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

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.

What is venaseal?

VenaSeal 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.

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 Do NJ Vein Clinics Perform Sclerotherapy?

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.

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 injecting 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.

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.

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.

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.