Treatment Options

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At Shore Vascular & Vein Center we specialize in the minimally invasive state-of-the-art treatment of varicose veins and venous insufficiency.  We can provide relief of the discomfort and appearance of varicose and spider veins without the need for painful surgery or hospitalization.  Most procedures are performed right in the office.  Details of of some of our areas of expertise are described below.

Venefit™ Procedure – Formerly known as VNUS Closure

The Venefit™Procedure, previously referred to as the VNUS Closure Procedure, is a state-of-the-art, FDA approved, minimally-invasive procedure to treat venous reflux, the underlying cause of many varicose veins. The procedure is performed in our comfortable office setting and usually takes approximately 20 minutes to complete.

Local anesthesia is used to numb the area being treated. The diseased vein is then accesses through a small needle stick. A catheter is passed into the vein and positioned in the proper location using ultrasound guidance. The vein is then treated with radiofrequency (RF) energy which causes the diseased vein to collapse and close down. Blood is re-routed to the normal deep veins, reducing or eliminating the abnormal pooling of blood in the legs. The access site is then simply covered with a small bandaid. Sutures (stitches) are not needed. There is usually only mild discomfort.

Recovery is fast, with most people returning to their usual activities within a day or two. Patients are instructed to wear compression hose for about a week following the procedure.  They are encouraged to walk immediately after the procedure is completed.

With the Venefit™ Procedure, hospitalization, painful vein stripping surgery, and general anesthesia are not needed.  We are a leading center for the Venefit™ Procedure, having performed thousands of successful cases and instructing other physicians in learning the technique.

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Depending upon an individual’s situation, it may be preferable to remove certain varicose veins in order to obtain the best overall results. When this is necessary, we use the microphlebectomy technique.  Although certain veins are removed during this procedure, it should NOT be confused with an “old-fashioned” vein stripping operation.

Microphlebectomy is a minimally invasive procedure during which veins are removed through tiny openings, so small that stitches are not required. Patients experience only minimal discomfort, walk immediately following the procedure, and generally return to their usual activities within about a day.  Cosmetic results are excellent. Microphlebectomy does not require hospitalization and is performed under local anesthesia, sometimes with light sedation.

Conservative Therapy

Many individuals with varicose veins and venous insufficiency do not require procedure to treat their problem.  In some individuals, more conservative treatments are appropriate.  Some of the conservative treatment options that your doctor might recommend are the use of venous compression stockings, intermittent leg elevation, and nonprescription pain medication for symptomatic relief of associated discomfort.  This information is provided for general informational purposes only. It is not intended to recommend any specific treatment for an individual’s particular symptoms or condition.  As with any medical issue, you should consult your doctor for specific diagnostic and treatment recommendations.

Sclerotherapy (Spider Vein Treatment)

The fine red or purple lines that many people have under the surface of the skin of their legs are known as spider veins. They are the result of a mild form of venous insufficiency. While spider veins themselves are usually not a serious medical condition, they can be unsightly and may be associated with localized symptoms including discomfort, itching and skin burning. In certain situations, they may also be prone to bleeding, especially with shaving of ones legs.

We offer a variety of safe and effective treatments for spider veins.  One of the most commonly used is sclerotherapy. A medication, known as a sclerosing agent, is injected through a tiny needle directly into the abnormal veins. This irritates the inner lining of the veins, causing them to collapse and fade. It is performed in the office, with a typical session of sclerotherapy lasting approximately15-20 minutes.

Asclera (polidocanol) is one of the sclerosing agents that is used for the treatment of spider veins and small varicose veins. It is safe, effective and has the added benefit of not causing the burning pain that was associated with some of the older sclerosing agents like saline.

While sclerotherapy is usually very effective in improving the appearance of spider veins, the results are not immediate. It usually takes a few weeks for the treated veins to begin to fade and repeat treatments may be needed to obtain the best results. With patience and proper follow up, marked improvement is usually obtained. Individuals can return to their usual activities immediately following treatment. The use of compression stockings is often recommended and direct sun exposure should be avoided for a period of time after treatment. Your doctor will provide you with information and instructions specific to your situation.

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Excel V Laser

Millions of Americans are affected by vascular skin conditions, such as rosacea, spider veins and telangiectasia, which can cause unsightly broken blood vessels, discoloration and lesions to appear on the skin of the face and legs. People affected by these skin conditions often report embarrassment or self-consciousness.

Excel V Laser is a new approach to treating vascular skin conditions that puts patients’ safety and comfort first.  The system uses a unique high power green laser that is absorbed by abnormal blood vessels in the skin.  The laser heats and eliminates the abnormal vessels, ultimately restoring normal skin tone and color.  Excel V can be customized to each patient’s skin condition, enabling precise and effective treatment of everything from superficial blemishes to deep scars.  The system leverages innovative cooling technologies to ensure patient comfort, and there are no long-term side effects or downtime.


Common Conditions Treated With Excel V

    Rosacea is a common disorder that mainly affects skin on the face. While it is typically characterized by harmless cosmetic symptoms, such as redness in the face, some patients also complain of heating or discomfort when they flush. Triggers of rosacea episodes can include strenuous exercise, temperature extremes, alcohol and spicy foods.

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    Leg veins are dilated vessels that range from large veins to small telangiectasias. Other non-laser treatment of leg veins typically involves sclerotherapy, a procedure in which a liquid is injected into the damaged vessels to harden and destroy the vessel wall. Excel V can treat leg veins up to 4mm in diameter.

    Telangiectasias are tiny broken blood vessels that are permanently fixed in the dilated state. While they usually do not present a medical issue, they do create a cosmetic concern as they can take on the appearance of fine red lines coursing through the surface of the facial skin.

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    A port wine stain is a type of red or purple birthmark made of dilated blood capillaries. They often appear on the face and do not fade unless they are treated. Non-laser treatment of port wine stains has included radiation, freezing and surgery, often resulting in pain and scarring

    Cherry Angiomas are small red bumps that appear spontaneously on the skin. They typically appear in middle age and will proliferate. Non-laser treatment of cherry angiomas includes cryosurgery and electrosurgery.

    Many individuals develop areas of tan colored skin discoloration related to sun damage.  It most commonly occurs on the face, but can also appear on the hands, legs and body.  Excel V laser can safely and effectively eliminate many of these unsightly lesions.

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