What is the Best Varicose Vein and Spider Vein Treatment in NYC?


 Our Vein Doctors Help You Choose the Best Vein Treatment in Manhattan


Are you Considering Vein Treatment in NYC? We’re Here to Help!

Thanks to recent advancements in vein care, we have more vein treatment options now than ever before. You might be confused while exploring your vein treatment options, and with good reason. Sifting through the options and finding the right spider or varicose vein treatment for yourself is challenging, which is why you need a reliable vein doctor for guidance. The vein experts at our centers for vein treatment in New York use the latest diagnostic tools and techniques to trace the ideal vein treatment option for your specific goals and needs.

Over the past decades, progress in the field of vein care has advanced by leaps and bounds. Older vein treatment methodologies often necessitate complex surgeries with hospitalization, general anesthesia, downtime, and the risk of complications. However, our minimally invasive spider and varicose vein treatments in New York are the opposite — they’re quick and convenient in-office procedures with no downtime or complications. Our guide aims to help you choose the right vein doctors in NYC and explore your vein treatment options.

However, before we discuss your vein treatment options, let’s get some basics down. Most spider veins and varicose veins are dilated blood vessels caused by an underlying circulatory disorder known as chronic venous insufficiency, aka vein disease. Venous insufficiency is a medical condition wherein the superficial veins close to your skin stops functioning optimally, usually due to the weakening of the vein valves responsible for efficient blood circulation. Consequently, blood flows backward and accumulates in your leg veins, leading to increased pressure and the eventual formation of spider and varicose veins.

Our vein doctors in NYC always diagnose and treat the underlying vein disease before removing the superficial veins. That’s the only way to ensure lasting results. Without treating the underlying venous insufficiency, the spider veins and varicose veins will eventually return.


Your Vein Treatment Options

Endovenous Ablation

Other Names: Radiofrequency Ablation, Laser Ablation, and Ablation

Purpose: Treat chronic venous insufficiency, larger varicose veins, and the symptoms of vein disease (leg heaviness, restless legs, frequent leg cramps, etc.)

What is endovenous ablation?

Endovenous ablation is a minimally invasive procedure wherein our vein doctors use thermal energy (radiofrequency ablation) or laser energy (laser ablation) to destroy the diseased veins close to your skin’s surface. Your leg veins are supposed to transport blood from the legs to your heart, flowing against the force of gravity. When your vein valves weaken, blood flows backward and builds up pressure in your leg veins, leading to spider veins and varicose veins. Endovenous ablation eliminates the diseased veins.

How does endovenous ablation work?

We believe endovenous ablation is currently one of the safest in-office and outpatient procedures for vein disease. During endovenous ablation, your vein doctor numbs your skin’s surface and makes an incision to insert a small device into the diseased vein. This device leverages radiofrequency technology to produce high-intensity sound waves that generate thermal energy. Your vein doctor surrounds the affected vein with a protective fluid and activates the radiofrequency device, delivering thermal energy to the diseased vein’s walls. The diseased vein seals shut and eventually gets absorbed by your body, rerouting the accumulated blood into healthier veins.

The endovenous ablation procedure concludes in 15 to 30 minutes, and it’s conducted under local anesthesia, so you’re wide awake. You don’t experience any pain or discomfort, and you can resume most of your daily activities immediately. Both radiofrequency ablation (RF therapy, RF ablation, or ClosureFAST) and laser ablation (EVLT) are performed using the same methods described above — the primary difference is that radiofrequency ablation involves thermal energy, whereas laser ablation involves laser energy. Generally speaking, your vein doctor will have specific reasons to favor one over the other — both procedures are equally effective and safe.


Radiofrequency ablation is one of the safest and most effective procedures to treat the underlying chronic venous insufficiency. It’s far safer than vein stripping, which is the traditional approach to vein treatments. Having been around for over a decade with a proven track record, ablation is now covered by most insurance plans. Furthermore, radiofrequency and laser ablation are quick in-office procedures with no downtime, allowing you to resume your work immediately.

