Frequently Asked Questions

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Veins

Why choose Ultimate Vein Care?
The physicians at Ultimate Vein Care are Board Certified experts in caring for all vascular conditions. We can care for the entire spectrum of venous problems, from simple spider veins to the complex bulging varicose veins.
Who would be appropriate for treatment?
Treatments are effective for most individuals, including those with darker or tanned skin. A consult with our physicians will determinewhat type of treatment is indicated specifically for the individual.
How does the spider vein treatment work?
Laser light is delivered through the skin and into the vein. After heating, the vein walls collapse and seal shut. The sealed vein is then broken down and absorbed by the body.
What can I expect during consultation?
You will start by meeting with a physician to discuss different treatment options and your medical history. Then you will get pictures of your veins taken and measurements for compression hose. Treatment will be set up accordingly to what is specific for you.
What can I expect during vein treatment?
You will start by meeting with a physician to discuss the treatment and your medical history. After your consultation, the laser handpiece will be directed over the subject vein, which will, in many cases, disappear after a single pass.
Is the vein treatment painful?
Discomfort varies depending on the size and location of the vein. Many describe each laser pulse as feeling like the snap of a rubber band against the skin. As there can be tolerable moderate discomfort, our physicians may offer an anesthetic cream to help reduce the pain.
What can I expect following each vein treatment?
In some cases, the treated region will be slightly swollen and tender to the touch for a day or two. A red mark that resembles a "cat scratch" can sometimes persist for a few weeks. After treatment you will be asked to avoid strenuous exercise, wear sunscreen, and wear compression hose for 48 hours continuously then every day for two weeks.
How long do the vein treatments take?
Leg vein sessions can take about 30 minutes depending on the size of the treatment area. While some clients may be satisfied after just one treatment, two or more treatments may be needed to achieve desired results.
How long do the results last?
The appearance of existing veins will be diminished or completely eliminated. However, the development of new veins cannot be prevented. If your body has an underlying vascular problem, you may need additional treatments.
Why should I have my leg veins treated with a laser?
Treatments quickly and effectively remove smaller leg veins with little pain or downtime.
What is sclerotherapy?
Sclerotherapy is a procedure to treat spider veins. Sclerotherapy uses an injection of a special detergent (sclerosant) into a vein to damage and scar the inside lining of the vein. This causes the vein to close.
How is sclerotherapy done?
Sclerotherapy is done in the doctor’s office. A very fine needle is used to inject the sclerosant, then a cotton ball is taped over each injection site. The number of veins injected in one session is variable, depending on the size and location of veins. Mild discomfort may occur, and a cramping sensation or itching may be felt for a few hours after. The sclerotherapy procedure itself takes about 30-45 minutes.
What can I expect after sclerotherapy treatment?
Sclerotherapy generally does not require any recovery period. You will be able to walk immediately after the treatment. Bed rest is not recommended, but you will need to avoid strenuous exercise for two weeks after sclerotherapy. You will also have to wear 20-30mmHg compression stockings after the procedure for 48 hours continuously, then remove them, shower, and wear them every day for 2 weeks, 8-10 hours a day.

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HAIR

Is laser hair removal safe?
The Gemini/Lyra 'i' laser is FDA cleared for permanent hair reduction on all skin types, including very fair skin and olive or African-American skin. Treatments are most effective on medium to dark hair on any skin type. Fine and light hair is very difficult to treat. Blonde, red, white and gray hair cannot be treated.

The Lyra 'i' laser is so safe, it was the first laser cleared by the FDA for the treatment of pseudo-folliculitis, a painful condition also known as "shaving bumps".
What can I expect during hair removal treatment?
Your technician might apply a topical anesthetic for comfort of treatment, but most patients do not need it. Most patients feel a warm sting as the laser penetrates the hair follicle. Many people describe the sensation as a the snap of a rubber band against their skin. To minimized the discomfort, a cool gel is applied to the skin before treatment. The Lyra 'i' laser is equipped with a cooled sapphire window to further cool the surface of the skin while allowing laser light to heat the hair follicle beneath the skin.
How many laser hair removal treatments are needed?
Laser treatments impair the growth capacity of the hair follicles when they are in the active growth stage. Not all follicles are active at the same time and several treatments, every few weeks, may be necessary to obtain the desired result.

The number of treatments needed to achieve hair reduction varies. Most patients experience a marked reduction in hair growth in 6 to 10 treatments. Additionally, other factors such as hair density, age and hormones can affect the results of your treatments.
What can I expect after each hair removal treatment?
Once your treatment session is complete, you are free to resume your normal routine. Some patients might experience a slight redness in the treated area. This should resolve in a day or two.

Avoid sun exposure and use sunscreen following any laser treatment. Immediately after treatment, hair follicles might seem to grow for one to two weeks. Typically these are lifeless hairs and they will fall out quite easily.

