Our Vein Specialists Describe the Best Spider and Varicose Vein Treatments in California for You

Are you Considering Vein Treatment in California? We Have All the Info You Need!

In the not-too-distant past, vein disease and varicose veins could only be treated with surgeries, necessitating long recovery periods, a high risk of complications, and other complexities. However, progress in vein treatments and technologies has outpaced almost all other medical fields over the past three decades, paving the way for minimally invasive procedures. We provide minimally invasive spider and varicose vein treatments that are safe, effective, comfortable, and usually conclude within an hour with no downtime. In short, we solve vein troubles without any pain, discomfort, or inconveniences.

To provide optimal vein treatments, we personalize all vein care plans. Spider veins and varicose veins are caused by an underlying circulatory disorder known as chronic venous insufficiency. This is a medical condition wherein the vein valves in your legs weaken or malfunction. In healthy veins, these valves act like one-way doors, allowing blood to flow upwards towards the heart but not back down. When your vein valves malfunction, blood flows backward and accumulates in your leg veins, leading to an increased venous pressure, which, in turn, leads to spider veins and varicose veins.

Our optimal and effective vein treatments address the root cause of spider veins and varicose veins. If your vein doctor removes the spider veins without treating the underlying venous insufficiency, your spider veins will inevitably return. It’s similar to painting over a stained wall instead of fixing the leaky pipes — a wasted effort. As such, our vein treatment center in California has highly-skilled vein specialists who diagnose and treat the root cause of your vein problems using the latest diagnostic and treatment technologies.

Our comprehensive guide provides a detailed description of your vein treatment options, complete with their benefits, drawbacks, and candidacy.

Your Vein Treatment Options

Endovenous Ablation

AKA Ablation, Radiofrequency Ablation, RF Therapy, RF Ablation, Laser Ablation, EVLT

Goals: Treat the underlying chronic venous insufficiency and its symptoms, including varicose veins, leg heaviness, frequent leg cramps, restless leg syndrome, leg discomfort, and more…


What is endovenous ablation?

Endovenous ablation is a minimally invasive procedure that uses thermal or laser energy to destroy the unhealthy veins and reroute the accumulated blood into healthier leg veins. Endovenous ablation comes in two forms — radiofrequency ablation and laser ablation.

During radiofrequency ablation, our vein doctors use sound-waves to produce thermal energy and burn the diseased vein’s walls. During laser ablation, our vein doctors use laser energy to destroy the diseased vein’s walls. Other than that difference, both procedures are identical, equally effective, and conclude within 15 to 30 minutes.

While both RF ablation and laser ablation are equally effective, we believe radiofrequency ablation causes less post-treatment discomfort. Our vein doctors generally recommend RF ablation, but they will have their reasons to favor one treatment over the other.


What happens during endovenous ablation?

During endovenous ablation, our vein doctor administers local anesthesia to numb your skin’s surface and makes an incision. The incision serves as an entry point for a small device that’s driven under ultrasound guidance into the diseased vein. Our vein doctor delivers tumescent anesthesia, an anesthetic fluid that surrounds the diseased vein for optimal comfort. Finally, the vein doctor activates the device to deliver thermal energy or laser energy into the diseased vein’s walls, making it seal shut. The accumulated blood reroutes to healthier leg veins, and the diseased vein is eventually reabsorbed by your body.


Endovenous ablation safely and effectively treats the chronic venous insufficiency responsible for varicose veins, spider veins, and other problems. Your endovenous ablation will be covered by most insurance providers because it’s a medically necessary procedure. Furthermore, it’s a quick in-office procedure with no downtime, so you can resume your daily activities immediately.



  • Nearly perfect success rate
  • Far more effective than surgeries
  • Negligible risk of complications
  • Covered by most insurance providers
  • No downtime


Radiofrequency ablation can be performed using numerous technologies available in the market, each producing different results. Furthermore, the results can also vary based on the provider and their techniques. Inexperienced vein doctors often use more injections than necessary while delivering tumescent anesthesia, leading to more discomfort and pain. However, our state-of-the-art vein treatment centers in California are led by board-certified vein doctors who optimize all treatments to ensure your safety and comfort.