Pros Summary:

  • Extremely safe
  • Far more effective than surgeries
  • Covered by most insurance plans
  • No recovery period


Endovenous ablation relies on specific technologies that guide and facilitate the treatment. There are multiple devices for ablation on the market, and the choice of technology can affect your overall results. As such, you must find a reliable vein treatment center in NYC with cutting-edge technologies and devices. In the hands of an inexperienced vein doctor, you may experience more pain, discomfort, or side effects than necessary. Our vein treatment providers are highly-experienced, having performed hundreds of ablation procedures without complications.

Cons Summary:

  • It’s a difficult procedure
  • Must be performed by an experienced vein doctor

Is Endovenous Ablation a Good Option for You?

EWe believe endovenous ablation is suitable for most patients, especially since it’s covered by most insurance plans. While both radiofrequency and laser ablation produce similarly successful results, we prefer using radiofrequency ablation because it causes less post-treatment discomfort.


Other Names: Vein Glue

Purpose: Treat chronic venous insufficiency and the symptoms of vein disease (leg heaviness, restless legs, frequent leg cramps, etc.)

What is venaseal?

VVenaSeal is one of the latest vein treatment technologies available, manufactured by a reliable company with a proven track record (Medtronic). Instead of closing the diseased vein with thermal energy, this procedure seals its walls using a substance called cyanoacrylate glue. Cyanoacrylate glue is a safe and well-established medical adhesive that’s been used for various vascular procedures.

How does venaseal work?

During the VenaSeal procedure, your vein doctor in NY will numb your skin’s surface to access the unhealthy vein, as identified under ultrasound guidance. After identifying the vein, your vein doctor inserts a device called a catheter (with the cyanoacrylate glue) into the vein. Under ultrasound guidance, the catheter injects the medical adhesive into the diseased vein, making its walls seal shut. The accumulated blood reroutes to your healthy leg veins, restoring effective blood circulation to your heart.


You don’t have to worry about post-treatment swelling because venaseal doesn’t involve tumescent anesthesia. This procedure is more effective than endovenous ablation for veins with multiple branches. The medical glue travels to all the branches and seals them shut.

Pros Summary:

  • Based on an extremely advanced technology
  • Suitable option for the re-treatment of vein disease
  • No post-treatment swelling
  • Suitable for veins with multiple branches


VenaSeal is an extremely new procedure that’s only recently received FDA approval, so we aren’t yet aware of its long-term effects. In some (rare) cases, patients may develop allergic reactions to the vein glue. However, our vein doctors always conduct allergy tests to ensure you don’t experience allergic reactions. The vein glue eventually hardens and becomes a permanent implant within your body, which may be a source of psychological discomfort for you. It’s also worth noting that you have a lower chance of receiving insurance coverage for venaseal.

Cons Summary:

  • Must be performed by an expert vein physician
  • Not covered by all insurance providers
  • Long-term effects are unknown

Is VenaSeal a Good Option for You?

We believe venaseal is the ideal option for you if you have already received vein treatments in the past, i.e., you have a history of vein disease. However, you must consult a reliable vein doctor in New York who thoroughly checks for allergies to ensure you don’t develop allergic reactions to the substance. Your vein doctor should also determine if your insurance plan can cover the treatment.



Other Names: Cosmetic Sclerotherapy, Vein Injections, STS, Salt Solution Injections, Saline Injections

Purpose: Treat spider veins and small varicose veins

What is sclerotherapy?

Sclerotherapy is an injectable procedure wherein a special medication is delivered into the unhealthy veins. Known as a sclerosant, the medication irritates the spider veins’ walls, making them shrink, close, collapse, and eventually get absorbed by the body. Over time, your spider veins shrink and fade away.

How does sclerotherapy work?

Our vein doctors perform ultrasound scans to identify the targeted spider veins on your skin. Under ultrasound guidance, our vein doctors carefully inject the sclerosant medication into your spider veins or into the veins just underneath your skin’s surface. The sclerosant solution irritates the veins’ walls, making them collapse.

