After detailed evaluation of patient’s problem and with appropriate considerations of preexisting medical conditions and careful consideration of aesthetic requirements, one or a combination of the following treatment options may be offered:
Vein closure procedure
The vein closure procedure is an office-based (out-patient) alternative to stripping and ligation of the greater saphenous veins, and at present it has virtually replaced this more invasive treatment modality. The vein closure is a highly effective and safe method of treating venous reflux of axial veins and elimination of chronic venous insufficiency.
This is a minimally invasive, catheter-based procedure that does not require cuts and is done in a percutanous manner. It utilizes a source of energy, either in the form of radiofrequency or a laser light, in order to stop the flow through the damaged vein. It is done under local pain control and allows for very fast patient recovery and minimal downtime.
This procedure involves inserting a catheter into the damaged vein without making an incision. The catheter delivers radio frequency energy to the vein wall to shrink and seal it shut. Patients are satisfied with this procedure because it allows them to resume normal activity immediately after the treatment.
This procedure is used to treat large varicose veins. Tiny punctures are made in the skin overlying treated varicosities, and veins are extracted through them. The incisions are so small that they usually do not require stitches. Very good cosmetic results can be obtained with this procedure.
Sclerotherapy is a method of injecting varicose veins with a solution that causes the vein wall to become sticky. Compression is then applied, which causes it to close up and eventually be absorbed by the body. Sclerotherapy generally requires several treatment sessions. The majority of patients with small varicose veins can be treated effectively with sclerotherapy.
Leg laser ablation
Laser treatments are performed to remove unsightly spider veins. Laser surgery is applied to small veins, which causes the vessel walls to coagulate and then disappear. A polarized light device is used for better visualization of veins below the skin. A cooling device is also applied for comfort as well as protection of the skin. This procedure can be done for spider veins on the legs or face.
Facial laser ablation
Treatment is similar to laser ablation of leg reticular veins, but is performed on the skin of the face.
Unsightly hand veins can be ablated for aesthetic purposes using principles similar to sclerotherapy of the leg veins.
Compression therapy-conservative treatment
In selected patients, varicose vein symptoms can be controlled with conservative treatment.
The main principle of this therapy is to decrease pressure in the area affected by varicose veins and bring the patient relieve. Patients are asked to avoid standing or sitting for prolonged periods of time and to elevate the legs as much as possible.
All patients are offered gradual compression stockings of various degrees of compression and height suited to the level of their varicose veins and symptoms. As an adjunct to the therapy, patients are advised to use over-the-counter pain medications such as Tylenol (acetaminophen) or Motrin (ibuprofen) as needed.