  • Difficult procedures to perform
  • Must be performed by vein experts
  • Results vary based on the technologies

Am I a good candidate for endovenous ablation?

You’re a good candidate for endovenous ablation if you have underlying venous insufficiency — most people qualify for this treatment because it includes minimal contraindications, and it’s covered by most insurance plans. When possible, we perform radiofrequency ablation because it’s more comfortable for you than laser ablation.


AKA Vein Glue

Goals: Treat the underlying chronic venous insufficiency and its symptoms, including varicose veins, leg heaviness, frequent leg cramps, restless leg syndrome, leg discomfort, and more… 

What is venaseal?

VenaSeal is a cutting-edge technology manufactured by Medtronic, an incredibly renowned scientific company. Instead of closing the diseased vein with thermal or laser energy, this procedure involves using a medical-grade adhesive known as cyanoacrylate to seal the diseased vein’s walls. Cyanoacrylate glue has been used for various vascular procedures for decades, so it has a proven safety record.

What happens during venaseal?

During the venaseal procedure, our vein doctor administers local anesthesia to numb your skin’s surface and makes a small incision. Our vein doctor inserts a tube-like delivery device (catheter) with the cyanoacrylate glue, driving it under ultrasound guidance until its tip meets the diseased vein. Finally, the vein doctor injects the medical glue into your diseased vein, sealing its walls shut. The accumulated blood reroutes into healthier leg veins, restoring effective blood circulation.


We believe venaseal is a suitable alternative for endovenous ablation because it doesn’t include tumescent anesthesia. As such, it’s more suitable for you if you’re allergic to lidocaine. You are also less likely to experience post-treatment swelling.

VenaSeal is also more suitable for you if you have veins with multiple branches — the medical glue easily flows into the various branches.



  • Advanced treatment
  • Treats recurring vein disease
  • Treats varicose veins with multiple branches
  • Minimizes post-treatment swelling
  • No need for tumescent anesthesia


VenaSeal is a relatively new procedure, and that has certain drawbacks. Since it’s only a few years old, it lacks a similarly abundant body of clinical evidence as endovenous ablation and we don’t yet know its long-term effects. Furthermore, due to its newness, most major insurance providers don’t yet cover this procedure, so it might be financially inaccessible to you.

The other primary drawback is related to the cyanoacrylate glue. Although cyanoacrylate is a medical-grade adhesive with a proven safety record, it may cause allergic reactions in some patients. That’s why we always conduct allergy tests before this treatment. You might also have reservations against the fact that the medical glue hardens and stays within your body as an implant.



  • Relatively new procedure
  • Lacks long-term clinical evidence
  • Potential for allergies
  • Permanent implant

Am I a good candidate for venaseal?

You’re a good candidate for venaseal if you’re not allergic to cyanoacrylate (as determined through allergy tests), have underlying vein disease, or a history of recurring vein disease. Furthermore, you should ideally have an insurance plan that covers venaseal.


AKA Saline Injections, Salt Solution Injections, Cosmetic Sclerotherapy, Vein Injections, STS

Goals: Treat spider veins and superficial varicose veins

What is sclerotherapy?

Sclerotherapy is a procedure wherein a sclerosant medication is injected into unhealthy spider veins to make them collapse and seal shut. Sclerosant is a medication that fuses and irritates vein walls, making them eventually turn into scar tissues that get reabsorbed by the body.

Various medications can be used for sclerotherapy, each producing slightly different results. Originally, sclerotherapy was performed using hypertonic saline, i.e., concentrated salt water. But we don’t use hypertonic saline because it’s painful and uncomfortable for the patients. Our vein treatment centers in California use the most effective, safest, and comfortable sclerosant solutions for the procedure.

What happens during sclerotherapy?

During the sclerotherapy session, our vein doctors administer local anesthesia to numb the skin’s surface. They inject the sclerosant medication directly into your spider veins using small needles. And they use ultrasound guidance to inject sclerosant into the veins deeper within your skin. The sclerosant medication will make your unhealthy veins collapse and shut down.