Sclerotherapy can be performed using various medications. The oldest sclerosant medication is hypertonic saline (concentrated salt water), but it has fallen out of favor because it causes considerable pain and discomfort. Our vein doctors in NYC use sclerosant medications that cause no pain or discomfort, ensuring a comfortable experience.


Sclerotherapy is ideal for twisted and contorted veins because the liquid solution easily travels around. Furthermore, it’s the safest, quickest, and most convenient means of treating spider veins on your skin’s surface. When performed by vein experts, it’s far safer and more effective than laser therapy.

Pros Summary:

  • Highly effective
  • No downtime
  • Painless experience


Sclerotherapy can be performed using numerous types of solutions, with each solution carrying a unique set of benefits, drawbacks, and pricing. Since different clinics use different solutions, you can also expect different results. Furthermore, your vein experts must dilute the medication with sterile water to achieve the ideal dosage, without which the procedure may cause pain, discomfort, or skin discoloration. Injecting a sclerosant solution into the arteries (instead of the diseased veins) may cause skin necrosis (tissue death). Sclerotherapy is an incredibly safe and effective procedure, but only if performed by highly-skilled, trained, and board-certified vein doctors. That’s why we encourage you to contact our vein doctors in NYC.

Cons Summary:

  • Must be performed by board-certified vein doctors
  • The results may vary depending on the sclerosant solution used


Is Sclerotherapy a Good Option for You?

Sclerotherapy is the ideal treatment for you if you have spider veins without underlying vein disease. It’s also suitable for you if you have recurrent vein disease that can’t be treated with ablation or venaseal.  

Foam Sclerotherapy

Other Names: Vein Injections

Purpose: Treat small and large varicose veins

What is foam sclerotherapy?

Foam sclerotherapy is similar to traditional sclerotherapy — your vein doctor injects a medication into the affected veins to seal them shut. Most liquid sclerosant solutions are detergents that interact with air to produce a bubbly foam. This allows your vein doctor to cover larger veins using the same amount of sclerosant solution, allowing them to treat small and large varicose veins while keeping the medication dosage within safe limits. Foam sclerotherapy is performed under ultrasound guidance for optimal accuracy.

How does foam sclerotherapy work?

Your vein doctor in New York will identify the surface veins or perform an ultrasound scan for the deeper veins. Next, they’ll prepare the solution by mixing air with the chosen medication between two syringes and immediately inject the foam solution into the targeted veins. After the injection, your vein doctor will use an ultrasound scan to ensure the foam solution travels to all the unwanted veins.


We believe foam sclerotherapy is ideal for vein disease re-treatment. And it’s also suitable for tortuous veins that are harder to access with ablation treatments.

Pros Summary:

  • Ideal for tortuous and twisted veins
  • Suitable for vein disease re-treatment


Varicose veins are usually connected to “perforating veins” located deeper within your legs. The foam solution must not reach the perforating veins because that may lead to complications. As such, foam sclerotherapy should be performed by our reputable and board-certified vein doctors in New York — we carefully assess the location of the varicose and perforating veins to control just how far the foam solution spreads, ensuring safe and consistent results.

Cons Summary:

  • Must be performed by highly-skilled vein doctors
  • Small risk of complications if the solution enters the perforating veins

Is Foam Sclerotherapy a Good Option for Me?

Foam sclerotherapy is the ideal option if you have varicose veins or reticular veins (larger than spider veins but smaller than varicose veins). This procedure is also ideal for you if you have recurrent vein disease, i.e., you’ve had vein treatment before, but the vein disease has returned.

Pre-Mixed Foam Sclerotherapy 

Other Names: Foam Sclerotherapy

Purpose: Treat varicose veins and the symptoms of vein disease (leg heaviness, restless legs, frequent leg cramps, etc.)

What is pre-mixed foam sclerotherapy?

Pre-mixed foam sclerotherapy is an advanced version of foam sclerotherapy, performed using a special pre-mixed foam medication available in canisters. Over the past couple of years, there have been a few isolated cases of air embolism with traditional foam sclerotherapy, i.e., when the sclerosant solution is mixed with air. Air embolism is a condition wherein the bloodstream carries air into the lungs, preventing the proper oxygenation of blood. Pre-mixed foam consists of sclerosant solutions mixed with a high concentration of carbon dioxide and nitrogen (rather than room air). This allows the foam solution to work more efficiently and then deactivate, making it more effective and safer than foam sclerotherapy.

