What is Cause of the Enlarged Veins?
If you find that particular veins are unattractive or cause pain, swelling, or other uncomfortable symptoms, you may be a candidate for vein treatment. These problems may include enlarged or dilated veins, malfunctioning venous valves, blocked veins, or blood clots.
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First, our experienced surgeons ask about your medical history, perform necessary physical exam. After this they will conduct an ultrasound of the region to help locate and isolate the cause of your discomfort. And Finally answer questions about your concerns.
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Some common outpatient procedures for different types of vein issues, such as spider veins and varicose veins, include the following:
Radiofrequency occlusion, also known as the Venefit™ procedure, is a minimally invasive, fast-healing treatment used to treat varicose veins—those swollen or congested veins that can protrude from the skin and look like small pieces of rope.
This procedure is performed using ultrasound to guide a small catheter, or flexible tube, into the damaged vein. The catheter delivers heat in the form of electrical energy to the vein wall to seal it shut.
Eventually, the body absorbs the vein.
This procedure is performed using local anesthesia in the outpatient surgery center, usually in less than one hour. You can go home about 30 minutes after the procedure is over and return to your normal activities immediately.
Endovenous laser, or VenaCure™, is a similar procedure to Radiofrequency Occlusion to seal varicose veins.
It is performed using ultrasound to guide a small laser fiber into the damaged vein. The device delivers heat in the form of laser energy to the vein wall to seal it shut.
Eventually, the body absorbs the vein.
This procedure is also performed using local anesthesia in the outpatient surgical center, usually in less than one hour. You can go home about 30 minutes after the procedure is over and return to your normal activities.
Ambulatory Phlebectomy or Microphlebectomy
This is the preferred treatment for varicose veins; phlebectomy requires only local anesthesia in an outpatient surgery center.
The veins are removed through punctures so small—typically one or two millimeters long—that you usually don not need stitches at all.
Phlebectomy is generally performed after the VenaCure ™ or Venefit™ procedures to remove any large surface veins left behind after the vein is closed.
Your legs can look smoother and you feel better. Additionally, the scarring is so slight that it usually disappears in six months to one year.
This simple procedure is effective in treating the early stages of both varicose and spider veins to prevent additional complications such as swelling, unsightliness, or excessive bulging.
Your doctor or nurse will use a small needle to inject the vein with medication that irritates the lining of the vein, thereby triggering it to close. The vein is reabsorbed into your body over the course of time.
You may need one to several sclerotherapy sessions for the treatment to be effective, and the number of injections varies per session.
Scarring and other complications are rare. Side effects can include bruising that usually disappears within two weeks. Dark pigmentation can last for several months but that usually also fades away.
VeinWave and Laser Therapy
Both VeinWave™ and laser therapy are used to treat spider veins, or broken capillaries, that are too small for injections.
In the laser treatment, a precise wavelength of high-energy light is pulsed through the skin. The red blood cells in the vein absorb the light and convert into heat. This triggers the vein to seal itself shut.
The VeinWave™ on the other hand uses a heated ultra-fine needle that is applied to the surface of the vein. The vein is sealed due to heat resulting in the spider vein disappearing within a few weeks.
This procedure allows for a very accurate application, helping to prevent scarring.
Generally, facial spider veins are treated with either VeinWave™ or laser therapy, while spider veins on the legs with sclerotherapy as a first step and if necessary, laser therapy as an additional treatment.
An alternative to laser and radiofrequency treatments, Varithena® is a chemical used to close varicose veins that was recently approved by the U.S. Food and Drug Administration (FDA).
Varithena® is injected, or inserted via a catheter, to collapse the affected vein so blood flow is redirected to healthier veins nearby. The procedure requires fewer injections of local anesthetic than laser or radiofrequency treatments.
Clarivein® is a device that uses a catheter with a small rotating metal wire to deliver a chemical that closes the vein during the procedure. Fewer injections of local anesthesia are needed compared to the laser or radiofrequency treatments.
The VenaSeal™ closure system is the non-tumescent, non-thermal, non-sclerosant procedure. It uses a proprietary medical adhesive delivered endovenously to close the vein.
This specialized treatment eliminates the risk of any thermal nerve injury when treating the small saphenous vein. This procedure is administered without the need of tumescent anesthesia, thus avoiding patient discomfort associated with multiple needle pricks.
Radiofrequency ablation is a minimally invasive treatment for varicose veins. This treatment uses radiofrequency energy to heat up and damage the wall inside a vein.
This normally closes off a varicose vein in the leg.
To treat a varicose vein, radiofrequency energy is directed through a thin tube (catheter) inserted through a small incision in the vein. It can be used on large veins in the leg and can be done in surgical center using local anesthesia or a mild sedative.
You will be able to walk following the treatment and recovery typically is short.
After treatment, you will need to wear compression stockings for one o more weeks.
Ultrasound Foam Sclerotherapy
Foam sclerotherapy uses ultrasound to treat varicose veins near the skin’s surface. A non-surgical, minimally-invasive technique, ultrasound guided sclerotherapy with foam is designed to close varicose veins causing the problem vein to shrink or possibly disappear.
For small varicose veins or spider veins, you can usually expect to see definitive results in three to six weeks. Larger veins may require three to four months.
Visual Cosmetic Sclerotherapy
As the name indicates, Visual Cosmetic Sclerotherapy treatment is performed on surface veins for their unsightly appearance. It is a FDA approved treatment. No compounding pharmacy, foam or liquid is injected directly into spider veins with a fine needle, causing the walls of the veins to close.
When patients have advanced vein disease, Visual Cosmetic Sclerotherapy is often the final treatment measure required, once all of the underlying problems have been corrected.
For those patients with mild or early vein disease Visual Cosmetic Sclerotherapy may be the only treatment required.