Your Vein Treatment Options in Long Island

Our Vein Experts Help You Choose the Best Spider and Varicose Vein Treatments

Are you Looking for Vein Treatment in Long Island? We Provide the Best Vein Treatment Options!

Over the past decades, advancements in vein care and medical technologies have progressed rapidly. Thanks to cutting-edge technologies, we can now treat spider veins and varicose veins with minimally invasive procedures that address the root cause of your problems without harsh side effects, complications, hospitalization, or downtime. However, you now have so many vein treatment options that selecting the ideal vein treatment for your specific needs is challenging.

To find the ideal vein treatment for your specific needs, you must find a highly reliable and skilled vein doctor in Long Island. Your vein doctor must run advanced vascular imaging tests and discuss your symptoms and goals to recommend the ideal vein treatments. At our spider vein and varicose vein treatment center in Long Island, our Harvard-trained vein doctors are known for their comprehensive and personalized vein treatments.

It’s also important to understand the root cause of spider veins and varicose veins. In most cases, spider veins and varicose veins are the results of increasing pressure in the superficial leg veins close to the skin’s surface, which is caused by underlying chronic venous insufficiency. Our vein doctors in Long Island always run tests to identify underlying vein disease before curating a treatment plan.

We believe treating spider veins and varicose veins without addressing the underlying problem is similar to painting over a stained wall instead of fixing the leaking pipes underneath. As long as the leaky pipes (vein disease) aren’t fixed, the stains on the wall (spider veins) will keep returning. Our comprehensive vein care approach addresses the root cause of your problem, ensuring long-lasting results with a negligible risk of recurrence.

Our comprehensive guide describes all the leading vein treatment options, including their advantages, drawbacks, and suitability, and we help you find the best vein doctors in Long Island.

 

Your Vein Treatment Options

Endovenous Ablation

Other Names: Ablation, Endovenous Radiofrequency Ablation, Endovenous Laser Ablation

Treats: Underlying chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, such as leg heaviness, restless leg syndrome, throbbing leg veins, and leg cramps

 

What is endovenous ablation?

Endovenous ablation is a minimally invasive procedure wherein heat or laser energy is used to destroy the diseased vein responsible for your varicose veins. The unhealthy veins are usually located a few centimeters under the skin. While healthy leg veins carry blood from the legs to the heart, unhealthy veins with weak valves allow gravity to pull your blood back into the leg veins. The continued accumulation of pressure in your leg veins leads to spider veins and bulging varicose veins. Endovenous ablation destroys the diseased vein, rerouting the accumulated blood into your healthy leg veins.

 

How does endovenous ablation work?

During endovenous radiofrequency ablation, your vein doctor administers local anesthesia to numb the affected region and make an incision. Under ultrasound guidance, a small radiofrequency device is driven through the incision and into the diseased vein. Your vein physician delivers tumescent anesthesia to surround the diseased vein with a protective fluid and activates the radiofrequency device, which, in turn, produces high-intensity sound waves that convert into thermal energy. The diseased vein seals shut and get absorbed by your body, allowing blood to reroute into healthier veins.

We perform endovenous laser ablation using the exact same methods as radiofrequency ablation, but with one major difference. Instead of thermal energy, we use a device that produces laser energy to destroy the diseased vein. Since laser energy is a lot hotter than thermal energy, you might experience some post-procedural discomfort and pain. However, we believe both ablation procedures are equally effective and conclude within 15 to 30 minutes with no downtime. Generally speaking, your vein doctor will have carefully-considered reasons to favor one method over the other to ensure optimal results for your specific situation.

 

Pros:

Endovenous radiofrequency ablation and laser ablation are safe, comfortable, and effective procedures that address the root cause of varicose veins — chronic venous insufficiency. We believe ablation procedures are significantly safer than traditional vascular surgeries, such as vein stripping. They’ve been around for over a decade, so they have a proven safety record. Furthermore, ablation treatments help us prioritize your comfort and convenience — you can squeeze the treatment within a packed schedule and return to work immediately.

