For the first time in Egypt, the varicose vein treatment technique, CLaCS, is being used by Prof. Dr. Hossam El-Mahdy to effectively and successfully address varicose veins and spider veins. This technique was invented by Professor Kasuo Miyake from São Paulo, Brazil, in 1999. Over the years, CLaCS has been used to treat thousands of patients with highly successful and long-lasting results.
CLaCS (Cryo Laser & CryoSclerotherapy) is a powerful and definitive combination for treating varicose veins and venous spider veins. It combines the strength of transdermal intense laser with sclerotherapy (injection therapy) inside the veins, along with the use of an advanced imaging system through a vein viewer device, which serves as a specialized optical system. This method also employs extreme skin cooling using a cryotherapy device that reaches temperatures as low as -20°C. CLaCS is a professional technique for treating varicose veins in both the body and the legs.
The laser works on the venous capillaries or vein wall, causing selective photothermal coagulation without damaging the skin, reducing the diameter of the venous capillaries instantly. Within seconds, a sclerosing agent is injected into the enlarged blood vessel, while using a cooling device throughout these quick steps. The procedure is performed using a specialized magnification and vein detection system, allowing the doctor to clearly see even the smallest veins, capillaries, and feeder vessels on the skin surface.
The procedure is performed using a special vein magnification and scanning system called a vein detector, which allows the doctor to see even the smallest venous blood vessels that are not always visible to the naked eye. This optical system helps to clearly visualize micro-diameter veins on the skin surface. The system scans the venous network image with the help of special infrared sensors, then magnifies and displays it on the skin surface. The clear appearance of blood vessels on the skin surface is referred to as an augmented reality view.
Not at all. The procedure uses a cooling device that emits a strong stream of cold air onto the treated area during the operation. This significantly reduces discomfort and pain during the treatment.
In most cases, spider veins disappear within 4 to 6 weeks after the CLaCS treatment, with some veins disappearing immediately after the initial CLaCS session. However, in most instances, it may take up to two months for the full results to become apparent..
The results of this technique are superior to treating varicose veins with just injections or traditional laser vein therapy alone, as it combines the best of both treatments. Additionally, the optical system of augmented reality (vein finder) allows you to treat feeder veins and supplying veins with great precision. This leads to a successful treatment and long-lasting results compared to the traditional approach and the use of each technique separately.
Before the treatment, Dr. Hossam El Mahdi will review your medical history, assess any previous treatments and surgeries for venous diseases, and examine the veins and their diameter. He will also evaluate the condition of the deep leg veins and the venous valves. Based on this thorough evaluation, he will determine the most suitable treatment for your condition to achieve the best possible results.
The number of CLaCS sessions needed depends on the extent of the spider veins and the patient’s treatment goals. For example, spider veins covering an area of 10 cm × 10 cm may require 2 to 3 CLaCS sessions to completely eliminate the varicose veins.
Due to the precision targeting of the feeding veins, CLaCS results in long-lasting improvement in the treated area over time, with significantly lower rates of recurrence compared to traditional treatment methods. However, new spider veins may appear in different areas unrelated to the treated ones, often due to genetic factors. Nevertheless, these can be effectively managed with the unique results of CLaCS technology.
There are no specific precautions needed after the treatment. Since the procedure is minimally invasive and performed under local anesthesia only, without the need for general anesthesia or long recovery periods, patients can typically return to work and normal activities within 4-6 hours. Also, exercise can usually be resumed after 24 hours.
Varicose veins and spider veins, despite appearing benign, have a negative impact on individuals, causing not only cosmetic concerns but also severe pain, fatigue, spontaneous bleeding under the skin, and severe ulceration. Therefore, proper treatment and a permanent solution to the problem must be available. However, traditional treatments, whether laser-only or injection-only, have failed to address some cases where varicose veins are a result of underlying venous reflux, requiring more advanced and innovative solutions.
In light of this, Dr. Hossam El Mahdy, a pioneer in vascular surgery, has been keen on keeping up with advancements and modern innovations in treatment for many years. He introduced CLaCS treatment for the first time in Egypt at his clinics and succeeded in providing all the necessary devices and technology to perform this procedure professionally, offering an innovative and comprehensive solution to the problem of varicose veins.
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CLaCS outperforms other varicose vein treatments for the following reasons:
1- Combining laser and sclerotherapy for spider veins works better together than each alone. Therefore, CLaCS results are more effective.
2- The ability to deal with feeding veins, which can be seen using a vein finder, and targeting them accurately and clearly during treatment steps, unlike traditional methods. The presence of these untreated feeding veins is the main reason behind the failure of varicose veins to respond to laser or injection therapy alone. Often, untreated feeding veins are also responsible for varicose veins and spider veins recurrence after laser or injection therapy alone. Therefore, CLaCS results are considered long-term and effective.
3- There are no complications on the skin or pigmentation because the laser used selectively targets only the swollen veins without causing any damage or harm to the skin tissues. Therefore, CLaCS results are more aesthetically pleasing.
Now you can easily and safely get rid of leg varicose veins with Dr. Hossam El Mahdy, a fellow of the Royal College of Surgeons in England, using the latest technology for varicose veins treatment, the effective CLaCS technique for all grades of varicose veins.