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Vein Treatments

Endovenous Ablation

Endovenous ablation is a state-of-the-art treatment option for varicose veins and other problematic veins.


What is an endovenous ablation?

Endovenous ablation is a treatment to close problematic veins. It can use heat, laser, chemicals, or adhesive to close and seal weak or damaged veins.

Venaflux offers multiple devices to treat varicose veins, improving the appearance of your legs and your vascular function. In addition to treating varicose veins, the team uses endovenous ablation to help relieve other symptoms, such as:

● Aching or throbbing legs

● Heavy or fatigued legs

● Leg swelling

● Skin discoloration

● Venous ulcers

Our team provides thorough exams to identify the best treatment for your vascular health issue.

How does an endovenous ablation work?

Endovenous ablation is an ultrasound-guided, minimally invasive procedure. There are two types: thermal (with heat) and non-thermal (without heat). During a thermal endovenous ablation, your provider inserts a catheter into your damaged vein, then feeds a wire or laser fiber into the damaged section of the vein. Anesthesia is used around the device to protect from the heat. A device releases radiofrequency energy or laser energy, which heats the inside of the damaged vein and forces it to close and seal. Your provider uses an injectable adhesive that closes and seals your vein. During a non-thermal endovenous ablation, your provider accesses your damaged vein, then uses a chemical, mechanical device or adhesive in the damaged vein to close and seal off the vein. No anesthesia is required. Once the damaged vein is closed by either method, your blood flows through nearby healthy veins.

What should I expect during an endovenous ablation?

You change into shorts or cover with a drape before your treatment. Then, your provider cleanses your leg and provides a local anesthetic. A technician uses a vascular ultrasound to locate your damaged vein before making a small incision in your skin and inserting the cathete. You might feel some pressure during the procedure, but it shouldn’t be too painful during a thermal ablation. You will not feel this during a non-thermal ablation. After sealing your vein, your provider withdraws the catheter or other equipment and bandages the incision site. They give you a compression stocking and ask you to get up and walk around the treatment room.

How should I take care of my legs after treatment?

The treatment is minimally invasive and doesn’t require downtime for recovery. You can return to most of your regular activities right away, although you should avoid vigorous physical exercise for about a week. You also need to wear a compression stocking for a week or more if tolerated. Your provider will recommend that you get up and walk around for 10 minutes every hour. The compression and light exercise support healthy circulation. You have a follow-up appointment a week after your treatment, so your provider can check that your damaged vein remains sealed and that your blood is flowing through healthier veins. Then you will follow up per protocol.

Ambulatory Phlebectomy

If you have large, bulging varicose veins, your best treatment option might be Ambulatory Phlebectomy.


What is Ambulatory Phlebectomy?

Ambulatory Phlebectomy is a minimally invasive surgical procedure to remove large, bulging varicose veins near the surface of your skin. In addition to eliminating the appearance of varicose veins, Ambulatory Phlebectomy can also relieve such symptoms as:

● Aching or throbbing legs

● Leg heaviness or fatigue

● Skin discoloration

● Venous ulcers

● Leg swelling


Your provider might combine Ambulatory Phlebectomy with other treatments to restore your vascular health.

Am I a good candidate for Ambulatory Phlebectomy?

The team at Venaflux provides thorough exams before recommending any treatment for varicose veins. They usually recommend Ambulatory Phlebectomy for large, bulging, or twisted varicose veins. Other treatments such as sclerotherapy or Endovenous ablation might be more appropriate for smaller veins.

What happens during Ambulatory Phlebectomy?

The team at Venaflux Vein and Vascular Solutions performs Ambulatory Phlebectomy as an in-office procedure. Your provider marks your veins that will be removed and then your leg is cleansed, and a local anesthetic is injected. When you’re ready, your provider makes a small puncture incision near your varicose vein. Then, they use a slender hook instrument to pull the varicose vein out of your body. Depending on the size of your varicose vein, your provider might need to remove the vein in pieces. The team can remove several varicose veins during the same appointment. When your procedure is complete, they place steri-strips over your incisions, cover with gauze, and put on a compression wrap.

How should I take care of my legs after Ambulatory Phlebectomy?

You can return to most of your regular activities immediately following your Ambulatory Phlebectomy. You need to wear compression stockings for at least a week. Compression stockings support healthy circulation by helping to push blood back up to your heart and lungs. You should get up and walk around for 5-10 minutes every hour but avoid strenuous activity until you have a follow-up appointment, and your provider confirms that it’s safe.

Visual/Cosmetic/Ultrasound Guide

If you’re worried about the cosmetic appearance of spider veins or have bothersome reticular or varicose veins, sclerotherapy is an effective solution.

What is sclerotherapy?

A sclerotherapy procedure involves injecting a solution directly into a vein. The solution causes the vein to scar, closing it off to blood flow. Your body naturally redirects blood to nearby healthy veins and reabsorbs the tissue from the collapsed vein. The team offers cosmetic and ultrasound-guided sclerotherapy. With cosmetic sclerotherapy, you undergo injections of solution into spider veins visible on the surface of your skin. Ultrasound-guided sclerotherapy targets veins located deeper in your legs. After sclerotherapy, treated veins usually fade away within a few weeks, but they can take a month or longer to disappear. Multiple sclerotherapy treatments are typically needed.

