Procedures that treat vein disorders, such as varicose or spider veins and ulcers, have come a long way. We have advanced past the days when treatment meant surgical removal or “stripping” of the diseased vein from the leg by a surgeon. Vein stripping was usually associated with a great deal of pain, bleeding, and a long recovery period. This technique is no longer performed.
At The Vein Center at Water’s Edge Dermatology, one of our vein specialists will perform a comprehensive evaluation, including a detailed history, physical examination, and ultrasound of the veins, arteries, and heart, if necessary. Your physician will then develop a customized treatment plan to address your specific vein condition and complaint, utilizing the most current, advanced, and minimally invasive procedures available.
The procedures performed at The Vein Center at Water’s Edge Dermatology are all done in one of our conveniently located offices, without sedation or general anesthesia, allowing you to go about your normal activities right after your procedure
Treatments Options for Venous Conditions
The Vein Center at Water’s Edge Dermatology offers a number of treatment options for vein disease. Learn about your options below and schedule a consultation with one of our vein experts to inquire about the best treatment option for your specific condition.
Venous Reflux / Chronic Venous Insufficiency
Treatments for venous reflux/chronic venous insufficiency include:
- Compression Therapy
- Radiofrequency Ablation (RFA) with Venefit™
- Endovenous Laser Treatment (EVLT) with Dornier Medilas D FlexiPulse 940
- Ultrasound-Guided Foam Sclerotherapy (UGS)
This is a temporary first-line therapy for venous reflux and vein disorders. This therapy is often utilized not only for vein disorders but also for prevention, as by many athletes to gain a competitive edge.
Most of our Vein Center practitioners and staff wear compression daily. Ask and you will be surprised when they show you the new, brightly colored compression sleeves, socks, and stockings they are wearing.
Radiofrequency Ablation (RFA) with Venefit™
The Venefit™ procedure uses radiofrequency energy to precisely and effectively treat patients suffering from chronic venous insufficiency (CVI). This procedure results in less pain and bruising than alternative treatments. Learn more about Venefit.
Endovenous Laser Treatment (EVLT) with Dornier Medilas D FlexiPulse 940
Endovenous laser treatment uses laser energy to close and seal faulty veins, rerouting blood flow to other, healthy veins. This minimally invasive procedure requires no anesthesia and results in less pain and quicker recovery time.
The ClariVein®IC is a minimally invasive procedure for treating varicose veins. The doctor inserts the device’s catheter into the faulty vein. Its rotating wire tip disperses a sclerosant solution to close the vein. No anesthesia is required and there is minimal downtime or pain involved. Learn more about ClariVein.
This procedure actually glues the vein shut. Using ultrasound guidance, your doctor will insert the device’s catheter in specific areas along the diseased vein to deliver small amounts of a medical adhesive. There is very little pain or bruising and you can return to normal activity immediately after the procedure. Learn more about VenaSeal.
Varithena is a sclerosant foam that is in injected to close a vein. The Varithena microfoam fills the targeted section of the vein and treats the vein wall, causing the diseased vein to collapse. Blood flow is redirected to healthier nearby veins. The microfoam then disperses as it comes into contact with blood in healthy veins. Learn more about Varithena.
Ultrasound-Guided Foam Sclerotherapy (UGS)
This is an additional procedure that is recommended to patients with venous reflux who also demonstrate varicose/spider veins on the skin. Once the refluxing vein is closed, the branches that drain to this closed vein also need to be closed for two reasons: To decrease the chances of recurrence and future problems and to help eliminate the varicose/spider veins and their symptoms.
A colleague of ours in the UK, Dr. Mark Whiteley, demonstrates UGS:
Veinlite utilizes a surface light to see abnormal varicose veins underneath the skin and close them using foam sclerotherapy. These veins often cannot be seen on the skin with the naked eye, and because they are smaller and very close to the skin surface, they are not seen well with ultrasound during foam sclerotherapy.
Varicose Veins & Spider Veins
Treatments for varicose and spider veins include:
- Visual Foam Sclerotherapy
- Skin Laser Treatment with Dornier Medilas D FlexiPulse 940
- VeinGogh® Ohmic Thermolysis
Microphlebectomy is a minimally invasive surgical technique for removing large varicose veins utilizing local anesthetic only. The procedure is painless and, once completed, the patient is able to walk and go about their normal activities. As the pin-sized incisions are so small, there are no stitches required and there is no scarring.
