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.

The full catalog

Every treatment we offer.

Medical In-office

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.

Downtime: None
Insurance: Often a covered diagnostic test when leg symptoms are present.
View Ultrasound Vein Evaluation details
Medical In-office

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.

Downtime: None
Insurance: Typically covered when symptoms support medical necessity.
View Venous Reflux Ultrasound details
Medical In-office

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.

Downtime: None
Insurance: Generally a covered diagnostic study.
View Diagnostic Venous Duplex Ultrasound details
Medical In-office

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.

Downtime: None
Insurance: Performed as part of pre-procedure planning.
View Vein Mapping details
Medical In-office

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.

Downtime: Walking same day · light activity within 24–48 hours
Insurance: Often covered when symptoms and ultrasound findings support medical necessity.
View Endovenous Laser Treatment (EVLT) details
Medical In-office

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.

Downtime: Walking same day · light activity within 24–48 hours
Insurance: Often covered when medical necessity is supported.
View Radiofrequency Ablation (RFA) details
Medical In-office

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.

Downtime: Walking same day · minimal restrictions
Insurance: Coverage varies by plan; we verify benefits before scheduling.
View VenaSeal details
Medical In-office

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.

Downtime: Walking same day · compression for several days
Insurance: Often covered when medical necessity is supported.
View Varithena details
Medical In-office

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.

Downtime: Walking same day · minimal restrictions
Insurance: Coverage varies by plan; we verify before scheduling.
View ClariVein details
Both In-office

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.

Downtime: Walking same day · light activity within 1–2 days
Insurance: Covered when veins are symptomatic and reflux has been documented.
View Ambulatory Phlebectomy details
Both In-office

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.

Downtime: Walking same day · minimal restrictions
Insurance: Coverage depends on whether the vein is symptomatic and feeding vein has been treated.
View Microphlebectomy details
Cosmetic In-office

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.

Downtime: Walking same day · compression for several days
Insurance: Generally not covered when performed for cosmetic purposes.
View Sclerotherapy details
Both In-office

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.

Downtime: Walking same day · compression for several days
Insurance: Coverage depends on whether the treated veins are symptomatic.
View Foam Sclerotherapy details
Medical In-office

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.

Downtime: Walking same day · compression for several days
Insurance: Often covered for symptomatic varicose veins.
View Ultrasound-Guided Foam Sclerotherapy details
Cosmetic In-office

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.

Downtime: None to minimal
Insurance: Generally not covered — cosmetic treatment.
View Visual Sclerotherapy for Spider Veins details
Medical In-office

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.

Downtime: None
Insurance: Often required by insurance prior to procedural treatment.
View Compression Stocking Guidance details
Medical In-office

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.

Downtime: None
Insurance: Frequently a required first step before insurance authorizes procedures.
View Conservative Vein Care details
Medical In-office

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.

Downtime: None
Insurance: Typically covered as part of standard post-procedure care.
View Follow-Up Ultrasound details
Medical In-office

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.

Downtime: Varies by procedure
Insurance: Included as part of your treatment plan.
View Post-Treatment Care details

Next step

Ready to Take the Next Step Toward Healthier Legs?

Schedule a consultation and learn whether your symptoms are cosmetic, medical, or both.