Medical vs Cosmetic

Medical and Cosmetic

The Complete Solution to Revitalizing Your Veins

Spider Veins

Spider veins are small clusters of red, blue or purple veins that appear on the thighs, calves and ankles. They often known as “roadmap veins,” since they resemble lines on a map. Unfortunately, these veins become larger and worsen over time. If these tiny veins
annoy or bother you, rest assure that you are not alone. The good news is there is something that you can do about it.
Sclerotherapy is the preferred procedure to correct spider veins. Sclerotherapy is performed when a physician injects a solution directly into the afflicted vein. The solution is meant to irritate the lining of the vessel, causing it to swell and stick together, over time the vessel transforms into scar tissue and that tissue is no longer visible.
Spider veins are often considered to be purely cosmetic from an insurance perspective.

Varicose Veins

Varicose veins are much more noticeable and are larger in appearance than spider veins. They are raised above the skin’s surface and look similar to a rope in appearance. Varicose veins can be considered both cosmetic and a medical condition; usually veins smaller than 3mm are considered cosmetic, while those larger than 3mm are considered to be a medical impediment. Superficial venous reflux disease is the number one cause for varicose veins. Venous reflux is caused by “leaky” valves in the vein. Veins have one way valves which direct the blood back to the heart; when the valves are working properly blood flows up in the direction of the heart. When the valves are “leaky” the blood flows in the direction of the feet.
Reflux is diagnosed by performing a. A venous ultrasound evaluation can determine if you are suffering from venous reflux disease.

Varicose Veins: A Medical or Cosmetic Condition?

Varicose veins can be considered both cosmetic and medical, however, in order for them to be considered medical a patient must experience physical symptoms.

Physical symptoms of varicose veins include:
• Aching in the legs
• Swelling of the legs
• Fatigue or tired feeling in the legs
• Skin color change
• Tenderness in the afflicted area

Please note that these symptoms can exist even if the vein is not visible, as the vein may be deeply embedded within the skin. Compression hose can alleviate some of these uncomfortable symptoms; insurance companies usually require that patients wear this hose for 6-12 weeks, if they still have consistent symptoms even after using the hose they can be considered for medical coverage. In addition to the above requirements, our office will also submit a preapproved letter to the insurance company on your behalf.

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