My Blog
August 13, 2019
Category: Dermatology
Tags: Varicose Veins  

Say goodbye to unsightly veins when to you turn to our vascular doctor in St. Louis, MO.

Do your varicose veins cause your legs to look like roadmaps? If so, then you may be tired of just covering this problem up. Of course, if Vericose veinsthe idea of wear long pants in the summertime and not getting to enjoy days at the pool sounds less-than-ideal then our St. Louis, MO, vascular surgeon Ayaz Malik, MD, FACS and Rachael Brewer, FNP-C offer advanced treatment options that will help you get rid of varicose and spider veins.


Are varicose veins and spider veins the same?

While weakened blood vessel walls cause both varicose and spider veins to develop it’s important to recognize that these veins are different. Spider veins are often very thin blue or red branch-like lines that do not cause symptoms while varicose veins are bulging blue blood vessels that often pop out from the surface of the skin.

Not only do varicose veins impact your appearance but they can also cause unpleasant symptoms such as swelling, cramping, stinging and discomfort, most often in the legs where they commonly appear. While they aren’t known to cause blood clots or other serious complications sometimes the symptoms associated with varicose veins can be uncomfortable or can worsen over time.


How can Vein Specialties get rid of my varicose veins?

In the past, traditional surgical methods for removing varicose veins often left patients having to deal with several weeks of post-surgical recovery and visible scars; fortunately, thanks to modern medical technology, we offer several ways to remove varicose veins without the need for more invasive surgical techniques.


Laser Ablation

Specifically known as endovenous laser ablation, this procedure is performed under local anesthesia and can be completed in about 30 minutes. During this procedure, a tiny fiber is inserted into the vein where the diode laser will then heat up and seal the vein. Since the vein is sealed, blood can no longer pass through it. Over time the body will reabsorb the vein. Most patients can return to their normal activities in about two days after this treatment.



During this minor surgical procedure, our vascular surgeon will make a small incision into the skin to remove the vein with a special surgical tool that will allow us to remove rather large varicose veins through a very tiny incision, which means a subtle and often unnoticeable scar. If you have deeper varicose veins we may recommend getting this treatment along with endovenous laser ablation for the best results.



This procedure is recommended if you have larger varicose veins. During sclerotherapy, our St. Louis, MO, vascular specialist will inject a special solution into the veins to cause them to collapse. Just like with ablation therapy, once the vein collapses it will be reabsorbed by the body.


Varicose vein treatment could get you one step closer to feeling more confident in your appearance. Call Dr. Ayaz Malik and his team at Vein Specialties in St. Louis, Missouri today at (314) 993-8233. Or visit us online at

May 29, 2019
Tags: Tattoo Removal  

How your doctor in St. Louis, Missouri can remove your tattoo safely and effectively

Do you have tattoos you’d be better off without? Do you want your clean, clear skin back? The truth is, tattoos don’t have to be forever.

Do you want to fade and existing tattoo to re-ink?

Now, there are effective ways to get rid of tattoos for good. Vein specialist Dr. Norman Bein at Vein Specialties in St. Louis, Missouri offers Tattoo Removal SleeveClean Slate Tattoo Removal, using the Cutera Enlighten Pico system the easy, effective way to lose those annoying tattoos and get your beautiful skin back.

You may have questions about Clean Slate tattoo removal. These are just a few frequently asked questions about this procedure:

Does Clean Slate tattoo removal hurt?

With multiple different methods for providing a virtually painless experience.

As a medical office, we can keep you very comfortable.

Previous tattoo removal methods were often very painful, but the Clean Slate tattoo removal system is much more comfortable.

Does tattoo removal leave a scar?

No, Clean Slate leaves no scarring, unlike other tattoo removal methods.  We have an after care regime which helps the skin heal completely between treatments.

Is Clean Slate tattoo removal safe?

Yes, laser tattoo removal is considered the safest method to remove unwanted tattoos.