We believe sclerotherapy is the quickest and most convenient means of removing spider veins from your skin’s surface. When performed correctly, it removes all the unwanted spider veins from your legs without any harsh side effects or complications.

Besides cosmetic spider veins, sclerotherapy can also treat tortuous (twisted) leg veins because the liquid solution easily travels around the vein, making it a suitable alternative for vein ablation (in some cases).



  • Ideal for cosmetic spider vein treatment
  • Highly effective and convenient
  • Painless and comfortable
  • No downtime


We believe sclerotherapy is incredibly effective, safe, and comfortable, but only if performed by the most talented and skilled vein experts. When performed incorrectly, there’s a lot of scope for errors.

As mentioned earlier, different sclerosant solutions lead to different results. Our vein treatment centers in CA use the most painless solutions for the procedure, but some vein clinics still use hypertonic saline, which is quite painful.

Our vein doctors dilute the sclerosant medication with sterile water to achieve the ideal dosage. However, inexperienced vein doctors may not dilute the medication sufficiently, which could cause pain, discomfort, or even skin discoloration.

Furthermore, our vein doctors inject the sclerosant into the unhealthy veins and not the surrounding arteries. Injecting sclerosant into the arteries can lead to tissue death (necrosis). As such, we encourage you to consult our vein doctors for safe, painless, and effective sclerotherapy.



  • Must be performed by vein experts
  • Results depend on the type of sclerosant used
  • Potential of complications with incorrect use

Am I a good candidate for sclerotherapy?

You’re the ideal candidate for sclerotherapy if you want a cosmetic treatment to remove spider veins without underlying venous insufficiency. You may also qualify for sclerotherapy if you have tortuous veins that can’t be treated with endovenous ablation.

Foam Sclerotherapy

AKA Vein Injections

Goals: Treat small varicose veins (also known as reticular veins) and large varicose veins


What is foam sclerotherapy?

Foam sclerotherapy is a modified version of traditional sclerotherapy. While traditional sclerotherapy involves injecting a liquid sclerosant medication into the unhealthy veins, foam sclerotherapy involves injecting a bubbly foam solution into the unhealthy veins. All sclerosant medications are “detergents,” i.e., just like dishwasher detergent, they can be mixed with room air to produce foam bubbles. Foam sclerotherapy involves injecting this foamy version of the sclerosant medication into the unhealthy veins — the foamy solution can treat larger veins.


What happens during foam sclerotherapy?

During your foam sclerotherapy procedure, our vein doctor identifies the diseased veins using ultrasound technology and administers local anesthesia to ensure your comfort. The foam solution is prepared in-office just before the treatment — our vein doctor mixes the sclerosant solution with air using two syringes. Once prepared, the vein doctor uses ultrasound guidance to inject the foam solution into your unhealthy veins.

althy veins.


We believe foam sclerotherapy is more effective than liquid sclerotherapy because the foam solution covers more distance with the same amount of medication. As such, it allows our vein doctors to close larger varicose veins while using a safe volume of medication.

Foam sclerotherapy is a suitable alternative to ablation treatments in some cases, specifically when it comes to treating twisted and tortuous veins or recurring vein disease.



  • Treats tortuous veins
  • Treats recurring vein disease
  • Drawbacks:

    Your foam sclerotherapy must be performed by the most skilled and experienced vein doctors because there’s some scope for errors. Varicose veins are often connected to perforating veins, i.e., deeper leg veins. The sclerosant medication must never reach the perforating veins. As such, you must find a vein doctor who is skilled enough to close all the varicose veins without letting the foam solution travel deeper into the perforating veins.

    We believe another drawback of foam sclerotherapy is the potential risk of air embolism, a phenomenon where the air is carried through the bloodstream and into the lungs. When air reaches the lungs, it prevents the proper travel of blood cells and blood oxygenation. This happens because the sclerosant solution is mixed with room air. However, our vein experts can help you avoid this risk.


    • Potential risk of complications
    • Must be performed by the most talented vein experts


Am I a good candidate for foam sclerotherapy?

You’re the ideal candidate for foam sclerotherapy if you have reticular veins or varicose veins requiring cosmetic treatment, recurring vein disease, or twisted veins that can’t be treated with ablation procedures.