Why would I need sclerotherapy?

Often performed sclerotherapy for cosmetic purposes to improve the appearance of spider and varicose veins. Sclerotherapy can also reduce varicose vein symptoms like leg pain, leg swelling, aching, and night cramps. Sclerotherapy can treat the following types of veins:

Spider veins: Spider veins get their name from their web-like appearance. These tiny clusters of veins are often red or purple and become visible through the skin.

Varicose veins: Varicose veins are larger veins that look twisted and can appear to bulge through the skin. Varicose veins can be various colors, including dark purple or blue.

Reticular veins: Reticular veins are smaller than varicose veins and larger than spider veins. These enlarged veins can be blue or green in color.


What should I expect from sclerotherapy treatment?

First, the Venaflux team performs a physical exam and reviews your medical history to make sure sclerotherapy is right for you. Depending on your needs, they may recommend ultrasound-guided sclerotherapy. The on-site vascular sonographers perform an ultrasound to map out the veins in your legs. A vascular ultrasound provides detailed information about the veins and arteries in your legs, including the precise location of varicose and reticular veins. Your injector may use ultrasound guidance during sclerotherapy to improve the accuracy of the injections. Each session usually takes 30-60 minutes. After the treatment, you are fitted for compression stockings and recommend you to go for a 30-minute walk daily to promote blood flow.

Vein Light Varicose Vein
lindsey sclero inject with vein light

Conservative Therapies:
Compression Stockings/Dermaka/Dietary Supplements

Compression stockings and Dermaka (100% natural plant-based vitamin enriched cream for the skin) help stimulate circulation, reduce leg swelling, and help manage varicose and spider veins. Venaflux offer top-quality compression stockings and devices right in their office and offer in office measurements to find the right size compression socks and devices for you.

What are compression stockings?

Compression stockings gently squeeze your legs to promote healthy blood flow. When you have a vein condition, conservative therapy often includes the use of compression stockings. The team at Venaflux offers a variety of compression stockings including:

● Ankle and knee-high compression socks

● Knee-high and thigh-high compression stockings

● Compression pantyhose

● Maternity pantyhose

● Pneumatic compression devices (must undergo evaluation by provider)

They sell compression socks and devices for men and women of all ages and sizes. They customize the compression level to your specific needs.

How do compression stockings work?

Compression socks, stockings, and wraps apply gentle pressure to your leg, which helps move blood back to your heart. This helps prevent many common problems like leg swelling and blood clots. They can also slow the progression of varicose and spider veins that often leads to chronic venous insufficiency (vein reflux disease). Compression may assist with other conservative treatments: elevating your legs so your feet are above the level of your heart, taking anti-inflammatories, venoactive medications, or exercise program as often required by insurance companies prior to approval of vein treatments.


What is Dermaka skin care?

Dermaka is an all-natural, plant-based cream enriched with vitamins that can be used on all types of skin disorders secondary to invasive procedures including pre and post endovenous ablation, ambulatory phlebectomy, and sclerotherapy. It minimizes redness, bruising, and staining after anesthetic or surgical procedures. Patients use Dermaka for a variety of conditions including bruising, rashes, dry skin, muscle and joint pain.

When should I use compression socks and Dermaka skin care?

You may need to wear compression socks and Dermaka skin care after you’ve undergone a procedure. Venaflux may also recommend compression garments to manage the symptoms of a condition like leg pain, leg swelling, varicose veins, or restless legs syndrome. Additionally, compression socks may help prevent vein problems in people who are at high risk, especially if you’re going to travel on an airplane or long car ride or spend a lot of time standing or sitting. Factors that increase your risk of vein issues include having a family history of varicose veins or a personal history of pregnancy, blood clots, or deep vein thrombosis. Being overweight or over age 60 can also increase your risk.

Where can I buy compression socks and Dermaka skin care?

Venaflux carries Dermaka skin care and the highest-quality compression stockings in the office.

Whether you have a condition like leg swelling or just wanting to prevent vein and vascular problems from progressing, the staff determines the proper length, level, and type of compression device that is right for you.

Should you use Dermaka Sunscreen?

Venaflux also offers Dermaka Broad Spectrum SPF 42 Sunscreen that protects your skin from harmful rays while healing damaged skin. It is rich in flavonoids and vitamins which helps with antiaging and lightening the skin pigmentation from chronic sun exposure. Venaflux carries Dermaka sunscreen in the office.

What dietary supplements are available?

Vein Formula 1000 and Lymphatic Formula 1000 are dietary supplements manufactured in the USA in an FDA registered facility. Vein Formula 1000 contains the micronized purified flavonoid fraction (MPFF) of Diosim and Hesperidin. This supplement supports venous tone, lymphatic drainage, microcirculation, normal capillary permeability, healthy circulation, healthy leg veins, healthy hemorrhoidal veins. MPFF is recognized by many as a vital comoponent in the fight against CVI and venous stasis ulceration. Lymphatic Formula 1000 this combination of ingredients supports normal lymphatic function in patients with lymphedema and lipedema. The addition of Selenium and Vitamin D in the Lymphatic Formula 1000 posses anti-inflammatory and anti-oxidant properties and support normal lymphatic function. We offer both supplements in the office.

Compression Stockings
Compression Stockings
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