prom1 prom2 prom3 prom4 prom5 prom6 prom7 prom8 prom9 prom10 prom11
prom1 prom2 prom3 prom4 prom5 prom6 prom7 prom8 prom9 prom10 prom10
 breast Brazilian Tummy Laser veint Fat

Not Surgical Procedures

Vein Treatment

Depending on the extent of your condition and your desired level of cosmetic results, the treatment of varicose veins and spider veins can be conservative or medical in nature. Once you have vein problems, however, the only way to eliminate them is through medical treatment.

Conservative Measures

The objective of the conservative approach in treating varicose veins is to help support the venous circulation of the legs in order to slow the development of new veins and to minimize symptoms. Conservative treatment methods will not cure or eliminate existing vein problems, however they will help slow the progression of the disease and alleviate symptoms such as swelling, aching, and cramping. As a result, they are viable alternatives to medical treatment for people who are sick, elderly, or pregnant. The most popular conservative treatment modality is graduated compression stockings. Certain lifestyle changes (see Prevention and Maintenance) can also help you manage some of the painful or uncomfortable symptoms associated with varicose veins.

Medical Treatment

The goal of medical treatment is to restore proper venous blood flow by eliminating varicose and spider veins from the venous circulation. Treatment methods range from collapsing the veins by sclerotherapy to physically removing the problem veins.

The choice of medical treatment depends on the type, size, location, and depth of the vein problem as determined by various non-invasive diagnostic tests, such as venous Doppler, light reflective rheography, and color duplex ultrasound. All necessary diagnostic testing is performed in the office. Through physical examination and diagnostic testing we choose of one or more treatment methods to achieve the desired cosmetic results. We will track your progress with digital imaging throughout your course of treatment. Methods of treatment for varicose veins and spider veins include sclerotherapy, duplex-guided sclerotherapy, TIGOS, laser therapy, Endolaser, mini-phlebectomy, and ambulatory surgery.

Vein Treatment Information

Sclerotherapy, or 'injection therapy', is the most common treatment for spider and varicose veins on the legs. Facial, breast, and hand veins may also be treated with sclerotherapy. During treatment, a mild chemical solution is injected into the incompetent vein or capillary. The sclerosing agent irritates the walls of the vessel, causing it to collapse. The body then absorbs the vein and blood is re-routed to a healthy vein, restoring proper venous circulation in the area.

A single sclerotherapy treatment session involves multiple injections. Patients describe the injections as feeling like a pinprick or mosquito bite. The number of treatment sessions needed will vary from patient to patient, depending on the number of veins treated, healing time, and the level of cosmetic perfection desired.

Following injections, the leg is wrapped with an elastic bandage for several hours to help keep the vein closed. Normal daily activities can commence immediately after treatment, although compression stockings may need to be worn for 1-3 days after the procedure, depending on the vein size.

At times, we may aid injection therapy by transilluminating the surrounding area to make deep problem veins more visible to the naked eye. By passing a special high intensity light through the skin's surface we are able to locate and inject the deeper source of your varicose and spider veins. Age revealing veins on the back of the hands can also be reduced with sclerotherapy.


Foam sclerotherapy is a new form of delivering the sclerosing agent. This method is used at the VTC for large varicose veins. The foam solution has the consistency of shaving cream, which improves treatment in two distinct ways. First, the foam displaces blood within the vein, permitting the full strength of the sclerosing agent to be in direct contact with the vein wall for an extended period of time without any dilution effects. Second, the foam is visible via ultrasound imaging and can be easily tracked and guided to the source of the venous problem.


The Vein Treatment Center can also prescribe a glycerin-based sclerosing agent in the treatment of small spider veins and broken capillaries. Due to the fact that glycerin only irritates the inner lining of vein vessels, patients rarely develop redness or bruising in the treatment area.

Ultrasound-Guided Sclerotherapy Techniques

Using duplex ultrasound, doctors can guide a needle to the exact location of the vein (valve) to be injected. This technique permits the injection of larger veins that once required more invasive treatments. Although Duplex-Guided Sclerotherapy is widely used, the VTC prefers in many occasions to use a catheter instead of a needle (Transcatheter Image-Guided Occlusion Sclerotherapy, aka TIGOS) for safer and more effective treatment of large veins in difficult areas (groin and knee). TIGOS utilizes color duplex ultrasound to visually guide a catheter inside the vein to the exact location of the incompetent valve.

