**Disclaimer: Results may vary person to person.
More than 25 million Americans suffer from painful and unsightly varicose veins, including 40% of women and 25% of men. Here at the Vein and Laser Institute, our experienced physicians use techniques and treatments to remedy the veins with little-to-no downtime. You will leave our office having healthier and more comfortable legs.**Disclaimer: results may vary person to person. Your only regret will be that you didn’t get the treatment sooner!
What causes varicose veins?
Varicose veins are enlarged, bulging veins that are the result of defective or diseases valves in the legs. When these are weakened and don’t close properly, blood will leak backwards and pool in the vein. This causes the vein walls to swell, producing the varicose veins.
What are the symptoms?
- Leg heaviness
- Skin Discoloration
EVLT (Endovenous Laser Treatment)
In endovenous laser treatment, a thin fiber is inserted into the damaged vein through a very small entry point in the skin. A laser light is emitted through the fiber, as the fiber is pulled back through the vein, it delivers just the right amount of energy. The targeted tissue reacts with the light energy, causing the vein to close and seal shut. The veins that are closed are superficial veins that handle less than five percent of the body’s blood flow. The blood is automatically routed to other, healthy veins.
In this procedure, several tiny cuts (incisions) are made in the skin through which the varicosed vein is removed. Phlebectomy is a minimally invasive procedure that typically done along with another varicose vein treatment in order to help improve the cosmetic appearance of skin after treatment.
State-of-the-art Treatment Options
Varithena® (polidocanol injectable foam) is the first and only FDA–approved foam. It helps to improve the symptoms of superficial venous incompetence and the appearance of visible varicosities. Treatment with Varithena® is a minimally invasive, nonsurgical procedure for the treatment of varicose veins that only requires an ultrasound machine and standard medical supplies.
The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein. This unique approach protects against the risk of nerve injury when treating the small saphenous vein, which is a risk sometimes associated with certain thermal-based procedures. Clinical studies have demonstrated that the procedure is safe and effective. The procedure is administered without the use of tumescent anesthesia, avoiding patient discomfort associated with multiple needle sticks.
Treatments are minimally invasive with only conscious sedation being administered. You can expect to walk out after your treatment but will need a driver to take you home. You may then return to normal activities, but could experience tenderness or soreness at the site of the procedure. A pulling/tight feeling 5-7 days after the procedure and bruising is a normal effect of the healing process and is to be expected.
Here are the different phases that you will encounter for your treatment plan:
- Initial consult: One of our physicians will examine your legs and determine if there is concern enough that you should continue through to the next phase of the treatment plan.
- Ultrasound: Our own ultrasound tech will get an ultrasound on the affected veins to get a vein mapping for the doctors and your insurance company. This procedure is approximately 1.5-2 hours and is completely pain-free.
- Ultrasound Follow-Up: The doctor will go over the results from your ultrasound and determine the next course of action, including what type and how many treatments you need. We will get the information to your insurance, which can take anywhere from 4-5 weeks to get approved. From here, you will get scheduled for however many treatments you may need.
- Treatments: Depending on your treatment plan, you may be getting an EVLT (Endovenous Laser Treatment), Varithena® or VenaSeal to close off the defective veins. These treatments will have you in and out of our office in approximately an hour and a half and have little-to-no downtime.
- Post-Operative Ultrasound: After you have finished your recommended treatments, our physicians will have you schedule a follow-up ultrasound. This is similar to your initial ultrasound and this is to check that all varicose veins have been remedied.
- Final Follow-up: You will meet with your doctor to discuss the results of your ultrasound. From there, the doctor will either say you have finished with your treatments or may need to treat more veins. If that is the case, we will get you scheduled for more treatments. We may have to re-submit to insurance again for approval.
- Shower before your procedure.
- Avoid any type of moisturizer on your legs on procedure day.
- Wear loose clothing
- Do not eat 6 hours prior to the procedure
- Arrange for a ride home
What to bring:
- Compression hose
- Halcion pill (we will call into your pharmacy) to take when at our office
You may return to normal activities except:
- Keep leg elevated when sitting
- No driving a car for 24 hours if taking prescribed medications or if right leg was treated
- Wait to shower until the next day
- Avoid active sports and aerobic exercise for one week.
- No air travel 5-7 days after the procedure
- Ice the area as needed
- Wear compression hose day and night for the first week (taking off to shower)
- Wear compression hose daytime only for the second week
- If wearing hose worsens the healing process notify the office immediately
Your prescribed compression stockings can help:
- Promote good treatment results
- Improve blood flow
- Reduce swelling
- Relieve aching and heaviness
- Prevent blood clots