Center for Dermatology

Dermatologist in Gescher – Dr. Philipp Jansen

Modern phlebology – vein medicine at the highest level

Conditions like heavy legs, spider veins, or varicose veins are widespread and, unfortunately, often go untreated for a long time. In our practice, we offer a comprehensive range of modern vein therapies: from precise diagnostics and minimally invasive procedures to surgical removal. As a certified vein center of excellence, we are your partner for sustainable and aesthetically pleasing treatments for all aspects of your vein health.

  • Specialist medical expertise
  • Outpatient procedures
  • Individual therapy planning

Modern vein diagnostics using ultrasound

Diagnosing venous diseases requires the utmost precision, as not every visible vein requires treatment and not every varicose vein causes immediate symptoms. Therefore, in our practice, we rely on color-coded duplex sonography, a state-of-the-art ultrasound procedure that visualizes not only the anatomy but also the blood flow within the veins.

This allows us to detect functional disorders, venous valve insufficiency, or the early stages of varicose veins at an early stage. The examination is painless, takes only a few minutes, and is evaluated on-site. Based on this, we will work with you to create an individualized treatment plan that is well-founded, easy to understand, and tailored to your daily life.

Outpatient vein surgery directly on site

When varicose veins cause discomfort or need to be removed for medical reasons, surgical treatment is often the most effective solution. In our practice, we have been performing outpatient vein surgeries such as crossectomy for many years – adhering to high safety standards and in cooperation with experienced anesthesiologists.

In this method, the diseased vein is removed or bypassed through a small incision. The procedures are performed in our specially equipped operating rooms and do not require hospitalization. In most cases, you can return to work and sports activities after just a few days. Modern techniques and precise aftercare ensure rapid healing, an aesthetically pleasing result, and lasting freedom from symptoms.

Treatment process –

This is how vein treatment works in our practice.

From the initial examination to the follow-up appointment, we support you with experience, care, and modern technology. Every step is individually tailored to your symptoms and daily life.

Diagnosis and consultation

We conduct a comprehensive medical history and venous diagnostics and discuss the findings and possible therapies with you.

Treatment

Depending on the findings, we use laser treatment, compression therapy, sclerotherapy or surgical crossectomy – on an outpatient basis and with minimal pain.

Follow-up and monitoring

After the procedure or therapy, we accompany your recovery with check-ups and individual aftercare for a lasting treatment success.


Christian Terhechte

I went to the Dermatology Center for treatment of basal cell carcinoma on my face, right next to my left ear. Dr. Philipp Jansen performed the surgery, and from the very first consultation, I felt I was in excellent hands. The explanations were clear, empathetic, and highly professional. The surgery itself was calm, precise, and conducted in a trusting manner. The result is particularly impressive: the surgical incision was about 6-7 cm long – and today, it's virtually invisible. The cosmetic outcome is exceptional and far exceeds my expectations. I also want to commend the entire practice team. From registration and assistance to aftercare, I received friendly, empathetic, and competent support at all times. It's clear that everyone here works together seamlessly and that the patients are truly the focus. Many thanks to Dr. Jansen and the entire team for the outstanding medical care, the warm support, and the fantastic result. A practice I can wholeheartedly and confidently recommend!


Margit Althoff

I recently had laser sclerotherapy (vein sclerotherapy) performed on an outpatient basis at this practice. Throughout the entire treatment, I felt safe and comfortable. The preliminary examinations, informational and consultation sessions, the procedure itself, and the aftercare were all carried out by a highly professional and well-coordinated team of doctors and assistants. Everyone involved kept me, as a patient and as an individual, in mind. The fact that I could reach Dr. Jansen by phone in case of an emergency also gave me peace of mind. I chose laser sclerotherapy because it was the gentlest procedure for me, with the shortest recovery time. Just one week after the procedure, I was able to go on a multi-day bike tour again. During my other treatments at this practice, I have always felt treated in a friendly and professional manner. I can wholeheartedly recommend this practice.


Carmen H

At the Dermatology Center, you feel welcome and in excellent hands from the very beginning. The entire team is incredibly friendly, attentive, and takes their time. The atmosphere is pleasant and relaxed, and you can simply tell that they work with a great deal of heart and professionalism. Highly recommended.


Lars Krakor

I had two operations on my veins. Dr. Janßen and his team are truly highly competent and always friendly. The examinations and operations were explained to me very well and in detail beforehand, and all my subsequent questions were answered thoroughly. Dr. Janßen always takes the time for this. I am truly impressed with the practice and would have surgery here again without hesitation. I will also attend all my follow-up appointments here.


Big Meatlove

I had a skin cancer screening done here and I'm absolutely satisfied. Modern AI technology provides immediate results – without long waiting times. The team was exceptionally friendly and the entire process was professional and pleasant. Highly recommended!


Maria Leusbrock

A huge thank you to the entire practice, from the doctors to the whole team! Their friendliness and expertise greatly contributed to a comfortable experience. Both the preventative care and the procedure itself, as well as the subsequent aftercare, went smoothly and to my complete satisfaction. Here, the patient is truly the focus. Therefore, I wholeheartedly recommend them.