 

Pros Summary:

  • Incredibly high success rate
  • Proven track record
  • Extremely safe and comfortable
  • No recovery period
  • Covered by most insurance plans

Cons:

Endovenous ablation is a completely safe and comfortable procedure, but it must be performed by highly-experienced vein doctors using cutting-edge technologies. Endovenous ablation can be performed using numerous platforms and devices — the results can vary based on the device. Furthermore, the procedure involves injecting tumescent anesthesia to ensure optimal comfort. If your vein doctor uses an outdated device, injects an inadequate volume of anesthesia, or uses too many injections, you may experience pain and discomfort. Our vein doctors always calibrate the treatment to ensure optimal comfort.

 

Cons Summary:

  • Extremely difficult procedure to perform
  • Laser ablation may cause some post-treatment discomfort
  • Must be performed by a highly-skilled vein doctor

Is endovenous ablation a good option for you?

You’re the ideal candidate for endovenous ablation procedures if you have underlying chronic venous insufficiency and want a treatment that’s painless, safe, and convenient. Furthermore, you will most likely receive insurance coverage because endovenous ablation is covered by most medical insurance providers.

 

VenaSeal

Other Names: Vein Glue

Treats: Underlying chronic venous insufficiency and its symptoms, such as leg heaviness, restless leg syndrome, throbbing leg veins, and leg cramps

What is venaseal?

VenaSeal is a cutting-edge device manufactured by a highly reputable scientific company called Medtronic. This is a relatively new procedure that uses a substance called cyanoacrylate glue to seal the diseased vein’s walls — rather than destroying it with thermal or laser energy. Cyanoacrylate glue is a long-standing medical adhesive that’s been used for numerous vascular treatments for a long time, so it boasts a stellar success rate.

How does venaseal work?

During your venaseal procedure, your vein doctor will use an ultrasound scan to identify the affected vein. Your vein doctor will numb the skin over the affected vein to make a small incision and insert a medicine delivery system known as a catheter. The catheter is driven into the diseased vein under ultrasound guidance to deliver the cyanoacrylate glue, making the affected vein shut down. After the diseased vein is sealed off, the accumulated blood automatically reroutes into healthier leg veins.

 

Pros:

We believe venaseal is preferable to the ablation procedures because it doesn’t involve tumescent anesthesia, so you don’t have to deal with post-treatment swelling. Furthermore, the cyanoacrylate glue easily travels around the veins, making it suitable for distribution in veins with multiple branches.

Pros Summary:

  • No post-treatment swelling
  • Suitable for veins with multiple branches
  • Suitable for vein disease recurrence
  • Uses an extremely advanced technology

Cons:

VenaSeal is a relatively new procedure that’s only recently received FDA approval, so we don’t have a clear picture of its potential long-term effects. Due to its relative newness, you will have a hard time receiving insurance coverage. You may also exhibit allergic reactions to the vein glue — our vein doctors run thorough allergy tests to avoid that possibility . Furthermore, the vein glue eventually hardens and becomes a permanent implant inside your body.

 

Cons Summary:

  • Long-term effects are unknown
  • Not covered by all insurance plans
  • Must be performed by exceptional vein doctors
  • Possibility of allergic reactions
  • The vein glue becomes a permanent implant

Is venaseal a good option for you?

We believe venaseal is the ideal option for you if you’re suffering from a vein disease recurrence after already undergoing treatment before. You may also be a suitable candidate if your diseased vein has multiple branches. However, our vein doctor first determine if you can get insurance coverage for the treatment and if you have any allergic reactions to the medical glue.

 

Sclerotherapy

Other Names: Saline Injections, STS, Salt Solution Injections, Cosmetic Sclerotherapy, Vein Injections

Treats: Small varicose veins and spider veins

 

What is sclerotherapy?

Sclerotherapy is a procedure wherein a special medication called a sclerosant is injected into small varicose veins or spider veins. Sclerosant is a medication that irritates the vein walls, making them fuse together and turn into scar tissues eventually absorbed by the body. Over time, the spider veins shrink, fade, and disappear.

 

How does sclerotherapy work?

During sclerotherapy, your vein doctor will identify all the affected veins either visually on the skin’s surface or using an ultrasound scan for the deeper veins. Using a small needle, your vein doctor will inject the sclerosant medication into the spider veins on your skin’s surface. If the veins are slightly beneath the surface, they’ll inject the sclerosant under ultrasound guidance. Your sclerotherapy treatment is quick, safe, and effective.

Pros:

Sclerotherapy allows us to treat the twisted veins that we can’t reach with ablation techniques because the liquid medication easily flows all around the veins. When performed correctly, we believe sclerotherapy is one of the safest and most effective treatments for spider veins, far more effective than skin laser therapy.

