Normal Saline was invented in 1896 by Mr. Hartog Hamburger in Holland. Yes, this was at one point called Hamburger’s solution. Normal saline is a close approximation to the osmolarity of blood – thus there are tons of uses for normal saline. So how about HYPERTONIC Saline? What are the uses of something that has a higher osmolarity of blood? There are multiple uses but in my career it has been used for reducing brain swelling in trauma patients (more specifically to lower intracranial pressure, where maintenance of cerebral perfusion is key as it relies on blood pressure being high enough above intracranial pressure.)
The other use of HYPERTONIC Saline is in the COSMETIC treatment of spider veins. Now it’s less popular for this indication because POLIDOCANOL has been shown to be a superior product for spider vein treatment (and more expensive), but safety and superiority trumps cost for the most part. We use Polidocanol at Surgical Artistry, in Modesto, CA.
I got this question today and I thought I’d try to answer this question.
How soon after vein procedure do I see results?
It’s actually not an easy question to answer because the results vary and everyone starts with a different starting point. But even after I see a patient, I still have somewhat of a hard time predicting the point where “results” are seen. First let me define results as “I’m happy to show off my legs.” or I can word the question a little differently:
How long after I START vein procedures will I be happy with the BEST reasonable results?
Reasonable results = 90% improvement from baseline.
It might be 6 months later after starting vein treatments and about 3-4 sessions of sclerotherapy (vein injections) and vein laser mixed in, and about $1500 spent. And after sclerotherapy, I don’t want patients to experience vigorous exercise for about 9 days after the procedure. Stockings after sclerotherapy is a must for those 9 days as well. But after vein procedures, the after care is easier: no stockings needed, and minimal restrictions on the exercise.
Most patients do fewer than the 3-4 to get the greatest results in 6 months. Many take their time and do 3-4 procedures over 2 years. But after each procedure, there may be about a 2-3 month recovery time depending on several factors. And after each session, I’m hoping for 30-50% improvement.
Cosmetic Vein Procedures and Medical Vein Procedures are different
I perform an ultrasound with duplex to see if there is reflux in some of the slightly deeper veins. If these veins have reflux, I consider the surface veins as a possible side effect of these veins on the inside. Most of the time, I believe that insurance covers the treatment of the refluxing veins. This is usually done via endovenous ablation with laser or radio frequency in the office/surgicenter setting or it can be done with vein stripping at a hospital setting. I have done laser ablation in my office; however, I’ve stopped taking insurances and if our ultrasound test shows that you have what I called a “medical vein issue” then I’ll make some recommendations for practitioners who take insurance, and after these veins are taken care of. We can deal with the cosmetic vein issues. However, about 30-60% of the time, I’ve seen much of the cosmetic vein problems subside after the medical vein problems have been solved or improved upon.
I get this question a good deal. I think it’s probably somewhat confusing as to what we do and we offer a lot of procedures and products. Basically we are a two surgeon medical group offering services in Veins, Acupuncture, Plastic Surgery, and General Surgery. That can be quite a lot. But even with that said, it’s somewhat confusing as to what each of these items involves. So I thought I’d make a list which doesn’t include everything, but covers most of what we do: