Treatment Options

VenaSeal ™

In the past, ablation procedures have been used to heat the source veins to reduce signs of varicose veins. However, new technology introduced through the VenaSeal™ procedure now enables us to treat varicose veins through a less invasive method. VenaSeal™ is a medical grade glue used in this procedure to glue down the main defective vein. Gluing down this vein will not hurt your blood flow because blood will then be redirected to other healthy veins, leaving your sealed vein useless. After this vein has been shut, it will harden and eventually be absorbed by the body.

The glue used in this varicose vein treatment is medical grade and has recently been approved by the FDA and Medicare. The same materials used in the VenaSeal™ glue has been used in various other areas of medicine since the 1950’s and is not known to have any negative side effects on the body.

VenaSeal™ is noninvasive and offers an overall faster recovery time than other varicose vein treatments. Patients may experience mild discomfort around the site of the VenaSeal™ injection and around the affected veins for a few weeks, but recovery is usually very quick. Unlike with ablation treatments, patients do not need to wear compression socks after treatment, and they do not run the risk of burns and similar adverse effects.

Many patients experience positive, visible results within the first month, though the results may improve over the duration of 6 months.

Radiofrequency and Laser Ablation

This new treatment has revolutionized our ability to treat varicose veins where the main superficial veins (the greater and lesser saphenous veins) are contributing to the continued enlargement of the varicose veins. Previously, this would have involved a stripping operation or saphenous ligation. However, with this technique the saphenous vein can be obliterated in the office. A slim profile catheter is inserted into the vein under ultrasound guidance. The catheter is placed in a precise location and when turned on, caused the blood to heat up. The heated blood causes the vein to scar down and ultimately disappear.

The procedure is performed in the office under dilute local anesthesia which not only prevents pain but also cools the surrounding tissue so that the energy does not damage surrounding tissues. Patients can drive themselves home after the procedure. The individual does have to wear a surgical stocking for 2 weeks and there may be some bruising, but discomfort is minimal and should respond well to anti-inflammatory medicines which are used 1-2 days after the procedure. Most patients return to work the next day. Most insurance carriers will pay for this procedure if it is medically necessary and conservative measures have failed. Complications of blood clots or numbness on the inside of the leg are very rare. The typical length of the procedure may vary depending on how many veins need treatment, but on average takes about 10 minutes per vein.

Injection Sclerotherapy

Sclerotherapy involves the injection of an irritant solution into the spider and reticular veins. The solution causes the vein walls to "stick together". Blood flow is routed to other veins, and the body in time absorbs the abnormal vein. Stockings are worn for a few days to compress the vein walls together during the healing phase. Procedures take 30-45 minutes depending on the anatomy being treated and multiple sessions are needed. Dr. Varu uses a combination of Foam and Liquid sclerotherapy with the FDA-approved agent, Asclera ™, to achieve the desired results.


This procedure also known as Ambulatory Stab Avulsion Phlebectomy (ASAP) is a revolutionary new treatment. In this simple procedure varicose veins are removed through sub-centimeter incisions. No stitches are necessary. Surgery is performed on an outpatient basis under local anesthesia and scarring is minimal or non-existent. Results are immediate and normal activity can be resumed promptly. Procedures take from 15 minutes to 2 hours.

VeinGogh TM Ohmic Thermolysis Therapy

This revolutionary treatment allows spider veins too small for conventional treatment, including the face and legs, to be treated without needles or scalpels. VeinGogh uses microburst technology with an ultra-fine probe to target the spider veins without damaging the surrounding skin. Treatment is done in the office and can usually be completed in less than 30 minutes. Typically only one session is required. Unlike IPL and most Lasers, VeinGogh can safely treat any skin type, including tanned skin.

Get in touch with Dr. Vinit N. Varu, our double-board certified vascular surgeon, to learn more about the treatment options available! Whether you are seeking vericose vein or spider vein treatment in Austin, Georgetown or Cedar Park, give our office a call today!

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