Pre-Mixed Foam Sclerotherapy

AKA Foam Sclerotherapy

Goals: Treat the underlying chronic venous insufficiency and its symptoms, including varicose veins, leg heaviness, frequent leg cramps, restless leg syndrome, leg discomfort, and more…


What is pre-mixed foam sclerotherapy?

Pre-mixed foam sclerotherapy is a newer form of foam sclerotherapy wherein the foam solution doesn’t have to be prepared in-office. Instead, the foam solution comes in a pre-mixed container, so our vein doctors can simply inject it into your unhealthy veins. The pre-mixed foam solution is better than the in-office solution because of its composition — the sclerosant medication is mixed with carbon dioxide and nitrogen instead of room air. This allows the medication to travel through the bloodstream and dissipate quickly before it reaches your lungs, so there’s no risk of air embolism.


What happens during pre-mixed foam sclerotherapy?

During the pre-mixed foam sclerotherapy procedure, our vein doctor administers local anesthesia to numb your skin’s surface and uses ultrasound technology to identify the unhealthy veins. Instead of preparing the foam solution in-office, our vein doctors draw it from the canister and inject it (under ultrasound guidance) into the diseased veins just below your skin’s surface.


We believe pre-mixed foam sclerotherapy is better than liquid sclerotherapy because it covers more areas with the same volume of medication, making it suitable for larger varicose veins. And it’s better than foam sclerotherapy because the pre-mixed solution prevents air from traveling into your lungs, minimizing the risk of air embolism.



  • Treats larger varicose veins
  • Treats recurring vein disease
  • Helps you avoid vein surgery
  • Extremely safe


Pre-mixed foam sclerotherapy is an extremely powerful procedure, and incorrect usage can lead to complications, especially if the foam solution travels into the perforating veins. As such, it must be performed by our talented vein doctors.

Pre-mixed foam sclerotherapy is also quite expensive, and it’s not yet covered by most major insurance providers, so it might be financially inaccessible to you.



  • Expensive
  • Not covered by all insurance providers
  • Must be performed by our exceptional vein doctors

Am I a good candidate for pre-mixed foam sclerotherapy?

You’re a good candidate for pre-mixed foam sclerotherapy if your insurance plan covers the treatment and if you have tortuous veins, large varicose veins, or recurrent vein disease. In some cases, pre-mixed foam sclerotherapy also addresses the severest cases, helping you avoid surgery.


AKA Mechanochemical Ablation

Goals: Treat the underlying chronic venous insufficiency and its symptoms, including varicose veins, leg heaviness, frequent leg cramps, restless leg syndrome, leg discomfort, and more…

What is clarivein?

ClariVein is an incredibly advanced treatment performed using a specialized catheter (medicine delivery device) with a rotating tip. This treatment combines mechanical trauma with sclerosant medicines to damage particularly twisted and diseased veins.

What happens during clarivein?

During the clarivein procedure, our vein doctors administer local anesthesia to ensure optimal comfort and make a small incision on your skin’s surface. The catheter is gently inserted into the diseased vein, and its rotating tip is activated to mechanically damage the vein’s inner walls while simultaneously delivering the sclerosant medicine. Our vein doctors lead the catheter all along the diseased vein’s length to ensure its complete destruction. 


We believe clarivein is a suitable alternative to endovenous ablation because it doesn’t involve tumescent anesthesia, so it’s suitable for you if you have lidocaine allergies. You are also less likely to experience post-treatment swelling.

ClariVein is a suitable alternative to venaseal because it doesn’t leave a permanent implant, and there’s no risk of allergies to medical-grade adhesives.

Furthermore, clarivein treats twisted and tortuous veins because the catheter is incredibly small.



  • No tumescent anesthesia
  • No medical adhesives
  • No risk of allergic reactions
  • Minimal post-treatment swelling
  • Suitable for twisted veins


ClariVein has difficulty traveling past vein valves, and there have been reports of patient discomfort.

ClariVein might pose financial challenges for you because it’s not covered by all major insurance providers.


  • Not covered by all insurance plans
  • Patient discomfort

Am I a good candidate for clarivein?

