Treatments

 

VeinLite

VEINLITE is a popular technology for imaging and mapping varicose veins prior to treatment. VEINLITE allows superficial veins to be visualized with unprecedented clarity. Its 150 watt halogen light and side-transillumination method allow for uniform transillumination of the skin anywhere on the body. VEINLITE assessment eliminates guesswork by securing the vein in place, and it stretches the skin to allow a needle to be inserted with greater precision.

VEINLITE assessment is used to assess spider veins, telangiectasia, and reticular veins, which are small veins that lie 3 to 5mm beyond the surface of the skin. Although they are not visible to the naked eye, reticular veins often feed small superficial veins. By using a VEINLITE assessment to find and inject reticular veins, Our Doctors can reduce the total number of sclerotherapy injections required during treatment.

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Sclerotherapy

A solution (sclerosant) is injected, with the aid of the Vein Lite using a micro-needle, into the vein which then collapses or
closes the vein off. This is usually reserved for smaller veins (spiders and/or reticular - bluish veins). The number of
treatment sessions is based on individual need, but the
average is anywhere from 2 to 6 sessions. The procedure
usually takes about 30 minutes. The needles used for injections are extremely small and cause little pain. Walking and normal activities are encouraged. No vigorous exercise for 3 days. Complications are rare, but include skin pigmentation (a brownish stain) from leakage of the solution outside the vein, bruising, blood trapping (mini clots that are not dangerous), ulceration, scarring and allergies. All complications, if they occur, usually resolve in 2 weeks to 6 months without consequence. It is a very safe procedure in experienced hands. Sclerotherapy is highly effective provided source or feeding veins are identified and treated first. Sclerotherapy remains the best treatment for spider and reticular veins. Treated veins usually do not come back. All procedures are performed by highly trained phlebology physicians.

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Ultrasound Guided Sclerotherapy

As with regular sclerotherapy, a solution is also injected into the vein. The difference is that this is done with the aid of an ultrasound machine. This allows the injection of deeper feeding veins beneath the skin that are not otherwise accessible or visible.


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Ambulatory Phlebectomy

A minimally invasive procedure used for the removal of larger visible bulging veins. These veins are removed through tiny no-stitch incisions (approximately 1 to 2mm) that leave little to no scars. This procedure is done under local anesthesia on an outpatient basis. It usually takes about 60 to 90 minutes. There is minimal discomfort if any associated with the procedure that usually resolves in 1 to 2 days. Recovery is fast with no down time. Walking and normal daily activities is the rule. No vigorous exercise for 2 weeks. Relatively common minor complications include bruising, tenderness and phlebitis (minor vein swelling). These complications usually resolve in 2 to 4 weeks without additional treatment. Rare major complications include infection, nerve sensitivity, skin staining and blood clotting. Our minor complication rate is very low and we have yet to experience any of the major complications. Results are excellent with high patient satisfaction.

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Endovenous Laser

An alternative to surgical stripping, EVLT is a highly effective procedure that utilizes laser energy to treat damaged source veins. A thin laser fiber is introduced under local anesthesia, through a needle stick in the skin, into the affected vein. The laser energy is delivered through the fiber to the precise location of the vein damage under ultrasound guidance. This causes the vein to collapse and close. The blood that flowed through the non-working vein is automatically redirected to existing healthy veins improving circulation. Little to no pain is associated with the procedure. Some tenderness, tingling or tightness may occur after the procedure. This usually resolves in 2 weeks. The patient may return to work and normal non-strenuous activities immediately and vigorous exercise in 2 weeks. Complications include bruising, tenderness, skin discoloration and phlebitis (minor vein swelling). These complications do not always occur and usually resolve in 2 to 4 weeks. Other rare complications are deep blood clots, infection and skin burns. We have yet to encounter any of these complications having used this technology extensively prior to FDA approval. Recovery is fast and there is no down-time. Endovenous laser treatment has revolutionized the treatment of varicose veins and has virtually replaced the traditional surgical stripping. Results are remarkable.

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