Varicose and Spider Vein Treatment Options

vein care for Varicose and Spider Veins
At The Vein Guys™, we offer minimally invasive treatments for varicose veins, spider veins, and venous reflux disease. Each treatment plan begins with a medical evaluation to understand your symptoms and determine which option may be appropriate for you.
Our procedures are performed by board-certified physicians and are designed to provide effective care with minimal disruption to your daily routine.
Our Vein Treatment Options

Sclerotherapy for Spider Veins and Small Varicose Veins
Effective, Minimally Invasive Vein Treatment
Sclerotherapy is a minimally invasive, in-office treatment commonly used for spider veins and small varicose veins. It can help improve both the appearance of visible veins and symptoms associated with them.
During the procedure, a sclerosant solution is injected directly into the affected vein using a very fine needle. The solution causes the vein to close and gradually fade over the following weeks.
A sclerotherapy session typically takes between 30 and 60 minutes, depending on the number and size of the veins being treated. Some patients may require multiple sessions to achieve the desired results.
What to Expect After Sclerotherapy
– Quick, in-office procedure
– Little to no downtime
– Quick, in-office procedure
– Little to no downtime
– Most patients can resume regular activities shortly afterward
– Compression stockings may be recommended for 5–7 days
– Sun exposure, hot tubs and swimming should be avoided for approximately three weeks
– Recovery instructions may vary depending on the treatment and the patient
Types of Sclerotherapy
Traditional Sclerotherapy
Traditional sclerotherapy uses a liquid sclerosant solution to treat spider veins and small varicose veins. The solution is injected directly into the affected vein, causing it to close and gradually fade.
Foam Sclerotherapy
Foam sclerotherapy may be recommended for larger or more visible veins. The foam solution has greater contact with the vein walls, helping the physician treat the affected area effectively.
Ultrasound-Guided Sclerotherapy
Ultrasound-guided sclerotherapy is used for veins that are deeper or not clearly visible from the surface. Real-time ultrasound imaging helps the physician locate the affected vein and guide the injection precisely.

Venefit™ Radiofrequency Ablation (RFA)
Minimally Invasive Treatment for Varicose Veins and Venous Reflux
The Venefit™ procedure, formerly known as VNUS Closure™, is a minimally invasive treatment that uses radiofrequency ablation (RFA) to close unhealthy veins and redirect blood flow to healthier veins.
During the procedure, a physician inserts a thin catheter into the affected vein. Controlled radiofrequency energy is then delivered through the catheter, causing the vein to close. Blood naturally moves through other healthy veins after treatment.
Venefit™ is performed in-office and offers an alternative to traditional vein surgery. The treatment is designed to minimize discomfort, bruising, and disruption to the patient’s normal routine.
What to Expect
– In-office procedure that may take as little as 15 minutes
– Minimally invasive treatment without a hospital stay
– Designed to reduce discomfort and bruising
– Most patients can return to normal activities within a day
– Recovery instructions may vary depending on the patient and the veins being treated
Venefit™ Treatment Technology
The Venefit™ system includes the ClosureFAST™ Catheter and ClosureRFS™ Stylet. The appropriate technology is selected according to the affected vein and the patient’s personalized treatment plan.
At The Vein Guys™, Venefit™ procedures are performed using new catheters. We do not use reprocessed catheters as part of our commitment to consistent standards of patient care.

VenaSeal™ Closure System
A Non-Thermal Treatment for Venous Reflux
VenaSeal™ is a minimally invasive vein closure system used to treat certain unhealthy veins associated with venous reflux. Unlike thermal ablation, the procedure uses a medical adhesive rather than heat to close the affected vein.
During the procedure, a Vein Guys™ physician uses ultrasound guidance to insert a thin catheter into the affected vein. Small amounts of medical adhesive are applied at specific points along the vein, while gentle pressure helps ensure proper closure. Blood is then naturally redirected to healthier veins.
Because VenaSeal™ does not use heat, it does not require the tumescent anesthesia commonly associated with thermal ablation. The procedure is performed in-office and is designed to involve minimal bruising and a short recovery period.
What to Expect
– Minimally invasive, in-office procedure
– No heat used to close the affected vein
– No tumescent anesthesia required
– Designed to minimize bruising and discomfort
– Most patients can return to regular activities shortly afterward
– Recovery instructions may vary depending on the patient and treatment plan
Insurance and Payment Information
VenaSeal™ is generally offered as a self-pay procedure and may not be covered by insurance. Patients should contact The Vein Guys before treatment to confirm coverage, costs, and available payment options.
Insurance Coverage for Vein Care
The Vein Guys accepts most major insurance plans. Coverage may vary depending on the procedure, medical necessity, and the patient’s individual insurance plan.
Before treatment, our team can help verify your benefits and explain any applicable requirements or potential out-of-pocket costs.
Financing options may also be available through CareCredit. Contact your nearest Vein Guys location for additional information about insurance coverage and payment options.
What are the symptoms of vein disease?
Common symptoms include leg swelling, heaviness, aching, cramping, itching, or visible varicose and spider veins. These symptoms often worsen after long periods of standing or sitting and may indicate chronic venous insufficiency.
Are varicose veins dangerous or just cosmetic?
Varicose veins can be more than cosmetic. They may be a sign of underlying vein disease, such as venous reflux. A physician evaluation with ultrasound can determine if treatment is recommended.
What causes spider veins on the legs?
Spider veins can develop due to genetics, prolonged standing or sitting, hormonal changes, or increased pressure in the veins. They are often superficial but can be associated with deeper vein issues.
How long is recovery after vein treatment?
Recovery is typically quick. Most patients return to normal activities the same day or shortly after, with minimal downtime. Many of our patients even drive home after their procedure! Your physician will provide personalized aftercare guidance.
Can vein problems come back after treatment?
Treated veins do not return, but new vein issues can develop over time. Regular follow-up and early evaluation of new symptoms can help maintain long-term vein health.

