Services
Phlebology
Phlebology at the dermatology practice — vein assessment, classification of spider veins and varicose veins, and advice on related concerns such as lymphedema.
What does phlebology cover?
Phlebology deals with diseases of the veins and related presentations. Common concerns are spider veins, varicose veins, heaviness or tension in the legs, and a tendency to swell. Lymphedema and venous skin changes on the lower legs can also matter in a dermatological context.
Not every visible vein change needs treatment; not every heavy feeling has the same cause. Specialist assessment helps separate cosmetic concerns from medically relevant findings — and clarify when conservative measures suffice and when further evaluation is useful.
Information here is general and does not replace an examination. For sudden one-sided leg swelling, marked redness, shortness of breath, or chest pain, seek emergency medical help immediately.
When is a consultation useful?
Present if spider veins or varicose veins are increasing, legs swell, itch, or hurt in the evening, or if skin changes appear on the lower legs (e.g. pigmentation, eczema). After thrombosis or with family history, a status assessment can also be useful.
People with a mainly cosmetic wish for fewer visible spider veins receive a realistic assessment: which procedures come into question, where limits lie, and which preliminary tests are needed. Expectation management is part of counselling — without cosmetic success promises.
Those who notice repeatedly swollen legs after long flights or car travel, or develop symptoms with prolonged sitting, can also use a status visit — to distinguish medically relevant from temporary symptoms.
Our approach at the practice
At Dr. Mahitab Khalifa-Paruch’s practice, phlebology begins with careful history and clinical vein assessment. The aim is a clear recommendation: observation, conservative measures (e.g. compression, movement, habits), or targeted treatment — depending on findings.
Treatment options for venous disease are discussed individually. Where specialized further evaluation or therapy outside the practice seems more appropriate, this is communicated transparently. No blanket healing or cosmetic promises are given. The dermatological view also covers the skin over the affected veins.
What to expect at your visit
Please wear clothing that allows good assessment of the legs. After discussion and examination, findings are explained and a stepped plan proposed. Mention prior thromboses, operations, and current medicines.
Conservative measures often come first or accompany invasive steps. If interventional or surgical therapy is discussed, we clarify indication, alternatives, and typical course — and recommend an appropriate further specialty when needed. You decide after counselling.
Follow-up and everyday guidance
After treatments, compression, rest, and check visits may be part of the plan. In daily life, movement, avoiding prolonged standing or sitting without breaks, and — where prescribed — consistent compression stockings often help. Skin care on the lower legs can also matter.
For sudden one-sided swelling, marked redness, shortness of breath, or chest pain, seek emergency help immediately — such symptoms do not belong in a planned practice check. For planned courses, coordination with the practice remains the safer path.
Frequently asked questions
Are spider veins only a cosmetic problem?
Often yes — but they can also indicate underlying venous weakness. Examination clarifies whether purely cosmetic or further measures make sense.
Does compression always help?
Compression is an established aid in many venous and edema complaints, but not equally suitable for every person and every finding. Fit and indication should be clarified professionally.
Can varicose veins disappear on their own?
Existing varicosities generally do not permanently regress. Symptoms can often be eased; structural changes may need targeted therapy — to be assessed individually.
What about lymphedema?
Lymphedema often needs its own long-term concept (including decongestion, compression, skin care). At the practice the dermatological aspect is assessed and collaboration with specialized services recommended when needed.