marked veins. The medication irritates the inner lining of the targeted veins and causes them to seal, shrink, and gradually dissolve. This way the spider veins are removed from the system in a gradual and natural way.

Dr. Zimmet adopts the most effective and proven methods of skin care. For sclerotherapy, he prefers to use Sotradecol Asclera, which is an FDA approved form of polidocanol. Alternatively, he may use a combination of saline and dextrose. He makes sure that only such medications are chosen that produce least discomfort for the patient, and yet achieve the best outcomes. Patients in Austin, TX and nearby areas may seek spider vein removal treatment from Dr. Zimmet.

Treatment Approaches

Prior to the administration of sclerotherapy, Dr. Zimmet will evaluate various aspects to determine the most appropriate treatment approach for a particular patient. He may choose of the following sclerotherapy approaches:

Liquid Sclerotherapy

If the patient suffers from tiny spider veins, liquid sclerotherapy may be the right treatment approach. With this treatment, the sclerosant solution is injected into the specific veins just on the surface of the skin.

Foam Sclerotherapy

If the size of the veins is larger and more prominent, foam sclerotherapy approach may be applied. In this approach, the sclerosant is mixed with air or another gas in order to create a foamy solution. This solution enhances the strength of the medication to achieve effective outcomes.

Ultrasound Guided Sclerotherapy

If the veins to be treated are in the deeper layers of the skin, more targeted results can be achieved with ultrasound guided approach. Pulsed light treatments may be used to treat facial spider veins.


Most patients may need two to five treatments to achieve the desired outcomes. This will depend on the extent of spider veins and how responsive is the patient to the treatment. Results with this treatment are long lasting, but some patients may need a repeat treatment in the future.

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

Sclerotherapy, or the injection of a sclerosant into a vein in order to close it and make it dissolve, is an effective way to treat spider and varicose veins. However, not all sclerosants are created equal.

There are two excellent FDA-approved sclerosants, Sotradecol and Asclera.  However, you should be aware that many physicians purchase compounded versions of these sclerosants. These compounded medications have not been subjected to FDA testing to determine safety and effectiveness, and the compounding pharmacies  are not regulated by the FDA.  Furthermore, studies have shown that these compounded sclerosants may be either stronger or weaker than labeled. The variability in potency could cause health issues for patients who end up receiving either much less of the drug or much more than indicated.

While there can be legitimate reasons to have a special medication compounded, in this case it is likely the main reason these compounded versions are used rather than an FDA-approved version is because they are much cheaper.

When considering sclerotherapy for spider or varicose veins, it’s important for both you and your phlebologist (vein physician) to be knowledgeable about what sclerosant is being used. Be sure to ask your physician if they are using FDA-approved sclerosants such as Sotradecol or Asclera rather than compounded agents.

As the weather heats up and Austinites start shedding their jackets for shorts and swimsuits, you might consider sclerotherapy as a way to erase varicose or spider veins. However, it is important to remember that not all sclerotherapy treatments were created equal.

The most commonly used sclerosant used today is FDA-approved Sotradecol. Sotradecol works by causing irritation on the inside of the vein so that the vein closes and dissolves. Sclerotherapy with Sotradecol is generally quick and not very painful. Asclera, another sclerosant offered by Dr. Zimmet, acts in the same way. The medication, which was originally meant to be an anesthetic, was approved by the FDA in 2010 and has since grown in popularity in the US.  Asclera (polidocanol) has been available in Europe since the 1960s, but required studies were only recently submitted to and approved by the FDA.

Some doctors, however, still use a hypertonic saline as a sclerosant, through which the vein is sealed due to dehydration. Unfortunately, this method of vein treatment irritates nerve endings due to its high sodium content and is thus quite painful. Virtually all patients find sclerotherapy with Sotradecol or Asclera significantly less painful than hypertonic saline. Sarah Wexler, an Allure magazine writer who tried Asclera, reported experiencing much less pain using Asclera, as well as minimal bruising.

Sclerotherapy can be a great way to boost confidence in your body, especially with summer on the horizon. Go to a physician who is very experienced and knowledgeable about sclerotherapy.

Benefits of Sotradecol and Asclera:

  • Minimal pain
  • Proven efficacy
  • Excellent safety profile

Problems with hypertonic saline sclerosant:

  • Intense burning during procedure
  • Possibility of skin ulceration

Photo: Oneras

Skin Vein Skin Vein

Austin, Texas

1500 W. 34th Street
Austin, TX 78703
Skin Vein Skin Vein
Skin Vein