Laser Therapy

The Vein Treatment Center offers different types of lasers for the treatment of spider veins on the face.

Laser technology for facial veins (broken capillaries) utilizes very specific wavelengths of high-energy pulsed light to penetrate the skin without causing damage. The depth, size, and color of the problem vein determines the wavelength, power, pulse width, and pulse interval used. Laser light heats the vein, causing it to coagulate, close off, and be absorbed by the body.

At the VTC we utilize laser technology for the treatment of small veins on the face. Very rarely, a combination of laser energy and sclerotherapy may be recommended for the treatment of spider veins on the legs; however, no existing thru-the-skin laser treatment alone can offer consistent or satisfactory results in the treatment of spider veins.


When the size and pressure of blood in a vein is too great for sclerotherapy, the mini-phlebectomy procedure bridges the gap between sclerotherapy and more invasive procedures.

Mini-phlebectomy, also called ambulatory, micro, or stab avulsion phlebectomy, is an in-office surgical technique performed under local anesthesia. The procedure involves removing the faulty vein or perforator through minute incisions that require no stitches and leave no scars. A patient that opts for mini-phlebectomy can walk out of the office and participate in normal daily activities immediately after the procedure. Mini-phlebectomy is often performed in conjunction with Endolaser and other techniques

Ambulatory Surgery

With the advent of endovenous laser treatment, patients now very rarely require Ambulatory Surgery for their large varicose veins. Endolaser is an in-office minimally invasive alternative to traditional hospital-based Ambulatory Surgery.

Ambulatory Surgery or 'ligation and stripping', used to be prescribed when the main vein and its main valve at the groin are incompetent. This procedure, as performed by the VTC, is done in a hospital or ambulatory surgery unit under local anesthesia with sedation. The procedure generally lasts less than an hour and patients are able to return home walking in 2-3 hours and resume normal activities the following day.

For quick recuperation and excellent cosmetic results, we use an advanced surgical technique that requires only two small hidden incisions, one in the pubic area and the other on the inside of the knee or just under the ankle. The main vein is then removed in a novel atraumatic manner (invagination).

In conjunction, a mini-phlebectomy of the larger branches of the long saphenous vein is often used to complement the procedure. Similarly, follow-up sclerotherapy can also be performed after surgery to erase any residual or leftover spider vein


Endolaser, an endovenous laser treatment, is preformed in the office as a minimally invasive method for treating large varicose veins. Developed by The Vein Treatment Center, Endolaser uses existing laser and ultrasound technology to close the main vein from the inside with laser energy.

Under color duplex ultrasound guidance, a minute laser fiber is inserted directly into the vein through a catheter (tiny tube). Pulses of laser energy are released along the course of the vein to seal it completely. Endolaser requires only a small nick in the skin and local anesthesia. The patient walks out of the office and returns to his or her normal daily routine immediately without any pain medication. There is no hospital visit, stitches, or injection of chemical substances. This technique can be combined with Mini-phlebectomy for the treatment of smaller branches, along with follow-up sclerotherapy to erase any remaining spider veins.

This endovenous laser treatment (Endolaser™) is a patented procedure that laser manufacturers often refer to or publicize as EVLT™, ELVS™, or ELAS™. It is a safe and effective treatment for large varicose veins, specifically approved by the FDA for treatment of greater saphenous vein reflux. There have been no serious complications reported in the thousands of cases performed within the United States and abroad. Endolaser has an overall success rate greater than 97%. These results are already considered better than those of traditional surgery.

Other Techniques

The use of heat from a radio frequency source has also been used to close the main vein. This method passes a catheter containing electrodes through a small incision in the skin, to heat and close the vein. Local anesthesia with sedation is required for this procedure.

Not Surgical Procedures...

Content on this page requires a newer version of Adobe Flash Player.

Get Adobe Flash player