Types of Vein Treatments
Our dual board-certified physicians undergo extensive training in plastics and vascular surgery, making them qualified to address the physical pain and emotional discomfort caused by spider, reticular, varicose veins, venous reflux (when blood flows in the wrong direction), and other vascular diseases, including leg swelling and chronic venous insufficiency.
Sclerotherapy (or "shutting a vein down'') is the primary treatment recommended for spider veins. Spider veins are small, delicate, red/pink/blue, starburst patterns of veins most often found on the legs. They are considered harmless and do not indicate poor circulation or blood clots. Sclerotherapy injections involve a tiny needle from which the surgeon injects liquid directly into the spider vein, minimizing its appearance.
More recently, foam sclerotherapy has been used to treat varicose veins with a chemical foam injected into the vein, correcting blood flow.
Vein ablation is used to shut down a vein that has venous reflux (blood flowing backward) which is the root cause of varicose veins. Endovenous laser vein surgery, or EVLT, is a form of vein ablation using heat from medical-grade lasers to shrink the vein, causing it to "shut down" or close. During EVLT a scar develops inside the vein, sealing it off and re-routing blood circulation into other healthy veins. This procedure should be followed by phlebectomy to remove the affected veins.
Phlebectomy means "surgical vein removal" but this is not your grandmother's vein-stripping surgery. Today's highly advanced phlebectomy technique, or micro phlebectomy, is a minimally invasive procedure. The skin and tissue above and around the varicose veins are numbed with local anesthesia, allowing the surgeon to a series of tiny nicks in the skin from which varicose veins are removed.
Candidate for Vein Treatments?
If you have noticed the appearance of pink, purple or blue “spider-like” discoloration or bulging, purple veins on your thighs and lower legs, you may be a candidate for spider vein surgery or varicose vein surgery. Likewise, if you have been diagnosed with chronic venous insufficiency, you may be at risk for other complications that can be avoided with surgical correction to reverse the reflux. As with all surgical procedures, ideal candidates are non-smokers in generally good health.
Consultations for varicose vein surgery are available at all Plastic Surgery Center locations and the state-of-the-art Aesthetic Vascular Association medical facility. The best surgical plan for you will depend on various personal and medical factors. With this in mind, our highly-skilled surgeons will review your medical history and discuss your ideal surgical outcomes to make personalized recommendations.
about this procedure?
What to Expect
Treatment of leg vein disorders has changed dramatically in recent years, with the development of new surgical methods that require few or no incisions and easier recovery. Surgeries that used to require general anesthesia, large incisions, and overnight hospital stays can now be performed on an outpatient basis with minimal to no recovery time.
Successful treatment of varicose veins involves addressing the reflux (backward blood flow) and the varicose veins. Before your procedure, you will undergo an ultrasound to assess the areas to be treated and determine the best surgical plan.
Reflux is first treated with an endovenous laser or ablation to shut down blood flow to the vein. If you have undergone vein stripping in the past, foam sclerotherapy may be recommended instead. Once blood supply is shut down and diverted, varicose veins are then removed using microphlebectomy.
Both procedures can be performed during the same visit, which takes about 45 minutes. You can walk in, have it done under local anesthesia, and walk out and drive yourself home. Most patients return to normal activities and exercise the same day.
There is typically minimal discomfort or recovery time following vein surgery, laser ablation, and sclerotherapy injections. Often, the only sensation felt is during the injection of local anesthesia. Following the procedure, you may feel some tenderness, tingling, itching, or tightness in the treated leg and some moderate bruising, which should disappear within a month.
Compression stockings are required for the first 24 hours following leg vein surgery. After the first full day, they should be worn during the day for 5-7 days to decrease bruising and aid recovery. Mild discomfort and aching may last 1-2 weeks, but taking ibuprofen or Advil during the first few days helps reduce inflammation and pain.
New Jersey Surgeons
The highly-skilled plastic surgeons at the Aesthetic Vascular Associates and The Plastic Surgery Center have helped thousands of patients with varicose veins, spider veins, leg swelling, or chronic venous insufficiency using advanced, minimally invasive procedures in a comfortable, safe, and supportive environment. We pride ourselves in a highly personalized approach and surgical outcomes that exceed expectations.
Jonathan WeiswasserMD, FACS
Financing & Insurance
Because varicose veins can cause pain and disability, evaluation and treatment may be covered by your insurance provider. Spider veins, however, are typically considered a cosmetic issue and may not be covered by insurance. To learn more about estimated costs and coverage, contact our dedicated support staff at 833-615-2621.
During your consultation, our expert surgeons will listen and work with you to fully understand the look you wish to achieve.
We will review and explain all of your cosmetic options and identify which procedure is right for you.
Our friendly and compassionate staff and physicians will guide you through the entire process, answer all of your questions and alleviate any concerns.
Financing & Insurance
Plastic surgery is an investment. Our dedicated staff is happy to help patientsnavigate insurance coverage and understand the costs and financing of care.
Freedom from Pain & Unsightly Veins
Whether you’re seeking an escape from the pain of varicose veins or the freedom to confidently bare your legs, we can help.