 

Pros Summary:

  • Safe
  • Convenient
  • Highly effective
  • No downtime

 

Cons:

Sclerotherapy can be performed using various types of sclerosant solutions, each having different outcomes. Traditionally, sclerotherapy was performed using a concentrated salt water solution (hypertonic saline), which caused considerable pain and discomfort.

While most vein clinics now avoid hypertonic saline, some vein doctors still use solutions that cause more discomfort than necessary. Furthermore, some vein doctors don’t dilute the sclerosant medication sufficiently, leading to an incorrect dosage that may cause skin discoloration or other side effects. In rare cases, inexperienced vein doctors may also inject the sclerosant medicine into the arteries, leading to necrosis of the skin.

Our vein doctors in Long Island use the safest and most comfortable sclerosant medications, dilute them to the correct dosage, and carefully inject them under ultrasound guidance to ensure optimal results and safety for you.

 

Cons Summary:

  • Must be performed by board-certified vein experts
  • Results depend on the specific sclerosant medication used

Is sclerotherapy a good option for you?

We believe sclerotherapy is the ideal option for cosmetic spider vein treatment, i.e., removing spider veins if you don’t have underlying vein disease. It’s also suitable for treating recurrent vein disease if you aren’t deemed suitable for ablation and venaseal procedures.

 

Foam Sclerotherapy

Other Names: Vein Injections

Treats: Reticular veins (larger than spider veins but smaller than varicose veins) and varicose veins

 

What is foam sclerotherapy?

Foam sclerotherapy is similar to liquid (standard) sclerotherapy — your vein doctor injects a sclerosant medication into the affected veins to seal them shut. However, liquid sclerotherapy is only suitable for spider veins and small varicose veins because your vein doctor can only use a small quantity of the medication. Foam sclerotherapy involves mixing the sclerosant medication with air to create a bubbly foam that can fill larger areas. This allows your vein doctor to seal larger veins using the same amount of medication, making foam sclerotherapy suitable for reticular veins and varicose veins.

 

How does foam sclerotherapy work?

During foam sclerotherapy, your vein doctor will use ultrasound technology to visualize the diseased veins. The foam solution must be fresh when injected, so your vein doctor will prepare the solution (mixing it with air) just before injecting it into the targeted veins. The foam sclerosant solution will be injected under ultrasound guidance to ensure optimal precision, and your vein doctor will observe the ultrasound image to ensure it travels through all the affected veins.

Pros:

We believe foam sclerotherapy is the ideal solution for twisted or tortuous veins that can’t be addressed with ablation techniques. We believe it can also treat recurrent vein disease, i.e., your vein disease returns after the vein treatment.

 

Pros Summary:

  • Suitable for tortuous veins
  • Suitable for the treatment of recurrent vein disease
  • Covers a larger area with a smaller volume of medication

Cons:

Foam sclerotherapy is a delicate procedure that must be handled by our highly-skilled and board-certified vein doctors. Your vein specialist must assess the varicose vein for connections with perforating veins (deeper veins within the legs) and ensure no medication enters the perforating veins. Our vein doctors take all necessary precautions to ensure you have a safe and comfortable experience.

 

Cons Summary:

  • Must be performed by the most talented vein doctors

Is foam sclerotherapy a good option for you?

You’re the ideal candidate for foam sclerotherapy treatment if you need cosmetic relief from reticular veins or varicose veins. You can also consider this treatment if you experience vein disease recurrence.

 

Pre-Mixed Foam Sclerotherapy

Other Names: Foam Sclerotherapy

Treats: Chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, such as leg fatigue, restless legs, cramps, and leg heaviness

 

What is pre-mixed foam sclerotherapy?

Pre-mixed foam is a more advanced form of foam sclerotherapy wherein the solution is available in special canisters, so our vein doctors don’t have to prepare the foam solution in the office. We believe pre-mixed foam sclerotherapy addresses the primary risk associated with traditional foam sclerotherapy — air embolism. The term “air embolism” refers to a situation wherein air enters your bloodstream and gets carried into your lungs, preventing the optimal transfer of blood cells or oxygenated blood. This can happen when you are treated with a sclerosant mixed with room air. Pre-mixed foam sclerotherapy consists of sclerosant medications mixed with carbon dioxide and nitrogen, which allows the solution to disperse through the veins quickly without being carried into your lungs.

