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Varicose & Spider Vein Treatment

A Flower Mound and North Dallas Area Expert

Endovenous Laser Ablation

Lasers have been used for numerous medical applications throughout the body. Recently, an innovative technique utilizing laser energy delivered endovenously (directly inside the vein) has been developed to treat varicose veins. A 1470 nm diode laser will be used to deliver the laser energy via a small laser fiber. Endovenous laser ablation (EVLA) is performed under local anesthesia in the doctor’s office. There is little to no scarring and there is a relative short recovery period after the procedure. EVLA is an outpatient procedure which means you can resume your normal activities almost immediately.

Endovenous Radiofrequency Ablation

Endovenous Radiofrequency Ablation (EVRFA) is another technique for delivering heat energy into a malfunctioning vein for purposes of closing the vein. It is very similar to Endovenous Laser Ablation (EVLA) in that a small catheter is inserted into the vein and under ultrasound guidance and energy is then delivered into the vein in cause the vein to close. Like EVLA, EVRFA is an outpatient procedure performed under local anesthetic which means you can resume your normal activities almost immediately.

Ambulatory Phlebectomy

Ambulatory Phlebectomy is a surgical technique that employs a series of small incisions to remove abnormal veins. This minimally invasive option is conducted with a local anesthetic. For larger veins that are bulging on the surface, this technique for removal will often give a more satisfactory result that injection sclerotherapy, and there will be a much quicker recovery time as well. Ambulatory Phlebectomy may be performed together with vein ablations or sclerotherapy, depending on how much vein there is to remove. Most individuals are able to return to their daily routine soon after the procedure. There is little to no discomfort associated with this form of treatment, and most patients enjoy excellent cosmetic and clinical results.

Ultrasound Guided Foam Sclerotherapy

This an alternative form of varicose vein treatment that utilizes the same principle as cosmetic sclerotherapy. The main difference with this method is that the sclerosing agent is used as a foam instead of a liquid. This allows the physician to treat larger veins than a typical sclerotherapy session could treat. Duplex ultrasound is key to the success of this procedure allowing the physician to see the diseased vein and guide the foam to the damaged areas. Treatment can be performed independently or in conjunction with other varicose vein treatments.

Cosmetic Sclerotherapy

Cosmetic sclerotherapy is popular among both patients and doctors as a technique to address spider and small varicose veins. During this procedure, a pharmaceutical agent is injected into the abnormal vein. The agent irritates the vein wall, causing it to swell and seal shut. This form of spider vein treatment can be conducted independently or in tandem with other procedures. Some patients notice immediate results while others see a more gradual improvement.

Conservative Therapy

Conservative treatment is a common first step for patients suffering from vein disorders. This form of treatment presents an alternative to medical and surgical intervention, focusing instead of lifestyle choices that promote healthy circulation. Patients undergoing this form of treatment are encouraged to wear support stockings, manage their weight, and engage in a regular exercise regimen. These changes have a positive impact on the vascular system, helping to reduce the risk of new problems arising and slowing the progression of currently existing issues. While conservative treatment will not remove existing varicose or spider veins, improvements in muscle tone and circulation have a large impact on many areas of health, including the veins.


Please visit Flower Mound Vein Center for more information.