First of all, the vein specialist should be subsumed under the vascular specialist . Vascular specialists deal with diseases of the vascular system, i.e. the arteries and veins. See also under "Your vascular surgeon informs you".

In the early history of medicine, the subject of venous disease was mainly dealt with by surgeons, who were called upon to treat "bad" varicose veins and their complications with a knife. Today, diagnostics and long-term experience in the treatment of the most common venous disease are so advanced that the knife is becoming less and less important.

In recent decades, numerous specialist groups have felt called upon to address venous diseases, and yet there are reasons for assigning vein specialists to the individual specialist groups in a differentiated manner:

The classical vascular surgeon is concerned with optimizing the flow conditions in the vascular system, i.e. not only with the veins, but also with the arteries (in particular with arteriosclerosis = hardening of the arteries). For him, "no vein is too big" to be able to solve any problem surgically and to understand the connections right down to the central vascular system. Disadvantage: Many vascular surgeons pay too little attention to the perfect cosmetic result and thus provoke recurrence, and many do not pay enough attention to the treatment of spider veins.

Most general surgery departments operate on varicose veins and sometimes also (re-)sclerose spider veins or residual varicosities. The basic training for treatment is provided and taught here, but most of the operations are performed by young trainees. However, basic care is guaranteed. Disadvantage: Recurrence is inevitable. Few general surgeons specialize as vein specialists after their training.

The angiologist is an internist (internal medicine). He deals with diseases of the entire vascular system, in particular internal diseases, i.e. inflammatory diseases of arteries and veins, thrombosis and embolism and diseases of the coagulation system. Disadvantage: The most common diseases, i.e. varicose veins and spider veins, are not his specialty, so there are only a few.

In the past decades, dermatologists have always dealt with the complications of venous diseases; they were allowed to "repair", so to speak, what the other specialist groups were unable to do: He was left with the "open leg" - typically due to "sloppy", untreated varicose veins, because in earlier years varicose veins were generally trivialized by all specialist groups as a blemish and patients missed the "right time"! There is still senseless disagreement in the medical profession today! So who better than a dermatologist to treat consequential damage to the skin caused by venous disease? Disadvantage: A large proportion of dermatologists offer the treatment of vein diseases in addition to the many topics of skin diseases, without really specializing in the field of surgical therapy and sclerotherapy. Their domain, the laser, works only insignificantly for varicose and spider veins, is very expensive and quite painful to use.

Plastic (aesthetic) surgeons today perhaps feel called upon to treat varicose veins/broom veins because the need of many general and vascular surgeons for cosmetically good results is less than that of the plastic surgeon. Some of them even have very good training in dealing with vessels (replantation surgery after amputations) and could therefore be perfectly qualified. The disadvantage is that most of them, like dermatologists, offer a huge range of different areas and are not specialized enough in the field of veins.

It was therefore a great challenge for us at the Venesthetic® Vein Center Innsbruck - Tyrol to contrast the anatomy and function of the venous system with surgery, aesthetics and skin changes in such a way that affected patients, especially those who only learn about the possibilities at a late stage, can still be guided to a flawless result.

Venesthetic® stands for quality today!