Vein Treatment Services

Our services

Provide a general summary of the services you provide, highlighting key features and benefits for potential clients.

RadioFrequency Ablation (RFA)

Endovenous Laser Ablation (EVLA/EVLT)

At Avance Vein Care, we use two advanced, minimally invasive treatments—Endovenous Laser Ablation (EVLA) and Radiofrequency Ablation (RFA)—to treat problem veins and restore healthy circulation.

How They Work

Both treatments use gentle heat energy inside the vein to close it off, allowing blood to naturally reroute to nearby healthy veins.

• EVLA uses laser energy.

• RFA uses radiofrequency energy.

Each procedure is performed in our office, takes less than an hour, and requires only local anesthesia.

Who Can Benefit

These treatments are ideal for patients with:

• Varicose veins

• Leg heaviness or aching

• Swelling, fatigue, or skin changes from poor vein circulation

What to Expect

You can walk out of the office the same day and return to normal activities within 1–2 days. Most patients notice rapid relief from pain and swelling, along with improved leg appearance.

Safety and Results

Both EVLA and RFA are proven safe and effective, with long-term success rates above 85%.
RFA may cause slightly less bruising and soreness, while EVLA sometimes provides better long-term closure in select cases. Your physician will recommend the best option based on your vein anatomy and personal needs.

Varithena® and Foam Sclerotherapy
Modern, non-surgical treatments for varicose veins and poor circulation.

How They Work

Both Varithena® (FDA-approved microfoam) and ultrasound-guided foam sclerotherapy (USGFS) use a gentle polidocanol foam injected into diseased veins under ultrasound guidance. The foam closes the abnormal vein, and blood naturally reroutes to healthy ones.

Benefits

• Quick, office-based procedure (15–45 minutes)

• No surgery or general anesthesia

• Fast recovery—most resume activities the same or next day

• Relief from pain, heaviness, and swelling

• Noticeable cosmetic improvement

Safety and Results

Studies show high success and low complication rates. Minor effects such as bruising or mild inflammation may occur but resolve within days. Both options are endorsed by AVLS, ACC, and SCAI guidelines (2024–2025) for safety and effectiveness.

Ideal Candidates

• Symptomatic varicose veins confirmed on ultrasound

• Recurrent or complex veins not suitable for heat-based treatments

Aftercare

Compression stockings for 1–2 weeks and a brief follow-up ultrasound to confirm closure.

Varithena® and foam sclerotherapy provide proven, lasting relief and better-looking legs—without surgery or downtime.

Varithena® (Polidocanol Microfoam)

USGFS (Ultrasound-Guided Foam Sclerotherapy)

VenaSeal™ Vein Closure
A modern, non-surgical treatment for varicose veins and poor circulation.

What It Is

VenaSeal™ is an FDA-approved, office-based procedure that uses a small amount of medical adhesive (cyanoacrylate) to seal diseased veins. Once sealed, blood naturally reroutes to healthy veins—without the need for heat, tumescent anesthesia, or stitches.

Benefits

• Minimally invasive and virtually painless

• No heat or multiple needle sticks

• No compression stockings in most cases

• Quick recovery—return to normal activities the same or next day

• Proven long-term results with high closure and satisfaction rates

Safety and Effectiveness

Extensive research, including the VeClose and Spectrum clinical trials, shows VenaSeal is as effective as laser or radiofrequency treatments, with durable results up to 5 years. Side effects are uncommon and usually mild, such as temporary tenderness or inflammation.

Ideal Candidates

• Varicose veins confirmed on ultrasound

• Patients preferring a non-thermal, non-tumescent option

• Those sensitive to heat, needles, or sclerosant medications

What to Expect

The procedure takes about 20–30 minutes. A small amount of adhesive is delivered through a fine catheter under ultrasound guidance. Most patients walk out immediately and resume normal activity the same day. A short follow-up ultrasound confirms proper healing.

VenaSeal™ offers lasting vein relief with no downtime, no heat, and no compression—an innovative, comfortable solution for healthier legs.

VenaSeal™ (Medical Adhesive Closure)

Visual Sclerotherapy: Patient Information, What to Expect, and Treatment Cycles

What is Visual Sclerotherapy?
Visual sclerotherapy is a minimally invasive procedure for treating spider veins and small varicose veins visible on the skin's surface. A physician uses a fine needle to inject a sclerosing medication (most often polidocanol or sodium tetradecyl sulfate) directly into the visible veins, causing them to collapse and fade over time.

