Sclerotherapy

An alternative to surgically removing ("stripping") veins, sclerotherapy is the new standard of treatment for both varicose and spider veins. The procedure involves injecting a special solution through a tiny needle into the vein, which then collapses and is absorbed by the body. Treatments involve one or more injections during one or more sessions, depending on the type, number and severity of the veins being treated. By the end of the treatment program, the veins are no longer visible on the skin surface. Sclerotherapy usually also relieves symptoms associated with enlarged veins and prevents further complications from occurring.

On average, one to three sessions are required, spaced one to two weeks apart. After each session, patients may have to wear bandages or support hose for a few days or weeks and are encouraged to walk or exercise to speed recovery. The procedure is office-based. Bruising and swelling (if present) should fade within a week or two. Sclerotherapy rarely produces more severe side effects such as scarring, although it cannot prevent the recurrence of vascular lesions.

 

Ultrasound-Guided Sclerotherapy

Ultrasound-guided sclerotherapy allows Dr. Summers to precisely treat problematic veins that aren't visible on the skin surface by monitoring veins on an ultrasound screen during the sclerotherapy procedure.

 

Microphlebectomy

Microphlebectomy, sometimes called ambulatory phlebectomy or stab avulsion, is a minimally invasive method of treating small varicose veins. A special hook is used to remove the vein through multiple tiny incisions that do not usually require stitches and leave minimal scarring. Recent advances have made it possible to perform the procedure using only local anesthesia in a doctor's office as an outpatient. After the microphlebectomy you will be asked to wear compression garments temporarily. The incisions typically heal within two weeks.

 

Endovenous Laser

During an endovenous laser treatment (EVLT) procedure, a tiny laser fiber is inserted into the saphenous vein. Pulses of laser light cause the vein to collapse and seal shut, eliminating venous reflux, the main cause of varicose veins and their symptoms. EVLT is approved by the FDA for the treatment of varicose veins.


TriVex

Transilluminated Vein Extraction, or TriVex, is a three-step outpatient procedure that involves fewer incisions and less time than microphlebectomy for the removal of varicose veins. TriVex technology first employs a powerful light that targets only the damaged vein, which is then precisely removed with a powered resector. Finally, similar to liposuction, the treated area is flushed clean through a process called tumescent infiltration. Advantages of TriVex over other vein removal methods are faster procedure and recovery time, and less scarring.

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