You may be a candidate for vein treatment if you have one or more of the following:
- A family history of varicose veins
- Large, bulging veins
- Discoloration, pain, swelling, tiredness, burning, itchiness of your legs, ankles, or feet
- No symptom relief with compression stockings, weight loss, or exercise alone
- Sores or wounds on your legs
What To Expect at NYU Winthrop Hospital’s Vein Center
At the first consultation, we evaluate your medical history, conduct a physical exam, and discuss your symptoms and concerns. An ultrasound conducted during your visit may be performed to help us determine your specific vein condition. Your physician will discuss the diagnosis with you and recommend a treatment plan that is customized for you.
Your doctor may recommend treatments that include Endovenous Laser Therapy (EVLT), Sclerotherapy, or Stab Phlebectomy.
Endovenous Laser Therapy (EVLT)
Endovenous Laser Therapy (EVLT) is a procedure used to treat varicose veins. EVLT involves inserting a thin fiber into the damaged vein and using laser energy to seal it shut. The blood in the damaged vein is diverted to normal veins with functional valves, resulting in improved circulation.
This minimally invasive procedure only requires local anesthesia and takes less than an hour. It offers immediate relief from symptoms and improves appearance. Patients can walk after the procedure is completed and resume normal daily activities immediately.
Phlebectomy (also known as microphlebectomy, ambulatory phlebectomy, or stab avulsion) is a minimally invasive procedure used to remove varicose veins located on the leg’s surface. Phlebectomy involves making tiny cuts into the skin, approximately two millimeters in size, through which the varicose vein is removed.
This procedure does not require stitches and can be done in our Center using local anesthesia. Phlebectomy can improve the appearance of your legs and bruising, if any, is very light and usually disappears over time.
Since stab phelebectomy only treats varicose veins on the surface of the leg, it may be combined with other treatments for varicose veins, depending on the patient’s needs.
Sclerotherapy is a minimally invasive procedure used to treat small varicose veins and spider veins in their early stages, helping prevent future complications. Sclerotherapy involves using a small needle to inject a solution that slightly inflames the vein’s lining, causing it to collapse and eventually close. Patients may need to wear a compression wrap for a few days to hold the vein together.
Blood flow is redirected to healthy veins and the damaged vein is absorbed by the body over time. The number of injections required varies and you may need a few sclerotherapy sessions depending on the type and number of veins being treated. You can resume normal activities immediately after the procedure and bruising or discoloration, if any, will lessen and disappear over time.