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W009 - Hands-on: Varicose and Telangiectatic Veins

Monday, March 4; 1:00 PM - 4:00 PM

Learning Objectives

Following this course, the attendee should be able to:

  • Describe the anatomy of the lower extremity venous system and identify patient characteristics that warrant noninvasive imaging prior to initiating treatment.
  • Determine the appropriate use of sclerotherapy, lasers, and more advanced venous techniques and formulate an appropriate treatment plan for leg veins ranging from spider veins to truncal varicosities.
  • Identify the appropriate techniques and tips for optimizing sclerotherapy treatments using hands-on simulation training devices.


This hands-on training session will focus on how to manage lower extremity venous disease, with an emphasis on treating cosmetically undesirably spider and reticular veins of the legs. Faculty will describe the anatomy of the lower extremity venous system; identify patient characteristics that warrant noninvasive imaging; formulate an appropriate treatment plan for leg veins ranging from spider veins to truncal varicosities; determine the appropriate use of sclerotherapy, lasers, and more advanced venous techniques; and recite the advantages and disadvantages of each treatment modality. Following the didactic portion, participants will break into small groups and circulate through hands-on stations staffed by instructors, where they will practice patient examination with ultrasound and perform sclerotherapy on multiple simulation training devices. This activity has been approved by the American Board of Dermatology (ABD) for up to 30 MOC Component 2 Self-Assessment points. For more information about MOC, please visit the ABD website at


  • Karen, Julie K., MD: Allergan, Inc – C(Fees); Energizer Holdings, Inc – C(Fees); Idea Village – C(Fees); New Vitality – C(Fees); Revision Skincare – C(Fees);
  • Mann, Margaret W., MD: Galderma USA – I(Grants/Research Funding); Merz Aesthetics – I(Fees); Sciton Inc. – I(EQ);
  • Mishra, Vineet, MD: Cutera, Inc. – SP(Fees); Evolus, Inc. – A(H); Merz Aesthetics – A(OB);
  • Munavalli, Girish S., MD, MHS: BTG PLC – A(H); Candela Corporation – A(H); Covidien – C(H); Lumenis – I(EQ); Merz Aesthetics – A(H);
  • Sutton, Adam Vincent, MD, MBA: no financial relationships exist with commercial interests.
  • Weiss, Margaret A., MD: Allergan, Inc – A(H), C(H), I(Grants/Research Funding); BTG PLC – C(Fees), I(Grants/Research Funding); Cabochon – I(EQ); Canfield Scientific, Inc. – C(H); Cooltouch – C(EQ), C(H); Cynosure – A(H), SP(H); Cynosure, Inc – I(Grants/Research Funding); Evolus, Inc. – I(Grants/Research Funding); Fibrocell Sciences – A(H); Galderma USA – A(H), C(Fees), I(Grants/Research Funding); L'Oreal USA Inc. – C(Fees); Merz Aesthetics – C(H), Data Safety Monitoring Board(Fees), I(Grants/Research Funding); Revance Therapeutics, Inc. – I(Grants/Research Funding); Sapheon, Inc. – I(Grants/Research Funding); Sebacia, Inc. – I(Grants/Research Funding); Suneva Medical, Inc. – A(H); Syneron, Inc. – I(Grants/Research Funding);
  • Wysong, Ashley, MD, MS: Castle Biosciences – A(NC);
Monday, March 4
1:00 PM
Dr. Mann / Introduction
1:05 PM
Dr. Wysong / Review of lower leg venous anatomy and role of diagnostic duplex US
1:15 PM
Dr. Munavalli / Treatment of truncal varicosities – (EVLT, phleb, and US guided sclero)
1:25 PM
Dr. Mishra / Review of cosmetic sclerotherapy
1:35 PM
Dr. Weiss / Technique for Effective Cosmetic Sclerotherapy (with videos)
1:50 PM
Dr. Sutton / Complications of Sclerotherapy
2:00 PM
Dr. Karen / Role of Lasers/Devices for sclerotherapy
2:10 PM
All faculty / Q&A
2:20 PM
All faculty / Round 1 Hands-on
2:45 PM
All faculty / Round 2 Hands-on
3:10 PM
All faculty / Round 3 Hands-on
3:35 PM
All faculty / Round 4 Hands-on
Event Details
  • Date
    Monday, March 4
  • Time
    1:00 PM - 4:00 PM
  • Location
    Room 150B
  • CME Credits
  • Type
  • Margaret W. Mann, MD, FAAD - Handout
  • Ashley Wysong, MD, MS, FAAD
  • Adam Vincent Sutton, MD, MBA, FAAD
  • Girish S. Munavalli, MD, MHS, FAAD
  • Julie K. Karen, MD, FAAD
  • Margaret A. Weiss, MD, FAAD
  • Vineet Mishra, MD, FAAD