What to Expect:

• Before treatment: No major preparation is needed. Some providers may advise avoiding specific lotions or shaving the treatment area on the day of the procedure.

• During treatment: The procedure is performed as an outpatient service and typically lasts 15–30 minutes, depending on the number of veins treated. You may feel a mild sting or slight discomfort with each injection, but local anesthesia is not usually required.

• Immediately after treatment: The treated veins often appear raised or red, with possible mild swelling or bruising. These changes are temporary.

• Recovery: You can resume normal activities immediately. Walking is encouraged. Most providers recommend wearing compression stockings for a few days after each session to boost results and minimize side effects.

• Results: Treated veins will gradually fade and disappear over several weeks. Some brown discoloration or minor skin changes may persist but usually resolve within months.

Possible Side Effects:

• Mild bruising, discomfort, or itching at injection sites

• Temporary skin darkening or pigmentation

• Rarely, small skin ulcers or allergic reactions

Number of Cycles Needed:

• Most patients require 2–4 treatment sessions spaced 3–6 weeks apart for optimal results, especially if many spider veins or reticular veins are present.

• The exact number will depend on the number, size, and distribution of veins, and how your veins respond to the medication.

• Touch-up “maintenance” sessions every 1–2 years may be recommended for new or recurrent veins.

Patient Instructions:

• Avoid vigorous exercise, hot baths, and saunas for 1–2 days after treatment.

• Protect the treated area from direct sun exposure for several weeks to minimize pigmentation.

• Continue to wear prescribed compression stockings as directed.

• Follow up as scheduled to assess progress and plan further sessions if needed.

Summary:
Visual sclerotherapy is a safe, office-based treatment for spider veins and small varicose veins. Most patients need 2–4 cycles for best results, and improvement is gradually seen in the weeks following each session. Follow your vein specialist’s instructions for aftercare and compression to maximize results and minimize side effects.

Visual Sclerotherapy

Micro-Stab Phlebectomy: Patient Information, What to Expect, and Recovery

What is Micro-Stab Phlebectomy?
Micro-stab phlebectomy (also called ambulatory phlebectomy) is a minimally invasive procedure used to remove larger, bulging varicose veins close to the skin's surface. Under local anesthesia, a vein specialist makes tiny punctures (or “stabs”) in the skin using a needle or small blade and removes the abnormal vein through these incisions with a fine hook.

What to Expect:

• Before treatment: No major preparation is needed. You may be asked to avoid lotions or shaving the treatment area on the day of the procedure.

• During treatment: Performed in an office or outpatient clinic. Local anesthesia is used to numb the area. The procedure takes between 30–60 minutes, depending on the extent and number of veins.

• Technique: Tiny incisions (1–3 mm) are made over the vein; the vein is gently removed segment-by-segment.

• After treatment: The area may be covered with small adhesive bandages. Mild bruising, swelling, or tenderness is common for a few days.

• Recovery: Walking is encouraged the same day. Most patients return to normal activity within 1–2 days. Compression stockings are typically worn for 1–2 weeks to aid healing and reduce swelling.

Results:

• Immediate improvement in the appearance of bulging veins.

• Most treated veins are permanently removed and do not return.

• Small residual veins, discoloration, or mild skin irregularities may resolve over weeks to months.

Possible Side Effects:

• Temporary bruising, swelling, or discomfort.

• Small scars (usually fade over time).

• Rarely, infection, nerve injury, or persistent skin pigmentation.

Number of Sessions Needed:

• Most patients require just one session per area; some may need additional sessions if there are extensive veins in different regions.

Patient Instructions:

• Avoid strenuous activity for a few days.

• Wear compression stockings as directed.

• Keep incisions clean and dry; follow wound care instructions.

• Avoid direct sun exposure on treated areas until full healing.

Summary:
Micro-stab phlebectomy is a safe, effective, and minimally invasive procedure for removing bulging surface varicose veins. Most patients see rapid improvement, quick recovery, and long-lasting results when they follow their vein specialist’s aftercare instructions.

Ambulatory/Micro-Stab Phlebectomy