Erna Wenzel

I had laser vein surgery today under general anesthesia with Dr. Jansen and I'm very pleasantly surprised. Everything seemed to be handled professionally, much like in a hospital. The care and explanations at every stage of the preparation were provided by extremely friendly, competent, and motivated staff. I felt well cared for at all times. Dr. Jansen also gave me excellent advice, and I wholeheartedly recommend the practice. Thank you to the entire team, Renate Christof


Ulrike Just

In addition to excellent medical care, the team on-site is very friendly and positive. Booking an appointment online was a breeze, as was the entire process at the practice. Conversations with the doctor and staff, both professional and personal, were informative and very pleasant. I felt very well advised and informed about the next steps. One of the main reasons I chose this practice was the FotoFinder technology. This device uses video documentation for the early detection of skin cancer. It's outstanding. Overall, I felt very comfortable and well cared for. Highly recommended.


Nicole Finnah

I had vein stripping yesterday under general anesthesia. My fears and worries were alleviated, and I felt very well cared for. Dr. Jansen and his practice team are incredibly friendly and lovely. I highly recommend this practice.


Jens Peters

I went to the dermatology center for treatment. I'm very satisfied with the treatment. The staff is very friendly! Dr. Jansen, in particular, takes his time with his patients and explains everything in detail! After my surgery, which went smoothly, everything is back to normal. The aftercare was excellent. Today, I spontaneously dropped in again because of leg pain. Despite the waiting room being full and it being the end of his shift, Dr. Jansen took the time for me and even performed an examination. That's exactly the kind of service you expect from a good doctor. Top-notch!

Treating varicose veins with endovenous laser therapy

Endovenous laser therapy (EVLT) is a minimally invasive method for treating truncal venous insufficiency, one of the most common causes of varicose veins. A thin laser probe is inserted into the affected vein under ultrasound guidance. Targeted heat application closes the vein from the inside out, without the need for surgical removal.

EVLT is particularly gentle, virtually painless, and involves minimal downtime. It can be performed on an outpatient basis and is also suitable for patients with an increased surgical risk. In many cases, statutory and private health insurance companies cover the treatment costs. We will provide you with comprehensive advice and tailor the therapy precisely to your individual anatomy.

Targeted removal of spider veins

Spider veins are small, superficial veins that usually appear on the legs as fine, reddish-blue lines. Although they are generally harmless from a medical perspective, many people find them bothersome. In our practice, we offer an aesthetically pleasing and effective treatment. Using a procedure called sclerotherapy, we seal off the affected vessels with a special solution that is injected directly into the vein.

Alternatively, we use modern laser systems to treat particularly fine or sensitive vessels without injections. Both procedures are performed on an outpatient basis, are well-tolerated, and require no anesthesia. Visible improvements can be achieved in just a few sessions. Before each treatment, we examine the area with ultrasound to rule out underlying causes and ensure a lasting, beautiful result.

Frequently Asked Questions

If you frequently suffer from heavy legs, feelings of tension, swelling, nighttime leg cramps, or visible varicose veins, we recommend a medical examination. Spider veins can also indicate an underlying venous disorder. The earlier a venous disorder is detected, the simpler and less invasive the treatment. Regular checkups are also advisable for those with a family history of venous disease or those with jobs that require prolonged standing.

Following a thorough diagnostic examination using color-coded ultrasound, we will discuss the appropriate treatment with you. Depending on the findings, conservative measures (e.g., compression stockings), sclerotherapy, endovenous laser treatment (EVLT), or outpatient surgery may be considered. All procedures are performed in our practice under close specialist supervision and are gentle, effective, and individually tailored.

Endovenous laser therapy is a particularly gentle procedure. During the treatment, the vein is locally anesthetized, so the procedure is usually barely noticeable. Most patients only experience a slight sensation of warmth. After the treatment, patients are usually mobile and able to resume their social activities quickly. Extended downtime is very rare.

In many cases, yes. For medically necessary varicose veins, both statutory and private health insurance companies cover the costs of surgery or laser therapy. Certain sclerotherapy procedures are also reimbursable. Treatments motivated by aesthetic reasons, such as for spider veins without functional impairment, are usually considered a self-pay service. We would be happy to advise you on the individual costs.

Office Hours

Monday:
08:00 p.m. - 13:00 p.m.
14:00 p.m. - 18:30 p.m.

Tuesday:
08:00 p.m. - 17:30 p.m.

Wednesday:
08:00 p.m. - 14:00 p.m.

Thursday:
08:00 p.m. - 13:00 p.m.
14:00 p.m. - 19:00 p.m.

Friday:
08:00 p.m. - 14:00 p.m.

Surgery appointments can be arranged outside of regular office hours.


Phone hours

Our telephone hours are now directly linked to our consultation hours.

To offer you better service and reduce waiting times on the phone, our AI assistant will now support us in scheduling appointments and processing your requests. It specializes in helping you quickly and easily.

For any questions or scheduling concerns, you can of course still send us an email to info@zdd.de .

Inside our clinic

Open consultation hours and
Primary care physician referral process

Due to high demand, we offer a walk-in consultation for acute venous disorders such as leg pain, swelling, or suspected thrombosis. Please note that this consultation is intended exclusively for urgent cases. As the number of available slots is limited, we may not be able to treat you on the same day. Appointments for subsequent days are not possible during the walk-in consultation.

If you need an appointment quickly, we recommend using the GP referral procedure. In this case, please have your GP refer you directly to us. We reserve specific time slots daily for such cases – so you can usually be seen within one to three working days. You can obtain information about our current open consultation hours by phone, email, or via notices posted in our practice.