Do I need a consultation for spider veins?

Yes. A short consultation helps us understand your symptoms and determine whether an ultrasound evaluation is appropriate before any treatment.

Are varicose veins only cosmetic?

Not always. Varicose veins can be cosmetic for some patients, but they may also cause aching, swelling, or discomfort and can be associated with underlying venous insufficiency.

Does insurance cover vein treatment?

Insurance — including Medicare — may cover treatment when symptoms and ultrasound findings support medical necessity. Cosmetic-only treatment is generally not covered.

EVLT (endovenous laser treatment) uses targeted heat from a laser fiber to close a damaged vein. It is an in-office, minimally invasive procedure.

Is treatment done in the office?

Yes. Our procedures are performed in our offices using local anesthesia and are designed to minimize downtime.

How long does a typical appointment take?

Consultations usually take 30–45 minutes. EVLT procedures take about 30–60 minutes, and sclerotherapy sessions are typically 20–30 minutes. You can drive yourself home the same day.

What is the recovery like?

Most patients walk immediately after treatment and return to normal daily activity within 24–48 hours. We recommend compression stockings for a short period and avoiding strenuous exercise, hot baths, and long flights for a few days.

Do you serve patients outside Miami?

Yes. Our Coral Gables, Weston, and Kendall offices serve patients throughout South Florida, including Miami-Dade, Broward, and surrounding communities.

Miami Vein Institute clinician performing a vein ultrasound evaluation in office

Specialty Vein Care · Est. South Florida

Expert vein care for healthier, more comfortable legs.

A multi-provider clinical team — vein specialists, advanced clinicians, sonographers, and patient coordinators — delivering standardized, evidence-based vein care across South Florida.

Book Free Consultation

Direct Line(305) 446-0471

Focused CareVein Disease Specialty Only

Care TeamPhysicians, Clinicians & Coordinators

TreatmentIn-Office, Minimally Invasive

LocationsGables · Weston · Kendall

Symptom Check

Do These Symptoms Sound Familiar?

Vein symptoms range from purely cosmetic to medical. Recognizing the signs is the first step toward understanding your options.

Not sure what you need? Start with a consultation

Education

Cosmetic Concern or Medical Vein Disease?

Spider veins are often cosmetic, but they can sometimes be associated with underlying venous disease. Varicose veins may be cosmetic, painful, or related to venous insufficiency. An ultrasound evaluation can help determine whether underlying reflux is present and whether insurance may apply.

Cosmetic

Small surface spider veins without symptoms. Often treated with sclerotherapy. Generally not covered by insurance.

Medical

Bulging veins with aching, swelling, or skin changes. May involve venous reflux. May be covered when medically necessary.

Physician-led vein procedure being performed by the Miami Vein Institute team in office

Real in-office care

Ultrasound-guided evaluation and minimally invasive treatment performed by a physician-led team.

Conditions

Conditions We Treat

From visible varicose and spider veins to underlying venous reflux and skin changes — explore the full range and find what fits your symptoms.

View all conditions →

Varicose Veins

Bulging, rope-like veins often linked to underlying reflux.

Learn about Varicose Veins

Spider Veins

Small surface veins — typically cosmetic, sometimes a clue to deeper issues.

Learn about Spider Veins

Venous Insufficiency

Underlying valve dysfunction driving symptoms and skin changes.

Learn about Venous Insufficiency

Leg Swelling

End-of-day swelling that may indicate venous reflux.

Learn about Leg Swelling

Stasis Dermatitis

Skin changes near the ankles from long-standing venous disease.

Learn about Stasis Dermatitis

Venous Leg Ulcers

Slow-healing ankle wounds often related to vein disease.

Learn about Venous Leg Ulcers

Restless Legs

An urge to move the legs that can overlap with vein symptoms.

Learn about Restless Legs

Recurrent Veins

Varicose veins that return after prior treatment.

Learn about Recurrent Veins

Treatments

A Care Plan Built Around You

View all treatments →

EVLT / Endovenous Laser

Minimally invasive laser treatment used to close damaged veins associated with varicose veins and venous reflux.

View EVLT / Endovenous Laser details

Sclerotherapy

An in-office injection treatment for spider veins and small varicose veins designed to close the vein over time.

View Sclerotherapy details

Ultrasound Vein Evaluation

Diagnostic ultrasound to assess venous reflux and help determine whether treatment may be medically necessary.

View Ultrasound Vein Evaluation details

Insurance Guidance

We help patients understand coverage, documentation, and next steps when symptoms support medical necessity.

View Insurance Guidance details

Wound Care

Specialized care for chronic, slow-healing, and non-healing wounds, including venous leg ulcers, diabetic wounds, and skin ulcers related to poor circulation.

View Wound Care details

New Service

Now Offering Advanced Wound Care

Miami Vein Institute now provides specialized wound care for patients with chronic, slow-healing, and non-healing wounds. Our team evaluates both the wound itself and the underlying circulation issues that may be preventing proper healing.

Many chronic wounds, especially wounds on the legs and ankles, may be related to venous disease or poor circulation. Our integrated approach allows us to treat the wound while also evaluating the possible vascular cause.

Learn More About Wound Care Schedule a Consultation

Venous leg ulcers
Diabetic foot wounds
Non-healing surgical wounds
Pressure injuries
Chronic skin ulcers
Circulation evaluation

How treatment works

A clear, reassuring process.

From the first conversation to follow-up, the path is unhurried, explained in plain language, and led by the physician at every meaningful step.

01
Free Consultation
We discuss your symptoms, goals, and medical history in plain language.
02
Vein Evaluation
When appropriate, we perform an ultrasound to check for venous reflux.
03
Personalized Plan
We explain whether your care is medical, cosmetic, or both — with no pressure.
04
Treatment & Follow-Up
Office-based, minimally invasive procedures with clear aftercare.

Care team

Miami Vein Institute's clinical care team

Care Team

A coordinated care team built around you — guided by proven protocols.

"We would rather take the time to explain your options than rush you into a procedure. If treatment isn't needed, we'll tell you."

Dr. John W. Chang, MD · Medical Director

Miami Vein Institute's evidence-based protocols guide every consultation, imaging review, and treatment plan
Advanced clinicians and sonographers handle evaluations, procedures, and aftercare
Patient coordinators guide scheduling, insurance, and follow-up — start to finish

Meet the Care Team Book Consultation

Insurance

Insurance May Cover Vein Treatment When It Is Medically Necessary

Varicose vein treatment may be covered — including by Medicare — when symptoms and diagnostic ultrasound findings support medical necessity. Cosmetic spider vein treatment is generally not covered.

Check Insurance Eligibility Book Free Consultation