Some physicians feel this is an old technique for treating varicose veins. In our opinion, it is an adjunct (supplementary) treatment and not for every patient. This is also one of the most technically difficult procedures that we perform, so we can see why most physicians do not offer this service.
When in the hands of a well-trained, highly experienced vein physician, however, this technique has amazing medical and cosmetic results that cannot be obtained with other methods of treatment.
A colleague of ours in the UK, Dr. Mark Whiteley, demonstrates a microphlebectomy:
Visual Foam Sclerotherapy
Foam sclerotherapy involves the injection of a foam sclerosant into spider veins to cause them to close down and disappear. Once the foam destroys the inner cell lining of the spider vein, the vein shuts down and the body reabsorbs it naturally.
Skin Laser Treatment with Dornier Medilas D FlexiPulse 940
With skin laser treatment, the laser is applied to the outside of your skin to treat spider veins just under the skin’s surface. Skin laser may be used on the legs, face, and body.
VeinGogh® (Ohmic Thermolysis)
Ohmic thermolysis treats surface spider veins and tangled, thread-like veins known as telangiectasia on the legs, face, and body. The VeinGogh system uses a pen-like stylus with a hair-thin needle to deliver microbursts of controlled energy just beneath the skin but above the vein. The pulses of energy heat the vein wall, causing it to collapse. Learn more about VeinGogh.
Veinlite utilizes a surface light to see abnormal varicose veins underneath the skin and close them using foam sclerotherapy. These veins typically cannot be seen with the naked eye on the skin, and because they are smaller and very close to the skin surface they are not seen well with ultrasound during foam sclerotherapy.
Deep Vein Thrombosis / Blood Clots
Treatments for deep vein clots include:
- Intravascular Ultrasound (IVUS)
- Vein Stent and Angioplasty
Intravascular Ultrasound (IVUS)
This video shows an example of a stenosis discovered using IVUS. Although this video demonstrates an artery (chosen for quality of video demonstration), the same technology is available to evaluate the venous system of the legs, pelvis, and abdomen.
Vein Stent and Angioplasty
If an abnormality of the vein is identified using IVUS, the treatment is angioplasty (opening up the diseased vein with a pressure balloon) and placement of a vein stent. This video demonstrates both procedures and the use of IVUS.
Our vein specialists may perform a procedure called percutaneous terminal interruption of reflux source (TIRS) that rapidly heals venous ulcers.
Treatment must begin immediately after a venous ulcer forms. A relatively new technique for healing venous ulcers, the TIRS procedure reduces venous hypertension by injecting foam into the veins in the ulcer area, which allows the venous ulcer to heal. The average time for an ulcer to heal is 6 to 8 weeks.
Reducing the pressure in the veins, elevating the leg, and keeping the ulcer clean and dry are crucial to preventing recurrence of venous ulcers. Wearing compression stockings or leg wraps helps reduce the pressure, and your Water’s Edge vein specialist will determine the type of dressing to use on your ulcer.
Other Treatments for Vein-Related Disorders
The diosmin in Vasculara (diosmiplex) is a molecule for use in the management of complications of vein disease. Diosmin is a naturally occurring flavonoid that can be isolated from food sources such as citrus or derived from a related flavonoid called hesperidin, which is found primarily in oranges. Learn more.
Dermaka is an all-natural plant-based cream enriched with vitamins that can be used on all types of skin disorders secondary to invasive procedures including post-phlebectomy, sclerotherapy, chemical peels, and laser peels. It also has anti-inflammatory, antimicrobial, and antioxidant properties. Clinical testing has shown Dermaka to show rapid resolution of inflammatory changes and bruising.
The vein specialists at The Vein Center at Water’s Edge Dermatology will recommend the optimal treatment for your vein condition, explain the procedure to you, and address any questions or concerns you may have. Contact us today to schedule your complimentary consultation at one of our conveniently located offices in Central and South Florida. Find the location nearest you and call today or request an appointment online.
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