Varicose vein treatment

Unlike spider veins, varicose veins can cause serious medical problems.  These large, raised, twisted vessels can cause pain or even rupture and cause significant and dangerous bleeding.  Treatment of varicose veins is medically indicated.  We therefore accept insurance for this procedure.  The majority of products, procedures and services we provide are cosmetic and therefore we do not generally accept insurance.

In normal circulation blood flows in this direction: heart>arteries>capillaries>skin> superficial venous system> one way valves> deep venous system> heart.  In varicose veins the one way valves malfunction allowing blood to flow backwards, in this direction: heart>deep venous system> damaged valves> superficial venous system> skin.  Since blood cannot flow backwards into capillaries it accumulates in the veins of the legs and they become engorged.  They can be seen and felt bulging in the skin.  Varicose veins can occur anywhere but occur more commonly in the legs because standing increases pressure in the legs making valve damage more likely. This allows blood to flow backwards and they enlarge even more.  Severe long-standing varicose veins can lead to swelling, venous eczema, stasis dermatitis, skin thickening and wounds. Life-threatening complications are uncommon, but serious bleeding can occur.  Laser ablation is our preferred method of treatment.  The initial evaluation includes diagnostic testing with ultrasound.  In most cases a period of conservative therapy with compression hose is all that is needed.  Those that do not respond to these measures undergo interventional transluminal laser ablative surgery under anesthesia.  The success rate and satisfaction rate are very high for this approach.