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Laser Skin Treatments

What kinds of skin conditions can be treated with precision laser therapy?
Many facial conditions such as fine wrinkling around the eyelids, forehead, nose and mouth can be made smoother with this simple process. Deep laugh and frown lines can be minimized. Even the lingering effects of chicken pox, acne scars, superficial pigmented lesions, and other surface abnormalities can be successfully treated.
How do Enhanced Skin Rejuvenation treatments work?
Enhanced skin rejuvenation treatments work by precisely targeting the three major signs of aging:
Brown discolorations, also known as pigmented lesions (age spots, sun spots, etc.) are darker than the rest of the skin and absorb more laser energy than surrounding skin.
Red discolorations, also known as vascular lesions (small veins, rosacea, cherry angiomas, etc.), are overgrown or enlarged blood vessels. Preferentially heating vessel walls causes them to weaken, fall, and be absorbed by the body.
Wrinkles and skin laxity are caused by a gradual breakdown in collagen density and strength. Deep heating laser energy starts a regenerative process which lays down layers of new healthy collagen.
What can I expect before treatment?
You will start by meeting with a staff member to discuss your medical history, determine your eligibility, discuss details of the actual treatment and schedule a treatment time. After arriving for your appointment, the treatment site will be cleaned and a topical anesthetic may be applied. If anesthetic is used, you will need to wait as it takes effect. Immediately before treatment, the anesthetic will be removed and laser eye shields or safety glasses will be placed over your eyes.
What can I expect during treatment?
Your technician will apply a clear gel to the skin on which the chilled laser handpiece will glide. Treatment progresses in stages:
Stage 1: Utilizing high precision beams, laser energy is delivered to distinct sun spots and age spots.
Stage 2: The same high precision beam is adjusted to match distinct vascular targetes including superficial veins and cherry angiomas.
Stage 3: The laser is changed from a precision spot to a large spot for general background sun damage.
Stage 4: The wavelength of the laser is changed to treat deeper into the dermis for collegen contractions and stimulation.
Is it painful?
You may experience a slight tingling during treatment. Any concerns you have should be discussed with your physician prior to treatment. Depending on the level of the treatment, your physician may offer a topical anesthetic to help numb the skin prior to treatment.
How long do treatments take?
Treatments can take 5 to 30 minutes or more depending on the treatment area. If a topical anesthetic is necessary, you should allow 20 to 30 minutes or more for it to take effect. This is best discussed with your physician before treatment.
How many treatments are needed?
Most patients experience considerable improvement after 1 to 4 treatments depending upon the skin condition and level of treatment.
What should I expect after treatment?
Soon after treatment, your skin may appear slightly flushed and/or swollen. These effects usually subside after a few hours or days. The flushing and swelling will be replaced by a feeling of tightness as new skin grows and the dead skin starts to flake and peel off. Recovery times are directly related to the depth of the peel and can be tailored to your needs. Special care should be taken to limit sun exposure to the treated area for at least a month. Sunscreen, and in some cases make-up, may be applied immediately after treatment. It is best to work with your physician to determine appropriate post-treatment care.
How long will results last?
While treatments can help remove the signs of aging and sun damage, they cannot stop the process. Exceptional results can be maintained with follow up treatments every six months to a year and a daily sun block regimen.
Is it safe?
All treatments have been carefully researched and FDA cleared; however, like any medical procedure, there are risks that you should discuss with your physician before treatment.

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Laser Acne Reduction

How do Laser Acne Reduction treatments work?
Laser acne treatments work by triggering the body’s natural bacteria fighting defenses. Each treatment triggers a chain reaction that eliminates some of the problem-causing bacteria, reducing the severity of current and future breakouts.
What can I expect before treatment?
You will start by meeting with a staff member to discuss your medical history, determine your eligibility, discuss details of the actual treatment and schedule a treatment time. After arriving for your appointment, the treatment site will be cleaned and a topical anesthetic may be applied. If anesthetic is used, you will need to wait as it takes effect. Immediately before treatment, the anesthetic will be removed and laser eye shields or safety glasses will be placed over your eyes.
What can I expect during treatment?
Your physician will apply a clear gel to the skin on which the chilled laser handpiece will glide. The handpiece will be moved across the treatment area in an even pattern as laser energy is delivered. One or more passes will be delivered with an effort made to achieve even coverage.
Is it painful?
You may experience a slight tingling during treatment. To help manage comfort and safety, the system is equipped with a chilled sapphire tip which cools the skin before, during, and after each laser pulse. Any concerns you have should be discussed with your physician prior to treatment. Depending on the level of treatment, your physician may offer a topical anesthetic to help numb the skin prior to treatment.
How long do treatments take?
Treatments can take 5 to 30 minutes or more depending on the size of area to be treated. If a topical anesthetic is necessary, you should allow 20 to 30 minutes or more for it to take effect. This is best discussed with your physician before treatment.
How many treatments are needed?
Most patients experience considerable improvement after 2 treatments per week, for 3 to 5 weeks, depending on the severity of skin condition and level of treatment.
What should I expect after treatment?
Soon after treatment, your skin may appear slightly flushed and/or swollen. These effects usually subside after a few hours or days depending on the treatment intensity. Care should be taken to limit sun exposure to the treated area for at least a week. Sunscreen, and in some cases make-up, may be applied immediately after treatment. In addition, a special maintenance skin care regimen must be discussed with your physician.
How long will results last?
You will notice gradual improvement in the weeks following treatment; however, most patients experience a plateau in their improvement. Follow-up treatments may be necessary to maintain results. The ideal maintenance program may include a combination of topical medication with precision laser treatment.
Is it safe?
All treatments have been carefully researched and FDA cleared; however, like any medical procedure, there are risks that you should discuss with your physician before treatment.

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