 

How does pre-mixed foam sclerotherapy work?

During pre-mixed foam sclerotherapy, your vein doctor will use ultrasound technology to visualize the diseased veins. A small needle is used to inject the foam sclerosant solution into the targeted veins just under your skin’s surface. The only procedural difference between pre-mixed foam sclerotherapy and standard foam sclerotherapy is that we don’t have to prepare the foam solution in-office.

Pros:

We believe pre-mixed foam sclerotherapy is safer than traditional foam sclerotherapy because it disperses faster, negating the possibility of air embolism. It’s the ideal treatment for recurrent vein disease, and it can treat larger varicose veins because it spreads more than traditional sclerotherapy. As such, pre-mixed foam sclerotherapy may help you avoid surgery.

 

Pros Summary:

  • Highly effective
  • Safer than traditional foam sclerotherapy
  • Suitable for larger veins than liquid sclerotherapy
  • Ideal for the treatment of recurrent vein disease

Cons:

Your pre-mixed foam sclerotherapy must be performed by highly-skilled and trained vein doctors because the foam solution must not enter the perforating veins, i.e., the deeper leg veins often connected to varicose veins. Furthermore, you have a low chance of receiving insurance coverage for pre-mixed foam sclerotherapy, which might make the treatment costly.

 

Cons Summary:

  • Must be performed by exceptional vein doctors
  • Not covered by all insurance plans
  • Expensive treatment without insurance coverage

Is pre-mixed foam sclerotherapy a good option for you?

You’re a suitable candidate for pre-mixed foam sclerotherapy if you have the appropriate insurance coverage. It’s also suitable for you if you have large varicose veins or recurrent vein disease.

ClariVein

Other Names: Mechanochemical Ablation

Treats: Chronic venous insufficiency and its symptoms, such as leg heaviness, throbbing leg veins, restless leg syndrome, frequent leg cramps, and leg discomfort

 

What is clarivein?

ClariVein is a cutting-edge treatment performed using a special catheter with a rotating tip. The catheter is inserted into the diseased vein, wherein the rotating tip causes mechanical trauma to the vein’s walls. The device also delivers sclerosant medication to damage and seal the diseased vein, restoring effective blood circulation to your heart.

 

How does clarivein work?

During the clarivein treatment, your vein doctor will prepare the treatment area with a cleaning solution, identify the affected veins using ultrasound technology, and numb the region just over the diseased vein. Your vein doctor will insert the specialized catheter into the vein under ultrasound guidance, and the device’s rotating tip will damage the walls of the vein while delivering the sclerosant solution. Your vein doctor will drive the catheter all along the vein’s length to ensure optimal treatment.

Pros:

We believe clarivein is a suitable alternative to venaseal because it doesn’t leave an implant, and it’s a suitable alternative to endovenous ablation because it doesn’t involve tumescent anesthesia. Furthermore, the catheter we use is small enough to treat twisted veins as well.

 

Pros Summary:

  • Minimal post-treatment swelling
  • Doesn’t leave an implant
  • Suitable for tortuous veins

Cons:

In recent years, there have been a few reports of complications,  with patients experiencing some discomfort and pain during the process. Furthermore, you might not receive insurance coverage for clarivein, making the treatment financially inaccessible or costly.

 

Cons Summary:

  • Not covered by all insurance providers
  • May cause discomfort

Is clarivein a good option for you?

ClariVein is a great option for you if your insurance providers can cover the treatment. It’s especially suitable for you if you’re allergic to lidocaine (used for tumescent anesthesia during ablation) or if you don’t like the idea of having an implant in your body.

 

Surgery

Other Names: Vein Removal, Vein Stripping, Phlebectomy

Treats: Large varicose veins

 

What is vein stripping?

Vein stripping is a traditional vascular surgery wherein an open incision is used to expose and remove the diseased vein using various surgical techniques.

 

How does vein stripping work?

During vascular surgery, your vein doctor uses ultrasound technology to identify the diseased vein, following which you’re put under anesthesia and taken to the operating room. Your vein doctor makes an incision on the skin and uses various surgical techniques to extract the diseased vein. The most popular surgical technique is the forcible extraction of the diseased vein using a hook-like device.