How does pre-mixed foam sclerotherapy work?

Your vein doctor will identify the affected veins with an ultrasound scan and then inject the chosen pre-mixed foam sclerosant solution into the targeted veins using a small needle. Surface veins can be injected directly, but they’ll need ultrasound guidance for deeper veins. The only difference between the pre-mixed foam sclerotherapy and traditional foam sclerotherapy procedures is that your vein doctor doesn’t need to “agitate” the sclerosant solution before the injection.


Pre-mixed foam sclerotherapy is a safe and effective procedure, and it’s perfect for you if you have a history of recurrent vein disease. When performed by our vein experts, it’s the ideal alternative to varicose vein surgeries.

Pros Summary:

  • Incredibly effective
  • Ideal for larger varicose veins
  • Ideal for vein disease re-treatment


Your pre-mixed foam sclerotherapy should only be performed by reliable vein experts because it’s an incredibly powerful solution. Furthermore, you have a low chance of receiving insurance coverage for this procedure, and it’s fairly expensive without coverage.

Cons Summary:

  • Must be performed by vein experts
  • Not covered by all insurance plans

Is Pre-Mixed Foam a Good Option for You?

If your insurance providers cover pre-mixed foam sclerotherapy, we believe it’s a more effective and safer procedure than standard foam sclerotherapy for varicose vein surgeries.


Other Names: Mechanochemical Ablation

Purpose: Treat chronic venous insufficiency and the symptoms of vein disease (leg heaviness, restless legs, frequent leg cramps, etc.)

What is clarivein?

ClariVein is a special technology wherein mechanical trauma and medication are used to close diseased veins. Your vein doctor uses a special type of catheter with a rotating tip to damage the inner linings of your affected vein, following which a sclerosant medication induces chemical damage, thereby closing your diseased vein completely.

How does clarivein work?

Your vein doctor identifies the unhealthy veins using an ultrasound scan. After numbing your skin, the vein doctor inserts a delivery device called a catheter into the diseased vein. The rotating tip of the catheter damages the inner walls of the diseased vein while delivering the sclerosant solution. The catheter moves along the entire vein for optimal results.


Unlike venaseal, this procedure doesn’t leave a permanent implant in your body. And unlike endovenous ablation, you don’t have a risk of tumescent anesthesia. Furthermore, the catheter with the rotating tip can also reach twisted veins.

Pros Summary:

  • No need for tumescent anesthesia
  • Doesn’t leave an implant
  • Suitable for tortuous veins


Clarivein isn’t yet covered by all insurance plans, so you might not receive insurance coverage. Furthermore, clarivein has been associated with some complications, such as difficulty moving past the vein valve, and you might experience some discomfort.

Cons Summary:

  • Not covered by most insurance plans
  • Can be uncomfortable
  • A small risk of complications

Is ClariVein a Good Option for You?

We believe clarivein is a suitable alternative to endovenous ablation and venaseal. As such, you’re a great candidate for clarivein if you’re allergic to lidocaine, don’t want a permanent implant, and your insurance covers the procedure.


Other Names: Vein Stripping, Vein Removal, Phlebectomy

Purpose: Treat large varicose veins

What is vein stripping?

Vein stripping is a procedure wherein an open incision is made on your skin to access the vein. After exposing the vein, your vein doctor uses numerous techniques to remove the diseased vein.

How does vein stripping work?

After identifying the diseased vein, you’re put under anesthesia and taken to an operating room. Your vein doctor will make an incision on your skin above the diseased vein for access. They use numerous surgical techniques to remove the vein. One of the most common techniques is forcibly removing the vein with a hook.


We believe vascular surgeries, such as vein stripping, should only be used for extremely large and tortuous veins that can’t be addressed with minimally invasive techniques.

