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Opening Hours

Monday-Tuesday-Thursday: 9:00am - 5:00pm      Wednesday: 7:00 am - 5:00 pm
Friday-Satuday-Sunday: Closed

217
Davenport Rd

Toronto, ON,
M5R 1J3

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Consultation

Hand & Facial Veins

Facial veins tend to occur more as we age and generally start to be visible around age 40 but we do see them in much younger patients. The exact cause of facial veins developing are not completely understood. We do know that there are some associated factors to include: sun exposure, genetics, natural aging, and some medical conditions such as hypertension and rosacea.

Facial veins are usually considered a cosmetic issue and treatment is not covered by insurance. They are more common in fair skinned individuals and can range in size from very small to as large as a few millimeters. Facial spider veins generally appear on the nose, chin or cheek area and often occur in rosacea. These veins are most commonly red, and usually appear in three basic shapes: linear, branch-like or spider-shaped, with a dark center point

Before Laser
Treatment with 940 nm

After Laser
Treatment with 940 nm

Treatment Options

The most important principle to remember is that facial veins lie above the heart. As such, we do not have to consider gravity, failure of valves or venous reflux when assessing and treating facial veins. Treatment options for facial veins can almost always be selected from visual assessment alone. As a general rule, the smaller and more superficial the veins, the easier they are to treat and the more commonly they are treated. When thinking about possible treatment options, the selection of the appropriate treatment comes down to colour, size and depth of the target vein with a small consideration as to the location once the other factors have been taken into account.

Laser Therapy

Unlike the skin of the leg, the skin of the face is constantly exposed to ultraviolet radiation from the sun and is therefore very resistant to thermal damage. As such, transdermal laser therapy can be used directly to treat appropriate facial veins with low chances of causing skin burns.

Sclerotherapy

In some cases, sclerotherapy can be used to treat facial veins. We can perform sclerotherapy for larger green reticular veins of the face with a very low dose 0.25% Sotadecrol® solution. This may require anywhere from one to three treatments and is associated with some short-term bruising. The duration and number of sessions will vary depending on the severity of the facial veins and their location. The majority of facial veins can be treated in one session. However, two to three treatment sessions spaced four to six weeks apart may be required.

Hand and Arm Vein Therapy

Reticular veins on the hand and arm (prominent veins) are quite common, occurring in over 40% of the population. Hand and arm veins become more prominent with aging, due to loss of volume (subcutaneous fat) in the hands, decreased tissue elasticity, decreased muscle mass, and due to progressive sun damage over time. Hand veins typically occur on the dorsum of the hand.

The vast majority of people do not have any symptoms secondary to hand and arm veins. A small group of patients may complain of itching or pain over the veins. Some people find hand and arm veins unsightly and seek treatment to improve the appearance by eliminating the visible hand and arm veins.

Sclerotherapy As A Treatment Option

Hand and arm veins can be treated successfully using injection sclerotherapy. Injection sclerotherapy involves the insertion of a very fine needle into the visible vein, followed by the injection of a medication, which causes the target vein to close over a number of weeks. The medication utilized for sclerotherapy at The Vein Institute of Toronto™ is Sotadecrol®. After each treatment, gauze is applied over the treated vein for 6 hours to limit bruising. Typically, a series of one to three injections separated by a six-week interval is required to eliminate the hand or arm veins of concern. Following treatment, the normal reaction is some mild bruising, swelling and tenderness over the treated vein. This resolves over a one to three-week period.

Tips For A Fast Recovery

As with any procedure, some mild side effects might occur. These side effects include slight redness to the skin tone or mild swelling in the treated area.Common recommendations for treated patients include:

Stay out of the sun and away from tanning beds for at least two weeks.

Wear at least 45 SPF sunblock on your face for at least two weeks.

It should be noted that hand and arm veins are commonly used for intravenous access or blood sampling. Treatment of these veins with sclerotherapy will prevent further intravenous access of these veins and necessitate the use of other veins in the arms.

Book An OHIP Covered
Consultation Today!

If you would like to have a consultation please contact the Vein Institute, Toronto’s premier Medical Aesthetic clinic for state-of-the-art treatments of leg varicose and spider veins, hand and facial veins.

VISIT US


The Vein Institute
217 Davenport Road,
Toronto, Ontario
M5R 1J3

HOURS OF OPERATION


Monday: 9:00 am - 5:00 pm
Tuesday: 9:00 am - 5:00 pm
Wednesday: 7:00 am - 5:00 pm
Thursday: 9:00 am - 5:00 pm
Friday: Closed
Saturday: Closed
Sunday: Closed