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No. 04  ·  Treatments

Procedures designed to be quiet.

Most are done in-office, under local anesthesia, in under an hour. Walking out the same day is the expectation, not the exception. The right treatment is chosen for you — not from a fixed menu.

01EVLA
Endovenous laser ablation — clinician examining a leg.

Endovenous Laser Ablation

Closing the failing vein from inside, gently.

A laser fiber is threaded into the diseased vein under ultrasound guidance. Heat seals the vein shut. The body re-routes circulation to healthier veins. The whole procedure is done in our office under local anesthesia.

Procedure profile

  • Duration · ≈ 45 minutes
  • Anesthesia · Local, in-office
  • Downtime · 24–48 hours typical
  • Best for · Larger refluxing veins (great or small saphenous)

What recovery looks like

  • Walking encouraged immediately
  • Compression hose for a short period
  • Most return to work the next day
  • Follow-up ultrasound at one week
02RFA
Radiofrequency ablation procedure.

Radiofrequency Ablation

A radiofrequency cousin to EVLA.

Similar to EVLA in outcome, RFA uses radiofrequency energy to close the vein. The choice between EVLA and RFA is made case-by-case based on vein anatomy and patient comfort.

Procedure profile

  • Duration · ≈ 45 minutes
  • Anesthesia · Local, in-office
  • Downtime · Same-day return

Considered for

  • Patients whose anatomy favors RFA
  • Specific comfort or sensitivity profiles
Evaluated during your consultation — we recommend EVLA, RFA, or another approach based on your ultrasound.
03Sclerotherapy
Sclerotherapy injection treatment.

Sclerotherapy

Tiny injections to fade smaller veins.

A specialized solution is injected directly into spider veins and smaller varicose veins. The vessel wall reacts, collapses, and the body reabsorbs it over several weeks.

Procedure profile

  • Duration · 15–30 minutes
  • Anesthesia · None required
  • Downtime · Compression hose, no walking restriction

Best suited for

  • Cosmetic spider veins
  • Small surface varicosities
  • Branches feeding larger vessels
04Varithena

Varithena

FDA-approved microfoam for tortuous, hard-to-reach veins.

Varithena is a microfoam injected under ultrasound guidance into varicose veins that are too winding for a catheter. It coats the vein wall and closes it without thermal energy.

Procedure profile

  • Duration · ≈ 30 minutes
  • Anesthesia · Local at injection site
  • Downtime · Short. Walking afterward.

Best suited for

  • Tributary & tortuous veins
  • Anatomy not ideal for EVLA
  • Patients seeking non-thermal options
05VenaSeal

VenaSeal Closure

A non-thermal, non-tumescent option.

A small amount of medical-grade adhesive is delivered into the diseased vein and seals it closed. No heat, no tumescent anesthesia, minimal bruising.

Procedure profile

  • Duration · 30–45 minutes
  • Anesthesia · Local at access point
  • Downtime · Same-day return

Considered for

  • Patients preferring no thermal energy
  • Anatomy favoring adhesive closure
Discussed during consultation based on your anatomy and insurance coverage.
06Microphlebectomy

Microphlebectomy

Surface bulges, removed through pinpoint incisions.

Stubborn bulging veins close to the skin are removed through incisions so small they don't usually require stitches. Done in-office, often paired with EVLA on the same day.

Procedure profile

  • Duration · 30–60 minutes
  • Anesthesia · Local
  • Downtime · Compression for several days

Best suited for

  • Large, ropey, visible varicosities
  • Often combined with EVLA
07Compression

Conservative & Compression Care

Not every leg needs a procedure.

For many patients, the right combination of compression hosiery, weight and activity changes, and supportive care is enough — or it's the right starting point before considering anything more.

What's involved

  • Graduated compression hose
  • Activity and weight guidance
  • Periodic re-evaluation

Right for

  • Mild venous symptoms
  • Pre-procedure preparation
  • Post-procedure recovery

The right treatment is chosen — never assumed.

The screening doesn't commit you to anything. It lets us see what we're working with — and you decide from there.

Schedule a Free Screening → Call (770) 683-8346