Pros:

We believe vascular surgery is a suitable treatment option for extremely large and tortuous varicose veins that can’t be treated with minimally invasive procedures.

 

Pros Summary:

  • Might be the only option for extremely severe cases

Cons:

We think vascular surgery should never be tried as a primary vein treatment — it should only be attempted in severe cases or if you don’t respond to minimally invasive vein treatments. Generally speaking, we only provide minimally invasive procedures because they can treat most instances of spider veins, varicose veins, and vein disease.

 

Cons Summary:

  • Outdated vein treatment method
  • Less effective than minimally invasive procedures
  • Higher risk of complications than minimally invasive treatments

Is vein surgery a good option for you?

A vascular surgery should only be considered if all minimally invasive treatments fail or if you have blood clots. It’s only suitable for the severest cases of tortuous varicose veins.

 

If you have any other concerns about spider vein and varicose vein treatments, please consult the exceptional Harvard-trained vein doctors at our vein treatment centers in Long Island. Our vein doctors have performed hundreds of minimally invasive procedures while maintaining perfect track records due to their exceptionally comprehensive vein care approach.

We Help You Select the Best Vein Treatment Center for Minimally Invasive Vein Treatments in Long Island

You must select the best vein treatment center for minimally invasive vein treatments in Long Island. Your vein treatment center must have a stellar track record for comprehensive vein care, diagnosing and treating the root cause of all vein problems. The following are the factors to consider when looking for the best vein treatment center in Long Island:

  1. You must find a vein doctor who patiently listens to your symptoms, goals, and expectations. That’s the only way to address the root cause of your problems using procedures that address your specific needs. Our vein doctors are committed to ensuring a painless and comfortable vein treatment experience.
  2. Your chosen vein treatment center in LI must emphasize the need for ultrasound diagnosis. Inexperienced vein doctors often treat the visible spider veins and varicose veins without diagnosing the underlying vein disease, which inevitably leads to a recurrence. However, our board-certified vein specialists always run vascular imaging tests to identify and treat the underlying vein disease, ensuring long-lasting results.
  3. Diagnosing the underlying venous insufficiency is important, but it’s not everything. Our vein doctors calibrate and personalize each vein treatment according to your specific goals, expectations, insurance coverage options, medical history, and lifestyle. We also discuss every step of the vein treatment process with you, so you know what to expect.
  4. Our vein treatment centers in LI are accredited and certified by the IAC (intersocietal accreditation commission), an organization that formally certifies vein clinics using cutting-edge technologies and treatments with the highest standards of vein care. As such, you can rest assured that you’ll receive the best vein care at our vein centers.
  5. Finally, you must look for registered physicians in vascular imaging, i.e., vein doctors with specialized training in ultrasound diagnosis and ultrasound-guided vein treatments. Many vein doctors rely on assistants to handle the ultrasound, but you must find vein doctors capable of doing it themselves.

If you have any of the signs or symptoms of venous insufficiency, such as varicose veins, spider veins, leg heaviness, restless leg syndrome, leg cramps, or more, we encourage you to reach out. Our Long Island vein doctors will discuss all your treatment options and help you identify the best minimally invasive vein treatment for your unique needs.

Sclerotherapy

60 min
NON-INVASIVE | NON-SURGICAL

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

RF Ablation

NON-INVASIVE | NON-SURGICAL

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

VenaSeal

60 min
NON-INVASIVE | NON-SURGICAL

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

ClariVein

60 min
NON-INVASIVE | NON-SURGICAL

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

EVLT

60 min
NON-INVASIVE | NON-SURGICAL

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

ClariVein

60 min
NON-INVASIVE | NON-SURGICAL

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

Not sure if you’re covered or which procedure to choose?

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All vein treatments are covered by most health insurance, including medicare. Submit this form to verify coverage and book a consultation. Once you visit us, one of our vein doctors will create a custom treatment plan for you.

Questions? Call us right away (555) 555-5555

Vein Treatment Overview

Our Vein Doctors are some of the top experts in the field and have published numerous books and articles on vein disease. We regularly search for new and novel treatment modalities. If we feel that a new treatment is safe to use in our center, we add it to our options to ensure that our patients are getting the least invasive, least painful, and most effective vein treatments on the market. After evaluating numerous treatment modalities, we consider sclerotherapy, radiofrequency ablation, venaseal, and laser vein ablation to be the best options for most vein disease.

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