How does Clean Slate Cutera Enlighten Pico laser tattoo removal work?

Lasers work by using short pulses which break up areas of pigment, making it easier for your body to absorb and remove the ink. The quick pulses ensure your skin stays cool and comfortable.  We have 6 combinations of different wavelengths to tackle all colors and all skin types. It does take a series of treatments which varies from person to person.  On average 4-6 but this depends upon each tattoo and how your body removes the ink.

Does Clean Slate work on all tattoos?

Yes, Clean Slate can fully remove just about any tattoo, including professional and homemade tattoos. In the rare case that a tattoo cannot be fully removed, it can be partially removed or lightened.

There is a lot of variability in inks used and the amount of ink each tattoo artist injects into the skin.

To learn more about Clean Slate Tattoo Removal and to view informative videos about tattoo removal, please visit the Video Gallery page on the Vein Specialties website at

To view amazing before-and-after photos of Clean Slate tattoo removal patients, please visit the Before-and-After page on the website at

Don’t get stuck with a tattoo you no longer want. You deserve to look your best, and sometimes that means removing an unwanted tattoo. Find out more about Clean Slate tattoo removal by calling Dr. Norman Bein at Vein Specialties in St. Louis, Missouri today!

May 02, 2019
Tags: spider veins  

Your vascular surgery team in St. Louis, Missouri can help with spider veins
Spider veins are a common problem as you get older. Vascular Surgeon Ayaz Malik, MD, FACS and Rachael Brewer, FNP-C at Vein spider veinsSpecialties in St. Louis, Missouri can help get rid of your spider veins for good.
These are a few of the common questions and answers about spider veins and spider vein treatments:
What causes spider veins?
Spider veins can be an inherited issue, as they tend to run in a family. Females get them twice as often as men.  Women are also at higher risk of developing spider veins when dealing with hormonal changes, such as during pregnancy, menopause or while taking birth control pills. Sun exposure and obesity can increase your risk of getting spider veins.  Also, being on your feet most of the can cause them to appear, so factory workers, nurses, teachers are more at risk of developing spider veins.  
How are spider veins different from varicose veins?
Spider veins are thin red lines of abnormally dilated small blood vessels that run up and down your legs or face.  These little vessels can twist around into a spider web pattern on your skin. Varicose veins are larger and thicker and are closer to the surface of your skin.  Sometimes they appear dark blue and can look like they are bulging. Sometimes they look knotted because they are swollen and twisted. Varicose veins can appear anywhere on the body, but are most commonly found on legs and ankles.
Do spider veins hurt?
Although spider veins aren’t harmful, they can occasionally throb, itch, burn or ache.  Sometimes they will cause the tissue around them to become irritated, resulting in discoloration and ulceration. Skin ulcers can appear at joint, like the ankles.
How do doctors treat spider veins?
The caring team at Vein Specialties offers a complimentary consultation for spider vein treatment. The first step in determining the right treatment options is by using 'trans-illumination' which is a light that penetrates the skin as well as ultrasound if needed to determine the cause of your spider veins. Typical treatment options include sclerotherapy or laser therapy.
Sclerotherapy involves the injection of Sodium Tetradecyl Sulphate (Sotradecol) or Polidochanol (Asclera) to reduce the appearance of spider veins. During treatment, your spider veins are injected with a solution that closes up the small veins. Your blood begins to redirect its flow to large, healthy veins, where it is supposed to be to begin with. As the blood flow to spider veins stops, the spider veins diminish and eventually disappear. You should expect about 3 -5 sessions with this treatment, typically a month apart.
For smaller veins, particularly in the face or ankles laser therapy may be used. In some instances, both sclerotherapy laser therapy may be needed.
These are just a few of the commonly asked questions and answers about spider veins and spider vein treatment. For more information about spider veins, varicose veins, and other vascular conditions, call Dr. Ayaz Malik and his team at Vein Specialties in St. Louis, Missouri today at (314) 993-8233. Or visit us online at

If you have varicose or spider veins, you may have wondered what you can do to improve or even eliminate their appearance. Luckily, with help from your vascular surgeon, you can do just that and work toward feeling great about the way you look. Find out more about treatingVaricose Vein Treatment Results spider and varicose veins with Dr. Norman Bein at Vein Specialties in St. Louis, MO.

