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Q: Dear Scott – I have been reading your column and enjoying it so much! You have really helped the perplexed with your fresh advice and guidance. I am wondering just how far your expertise can reach. This question is about cosmetic surgery. How would you go about finding a good, reputable doctor to address your issues? And how do you know what kind of doctor to seek out?

Like spider veins, for example. They are terribly ugly, but to correct them one would want an experienced doctor. How do you find and check out someone to make the bad stuff go away?

Thanks for your help!

SCOTT: Thank YOU for your kind words! I’ve got some for you as well: you’re not alone in your struggle with those pesky, unfortunate veins.

Spider veins occur in half of all women and don’t usually require treatment, unlike their more treacherous cousin, the varicose vein which tends to grow worse over time. Unlike varicose veins, the spider variety is smaller and occurs most commonly on the backs and insides of legs and calves. Many treatment options are available, including sclerotherapy, an injectable solution which stops the flow of blood directly into the problematic veins.

My girlfriend did Sclerotherapy and says it’s not as bad as it sounds. Laser treatment is also effective and increasingly popular since it doesn’t require needles or incisions. The best part is that both methods are done on an outpatient basis in a dermatologist’s office.

No one notices the veins more than you but if they’re bothersome, start with your insurance company and locate a dermatologist to discuss treatment options. Also check which, if any, procedures are covered under your policy. Not surprisingly, most policies don’t cover elective cosmetic surgery. Wow, thanks a lot, insurance companies!

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