Treatments
Minimally invasive, office-based vein care.
Our vein care is built around in-office evaluation, ultrasound-guided planning, and minimally invasive treatment options. Many procedures are performed in the office with local anesthesia or little to no downtime, while diagnostic and aftercare visits are non-procedural.
Signature treatments
Three procedures that drive most of what we do.
The full list is below — these are the ones patients ask about most.
The standard for venous reflux
Endovenous Laser Treatment (EVLT)
Laser energy gently closes the damaged vein under ultrasound guidance. Walk out the same day.
Learn about Endovenous Laser Treatment (EVLT)Adhesive closure, no heat, no stockings
VenaSeal
FDA PMA-approved medical adhesive — often without tumescent anesthesia or compression afterward.
Learn about VenaSealThe classic for spider veins
Sclerotherapy
A small needle delivers a sclerosing solution that collapses and fades the vein over a series of sessions.
Learn about SclerotherapyThe full catalog
Every treatment we offer.
Ultrasound Vein Evaluation
What it treats: Used to evaluate any patient with leg symptoms or visible veins.
How it works: A painless surface ultrasound assesses blood flow and valve function in the leg veins.
Venous Reflux Ultrasound
What it treats: Confirms whether vein valves are leaking and which veins are involved.
How it works: A focused duplex ultrasound measures the direction and duration of blood flow in each major leg vein.
Diagnostic Venous Duplex Ultrasound
What it treats: Comprehensive evaluation of both the superficial and deep vein systems.
How it works: Combines two-dimensional imaging with Doppler flow analysis to fully map the leg veins.
Vein Mapping
What it treats: Pre-treatment imaging to chart exactly which veins need to be treated.
How it works: Ultrasound is used to mark the path and depth of refluxing veins prior to a planned procedure.
Endovenous Laser Treatment (EVLT)
What it treats: Refluxing saphenous and tributary veins causing varicose veins or symptoms.
How it works: A thin laser fiber, placed inside the vein under ultrasound guidance, gently heats and closes the vein.
Radiofrequency Ablation (RFA)
What it treats: Refluxing saphenous veins driving varicose veins or leg symptoms.
How it works: A catheter delivers radiofrequency energy inside the vein, gently heating and sealing it closed.
VenaSeal
What it treats: Refluxing saphenous veins — typically without the need for tumescent anesthesia.
How it works: A medical adhesive is delivered through a small catheter to seal the vein closed.
Varithena
What it treats: Tortuous or large varicose veins, including some that are difficult to treat with a catheter.
How it works: An FDA-approved microfoam medication is injected into the vein to collapse and close it.
ClariVein
What it treats: Refluxing saphenous veins, particularly when minimizing heat or anesthesia is preferred.
How it works: A rotating catheter mechanically disrupts the vein lining while delivering a sclerosing agent.
Ambulatory Phlebectomy
What it treats: Bulging surface varicose veins that remain after closure of the feeding vein.
How it works: Through tiny needle-sized openings, bulging vein segments are gently removed.
Microphlebectomy
What it treats: Smaller bulging veins where minimal scarring is a priority.
How it works: A refined version of ambulatory phlebectomy using even smaller openings.
Sclerotherapy
What it treats: Spider veins and small varicose veins.
How it works: A tiny needle delivers a sclerosing solution into the vein, causing it to collapse and fade.
Foam Sclerotherapy
What it treats: Larger varicose and reticular veins where a foam preparation works better than a liquid.
How it works: The sclerosing medication is mixed with air to form a foam that displaces blood and treats larger vein segments.
Ultrasound-Guided Foam Sclerotherapy
What it treats: Varicose veins or refluxing branches not visible at the skin surface.
How it works: Real-time ultrasound guides the needle into deeper varicose veins for accurate foam delivery.
Visual Sclerotherapy for Spider Veins
What it treats: Cosmetic spider veins on the legs.
How it works: Direct injection of a sclerosing solution into visible spider veins using fine needles.
Compression Stocking Guidance
What it treats: Supports vein function before and after treatment, and helps with symptoms.
How it works: Medical-grade graduated compression supports the leg veins and reduces swelling.
Conservative Vein Care
What it treats: Mild venous symptoms; may also be a required step before procedural treatment.
How it works: Combines compression, elevation, walking, and lifestyle adjustments to support vein health.
Follow-Up Ultrasound
What it treats: Confirms vein closure and monitors recovery after a procedure.
How it works: A short ultrasound checks the treated vein and screens for complications.
Post-Treatment Care
What it treats: Recovery support after any vein procedure.
How it works: Structured guidance on activity, compression, walking, and follow-up visits.
Next step
Ready to Take the Next Step Toward Healthier Legs?
Schedule a consultation and learn whether your symptoms are cosmetic, medical, or both.