A vascular surgeon who is certified to do EVLT — that is, Endovenous Laser Ablation — and Radiofrequency VNUS Closure can successfully treat spider veins and varicose veins to improve comfort and make your legs feel better.

Are you aware that only a vascular surgeon had the proper training and experience to diagnose and then treat your vein problems? The diagnosis is based on a thorough and exacting look at your arterial and venous systems as well as consideration of your family and medical history, the medications you take and perhaps other exams as well (if you are not  a vascular surgeon, see how you can offer these aesthetic treatments).

The following varicose vein procedures may be recommended:

Endovenous Ablation of the Saphenous Vein (EVLT) and VNUS Closure

While you’re under a local anesthetic and perhaps conscious sedation, either a Dornier Medilite 1470 Laser, a similar device or a radiofrequency device like the VNUS Closure device is sent through a very small catheter through the skin and into the impacted leg. Under the very strictest of conditions, just the right amount of energy is delivered and the catheter is then taken out of the vein. The device released energy that heats, then collapses and seals off the vein, stopping blood flow. Healthy veins take over blood flow, and any symptoms you are experiencing gradually and noticeably improve over the coming days and weeks.

In most cases, patients can walk from the office with only the need for compression stockings. It’s possible to pick up normal activities the following day, and frequent walking is actually encouraged. For about a week, strenuous exercise is to be avoided.

When you choose the right doctor, you’re choosing someone who uses the safest lasers available and other advanced techniques that reduce the amount of post-operative discomfort and bruising for the quickest and best possible recovery.

Injection Sclerotherapy Guided By Ultrasound

Sclerotherapy is an extremely effective procedure for localized treatment of big varicose veins and perforator veins that can lead to leg ulcers. With the guidance of ultrasound and using needles of an exceptionally fine gauge, a solution is injected into a problem vein. The solution pushes the blood out of the way and causes irritation to the wall of the vein, causing the vein to collapse and close off. Without any incisions or scars, the vein is closed.

The best doctors use only FDA-approved solutions like Asclera and Sotradecol. They often do not use a normal saline solution because this can lead to burning and undesirable scarring.

Ultrasound Guided Foam Sclerotherapy

The latest advancement in the field is ultrasound-guided foam sclerotherapy, a great option for large, long veins. What’s new about this technique is that a liquid sclerosant solution is mixed with air to form a foam in a syringe. Once the vein is identified with ultrasound, the foam is injected into it using the ultrasound for additional guidance. The foam pushes away the blood from the vein walls and allows the full power of the foam to come directly in contact with the vein wall. This causes irritation that leads to the vein collapsing. The walls scar down, closing the vein off.

Ambulatory Phlebotomy / Microphlebectomy

While you’re under local anesthesia, small incisions are made to take out both small and large varicose veins that are located near the skin’s surface. This procedure is often used along with ablation therapy and is effective for treating varicose veins in the foot. After it’s done, you must wear a compression stocking for 1 to 2 weeks. It’s possible to go to work the next the day and return to normal activities. Plenty of walking is encouraged.

Vein Stripping and Ligation

Considered a major surgery, this procedure involves the tying off and removal of large varicose veins. It is performed under a local anesthetic. You must wear a compression stocking after the procedure is performed, but walking around is encourage.

Want to know more about these procedures? All you have to do is contact us for more information. You can depend on us to listen to your concerns, offer you options and take the right actions.

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