Pros Summary:

  • The ideal option in limited scenarios


We perform minimally-invasive and non-invasive vein treatments because they are far more effective and safer, with fewer side-effects and a lower rate of complications. Vascular surgery should never be your primary or first option.

Cons Summary:

  • Outdated technique
  • High risk of complications

Is vein surgery a good option for you?

We believe vein surgery should only be considered if all other minimally invasive treatments fail or if you have extremely large and tortuous veins. You might need vein surgery if you have blood clots in your veins.

Our spider and varicose vein treatment center in Manhattan, NYC, is led by a team of hand-picked, board-certified, and Harvard-trained vein experts specializing in the latest vein treatments. If you have any other questions about vein treatments, please contact our vein doctors for more information.


What’s the Best Vein Treatment in NYC for Me?

 forThe board-certified and Harvard-trained vein doctors at our  center vein treatment  in NYC use the latest diagnostic tools and techniques to trace the root cause of your spider veins and varicose veins. Based on their diagnosis, they curate a comprehensive and personalized vein treatment plan that addresses your specific needs.

When looking for a vein treatments near your location, you must consider the following factors:


Patience: This might seem like an obvious point, but you must find vein doctors who listen to your unique concerns and goals with the utmost patience. Unfortunately, that’s not always the case — vein physicians often jump straight into the treatment before you’ve even finished discussing your symptoms. Our vein doctors listen to your concerns and discuss all your vein treatment options, collaboratively recommending the ideal vein treatment for you.

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Ultrasound: As mentioned earlier, most spider and varicose veins are caused by underlying vein disease. Treating spider veins without addressing the underlying issue is like painting over a stained wall instead of fixing the leaking pipes underneath — the stains (spider veins) will inevitably return. Our vein doctors always run duplex ultrasound scans to identify the root cause of your vein problems — even if you simply come for a spider vein treatment..

Technical Expertise: You must find vein doctors with specialized training in vascular imaging, i.e., they must know how to operate and use the latest ultrasound technologies to perform minimally invasive procedures. Many vein physicians rely on assistants or technicians for the ultrasound. However, our vein doctors in NYC are registered physicians in vascular imaging, i.e., they have specialized training in running ultrasounds.

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Accreditation: You must find a vein treatment center accredited by the IAC (intersocietal accreditation commission), certifying that it meets the highest standards. Our spider vein and varicose vein treatment  in New York is IAC-certified.

Personalized Treatment: You must find vein doctors who provide personalized vein treatments instead of following a cookie-cutter template. Our vein doctors perform comprehensive tests and ultrasound scans using the latest technologies to ensure the chosen treatment plan addresses your specific needs and goals.

What is the cost of vein treatment new york?

Our center for Vein Treatment New York, is here to help you with all your vein problems. Whether you have spider veins, varicose veins, leg heaviness, restless leg syndrome, throbbing leg veins, frequent leg cramps, or other symptoms of chronic venous insufficiency, our board-certified vein physicians in New York ensure optimal results with comprehensive and personalized vein treatment plans designed just for you.

Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors



The vein doctor in NYC numbs your skin’s surface before delivering the sclerotherapy injections, so you feel minimal discomfort.

Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors

RF Ablation


Endovenous ablation with radiofrequency causes no pain and minimal discomfort. You may feel a bit of a pinch as the vein doctor delivers local anesthesia into your skin, but no sensation beyond that. 

Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors



Our vein specialist in NYC applies topical anesthetic on your skin’s surface before delivering the VenaSeal injection, so you feel minimal discomfort during the treatment.

Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors



Our vein experts in NYC administer local anesthesia before the ClariVein treatment, so you feel nothing more than gentle pressure on the treatment regions.

Laser Ablation or EVLT vein treatment in San Diego, California


Iѕ one of several technologies used to treat vein disease, аlѕо knоwn as Chrоnіс Venous Insufficiency.
Not sure if you’re covered or which procedure to choose?

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All vein treatments in NY are covered by most health insurance, including medicare. Submit this form to verify coverage and book an appointment. Once you visit us, one of our vein doctors will create the best custom treatment plan for you!

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