What are varicose veins? 
Varicose veins began as healthy veins but became twisted and enlarged. These veins appear most often on the legs but can occur anywhere on the body. The veins in your legs require elasticity to work against gravity and pump blood to your heart. As you age, varicose veins form as the healthy veins lose their elasticity and the vein starts malfunctioning, causing blood to pool and the vein to enlarge. Varicose veins may cause symptoms like a heaviness in the legs, burning, stinging, itching, cramps, restless leg syndrome, or skin changes.

What are spider veins? 
Spider veins are tiny blood vessels which develop in clusters just under the skin. Most commonly found on the face and legs, spider veins can range from red to blue or purple in color and resemble a spider web. Heredity can predispose a person to spider veins.

How can a vein specialist help me? 
A vein specialist is an expert in the circulatory system and treating diseases and conditions relating to the veins. Your vein specialist can help you minimize the appearance of your spider and varicose veins with various cosmetic techniques. These treatments may include laser techniques, sclerotherapy, or other techniques. Dr. Bein can help you choose the best treatment for your vein issues at a consultation.

Your Vein Treatment Options in St. Louis, MO
Don’t let your unsightly varicose or spider veins affect you any longer. For more information on treating your varicose or spider veins, please contact vein specialist Dr. Normal Being at Vein Specialties in St. Louis, MO. Call (314) 993-8233 to schedule your appointment with Dr. Bein today!

August 14, 2018

It’s not vain at all to want to get rid of unsightly spider veins, which cause the legs, arms, and face to look much older. Many patients avoid spider veinswearing shorts and short sleeves because they’re so embarrassed by how spider veins make their limbs look. This doesn’t have to be you—see vascular surgeon Dr. Norman Bein at Vein Specialties in St. Louis, MO, to find out about spider vein treatment options.

Spider Veins: Causes
These are typically a cosmetic problem but in some cases, they could be an indication of a deeper problem. Here are some of the possible causes:

  • Inherited – typically from a parent or they run in a family.
  • Hormonal changes such as pregnancy, birth control pills or hormonal replacement may increase spider veins.
  • Underlying pressure from “feeder” veins

Spider Vein Treatment
For the best results from spider vein treatments see Dr. Bein and Maria Bein RN at Vein Specialties for a comprehensive consultation which is complimentary for cosmetic procedures. First, trans-illumination (a skin penetrating light) and ultrasound will diagnose the issue. A treatment called sclerotherapy may be the next step. It requires the injection of Sodium Tetradecyl Sulphate (Sotradecol) or Polidochanol (Asclera) solutions that reduce the appearance of the veins. Expect to visit your doctor for three to five sessions, about once per month. Laser therapy also helps treat small spider veins close to the skin’s surface. Laser therapy is effective for very fine surface veins on fair people but usually combined with some sclerotherapy injections. It is especially effective on blue and fine red facial veins.​

Clearer, More Attractive Skin
Spider veins significantly affect the aesthetic appearance of your legs, arms, and ankles, aging them and causing them to look discolored or injured. When they appear on the face, they are much more difficult to hide. Once you have your spider veins treated, there’s no more need for layers of facial concealer. You can get back to showing off your legs on the beach and wearing your favorite shorts and dresses. 

See a Vein Specialist
Dr. Norman Bein is a vascular surgeon who understands your desire to have beautiful, smooth, younger-looking skin that’s free from spider veins. Call his St. Louis, MO, office at (314) 993-8233 to schedule an appointment.

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