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February 2011

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Posted in Vein Therapy on February 10th

Varicose veins—ugh! We all instantly recognize them and we all wish to hide them or eliminate them. They appear as little spider veins on the face, such as the cheeks and nose, or they can be large worm-type discolorations that plump up primarily on the thighs and lower leg. But what causes them and what can you do about them?

Why Varicose Veins Develop

Your age, weight, gender, genetics and other factors can influence your tendency toward developing these unattractive veins. Blood circulates down the legs through your arteries to your feet and then returns back to the heart through your veins. Contraction of the leg muscles pumps the blood back up to the heart, even when you are standing. Also, the veins have one-way valves to prevent the blood from flowing backwards down the leg. Varicose veins develop when this system breaks down and allows some blood to pool in the leg veins instead of being pumped back up the body.

First, aging is a factor. Since the same veins sustain wear and tear over decades, the valves in the veins essentially become tired out over time, allowing blood to flow backwards and pool. This blood then collects and becomes visible on the surface over time.

Weight is also a cause of varicose veins. Those who weigh more than they should develop varicose veins as the fat applies higher pressure in the legs.

Women suffer more than men with varicose veins. This is likely due to hormones during pregnancy and menopause, which cause the vein linings to weaken.

Blood clots lead to varicose veins as well. These can develop in the superficial veins, causing them to become inflamed, which damages the valves. This allows the blood to flow backwards, causing a pooling effect.

The most common cause is a lack of movement. Sitting or standing for long periods of time can cause the muscles to contract less often. This results in pooling. Over time, this pressure leads to bulging of the veins, resulting in the twisted, bumpy characteristic that we identify as a varicose vein.

Treating Varicose Veins

Anyone can develop varicose veins but there are treatments to help. Although pressure stockings can be worn (these should be fitted to you personally at the drug store, as ill-fitting pressure stockings can apply too little or too much pressure), most of our patients opt for either laser vein treatments or sclerotherapy.

Laser treatments involve the use of a special medical laser that can nonsurgically distribute a precise measure of energy to each vein through a laser handpiece. The light energy causes heat in the blood vessel (but not the tissues surrounding the vessel) to coagulate the blood. This is not painful and generally requires 2-3 treatments spaced 4-6 weeks apart, after which you can resume your normal schedule. Eventually the appearance will improve, as the vein is no longer bulging. The photos at left illustrate the power of laser vein therapy for facial and leg veins.

Sclerotherapy is another option. Sclerotherapy involves injecting a solution through a very tiny needle into the vein. The solution causes the vein to waste away and disappear over a few weeks. It’s very simple and involves only minor discomfort.

There’s no reason to suffer with embarrassing leg or facial veins. You have time, now before the summer comes, when a desire to wear shorts or a swimsuit will come along with the warmer weather!

To your health & beauty,

Gregory Chernoff, MD

Tags: dr. gregory chernoffgregory chernoffgregory chernoff MDsclerotherapy indianapolisindianapolis cosmetic surgeryindianapolis faceliftindianapolis plastic surgeonindianapolis plastic surgeryindianapolis spider veinsspider vein treatment in indianapolisvaricose vein treatment in indianapolisvaricose veins
Posted in Hair Replacement on February 3rd

DermaGenoma, Inc. a genetic research and development firm announced at the International Society of Hair Restoration Surgery’s 18th Annual Scientific Meeting in Boston a new test to determine if there is a genetic basis behind hair loss in adult women.

Called the HairDX Genetic Test for Female Androgen Sensitivity, the test examines genetic variations in a woman’s androgen receptor gene to assess her androgen sensitivity. This can determine if her female hair loss has a hormonal cause. Hair loss has been linked to differences in androgen sensitivity due to genetic variations in the AR gene.

Knowing a woman’s androgen sensitivity will help her doctor determine if her hair loss has an androgenic basis. Patients with high androgen sensitivity could benefit from anti-androgen therapies.

“This test addresses a long standing clinical need in the treatment of women with hair loss; the ability to identify those patients who will benefit from a specific type of hormonal therapy,” said Dr. Kenneth Washenik, Medical Director of Bosley and the Executive Vice President of Scientific and Medical Development of the Aderans Research Institute. “This test adds much needed specificity to our ability to evaluate androgenetic alopecia in women suffering from hair loss.”

We are well-known by both men and women in Indianapolis for hair restoration, as well as the many other services we provide. If you’re experiencing the distress of thinning hair, do set a time to see me, the earlier the better. There are solutions!

To your health & beauty,

Dr. Gregory Chernoff

Tags: female hair loss doctor indianapolishair loss doctor indianapolisindiana cosmetic surgeonindiana hair replacementindiana plastic surgeonindianapolis cosmetic surgeonIndianapolis plastic surgeon.
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Simple fixes exist for these skin-aging issues.  New laser treatments combine light, radio frequency, and fractionated therapies to regenerate collagen, improve skin tone, fade sun spots, and improve the overall quality of skin. Laser therapy is not to be feared.  Many new in-office options exist that are effective, safe, and have little to no downtime. 

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