I thought my ugly veins were just something I would have to live with. I was wrong. All I can say is Thank you so much!

Jane E.

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Vein Procedures

Vein procedures are also known as venous procedures and vary according to what your vein doctors believe will be the best solution for your spider veins, varicose veins or other issues.

At one time ligation and stripping was considered the most effective treatment available for varicose veins. This surgery consists of one or more incisions into which a stripper is inserted and threaded up the vein; the vein is then grasped and removed.

Today there are other options available and here at AVC we use a variety of other treatments and therapies to assist our patients.

Endovenous Laser Treatment (EVLT)

Endovenous Laser Treatment uses heat instead of a chemical. EVLT is one of two methods that uses heat inside the vein to close it. The other method uses radio frequency to generate heat and is known as an RF procedure, VNUS Closure®, or ClosureFAST®. VNUS closure is only recommended for vein diameters less than 1cm.

EVLT is known by several other terms such as:

  • ELVeS® laser vein treatment
  • ETA endovenous thermal ablation

This procedure is performed at the AVC without a general anesthetic so it doesn’t require hospitalization or outpatient surgery. It is effective, less painful and recovery time is much shorter.


Sclerotherapy is one of the favorite treatment options at the Advanced Vein Center. People commonly refer to this venous procedure simply as spider vein treatment or shots for spider veins. Successfully used since the1930s, today it is used to treat both spider veins and varicose veins. It is only reimbursed by insurances for management of incompetent perforator (communicating) veins.

Some other terms used for this vein treatment include:

  • light assisted sclerotherapy
  • visual sclerotherapy
  • ultrasound guided sclerotherapy
  • foam sclerotherapy
  • cosmetic sclerotherapy
  • therapeutic sclerotherapy
  • compression injection sclerotherapy

Here at the Advanced Vein Center we prefer light assisted and ultrasound guided foam sclerotherapy.

Light Assisted Foam Sclerotherapy is used to treat veins just below the surface that may not be visible through the skin. Tools used include a magnified lens and light that illuminates the tissue under the skin so that the veins are clearly visible and so more easily treated.

Ultrasound Guided Foam Sclerotherapy is quick and does not usually require anesthesia since patients only feel minimal pain or a mild burning sensation. Ultrasound helps guide needle placement and so is reserved for perforator veins that are not visible even with illumination through the skin.

Sclerotherapy involves a small needle injection of chemical into the vein using a tiny needle. The solution injures the vein which scars and closes. It is then reabsorbed by the body. This causes the blood flow to redirect through healthy veins.

Compression stockings are worn after treatments to help the veins remain shut. Once they are sealed, the blood will find a healthy pathway back to the heart.

Ambulatory Phlebectomy

Ambulatory Phlebectomy is a procedure that is often done on large veins in the thighs. The problem vein is surgically removed in segments. It is an office based procedure using a local anesthesia and leaves no scars.

With these vein procedures, the Advanced Vein Center is able to offer comprehensive treatment of leg veins whether large or small. If you are concerned about varicose veins or spider veins in your legs call the vein doctors to schedule a consultation.