You’re a good candidate for clarivein if you’re allergic to lidocaine or the cyanoacrylate glue used during endovenous ablation or venaseal, if you don’t like the idea of a permanent implant in your body, and if your insurance plan covers the treatment.


AKA Phlebectomy, Vein Removal, Vein Stripping

Goals: Treat extremely severe cases of varicose veins

What is vein surgery?

Vein surgery is the traditional approach to vein treatments. During vein surgery, our vein doctors physically extract the diseased veins through an incision on your skin using various surgical techniques.

What happens during vein stripping?

Vein stripping is a complex surgical procedure performed under general anesthesia in a surgical facility. After identifying the diseased vein using ultrasound guidance, our vascular surgeon makes an incision to expose your unhealthy vein. After exposing the unhealthy vein, various surgical instruments are techniques are used to extract it from your body. The most popular method is to remove the diseased vein using a hook-like instrument.


We believe vein surgery may be suitable for extreme cases of vein disease.



  • Last resort in extreme cases


We focus on minimally invasive vein treatments because they are far more effective and safer than surgery. Phlebectomy should never be considered the primary or first treatment.



  • Outdated technique
  • High risk of complications

Am I a good candidate for phlebectomy?

You’re the ideal candidate for phlebectomy if you’ve undergone numerous minimally invasive vein treatments without seeing sufficient results, if you have blood clots, or in extreme cases.

If you have more questions about the vein treatment options mentioned above, please contact one of our board-certified and Harvard-trained vein doctors in San Jose or San Diego, CA. Our vein doctors specialize in the highest standards of personalized vein care.

We Provide 5 Tips to Find the Best Vein Treatment Centers for Minimally Invasive Vein Treatment in California

#1. Look for vein doctors who listen to your concerns.

This might seem like an obvious point, but it must be stated. Not all vein doctors listen to your concerns — some start recommending treatments before you can even convey the symptoms! Vein doctors who don’t take the time to listen are more likely to cause harsh side effects or complications. Our board-certified vein doctors in California listen to all your concerns, discuss your goals and expectations, and provide a detailed description of all your treatment options.


#2. The CA vein treatment center must provide comprehensive vein treatments.

You must find a vein treatment center in California that’s committed to comprehensive vein care, i.e., treating the underlying root cause of your spider veins and varicose veins rather than just the visible symptoms. Our vein treatment centers in San Jose and San Diego always run advanced ultrasound scans to determine if you have underlying vein disease. Based on the diagnosis, we aim to provide lasting relief from chronic venous insufficiency and visible spider veins.


#3. The CA vein doctors must specialize in vascular imaging.

You must look for vein doctors in California who perform the vascular imaging tests themselves. Unfortunately, vein doctors often get their assistants to handle the ultrasound technology, which means they’re not entirely equipped to provide ultrasound-guided treatments. Our CA vein doctors are registered physicians in vascular imaging, i.e., they’ve undergone special training to provide ultrasound-guided treatments for optimal precision.


#4. The CA vein doctors must personalize each vein treatment plan for you.

You must look for vein specialists in California who personalize each spider vein and varicose vein treatment plan according to your specific needs. They should discuss all your options, including their pros, cons, costs, and insurance coverage options. Based on your medical history, symptoms, diagnostic results, and goals, they should recommend the ideal vein treatments just for you, i.e., the treatments with the lower risk of side effects or complications.


#5. Find an IAC-accredited vein treatment center in California.

IAC (intersocietal accreditation commission) is an organization that recognizes and certifies the leading vein treatment centers based on their standards of vein care, technologies, and more. Our vein treatment centers in California are IAC-certified for having fully-trained vein specialists and technicians, cutting-edge technologies, and the highest standards of vein care.


If you need spider or varicose vein treatments, please consult our IAC-accredited and state-of-the-art vein treatment centers in San Jose or San Diego, CA. Our vein doctors will discuss all your vein treatment options to ensure optimal results.

Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors


60 min
Injections of sclerosant into the veins for treating varicose and spider veins
Laser Ablation or EVLT vein treatment in San Diego, California

Laser Ablation

Is an in-office procedure performed with local anesthesia to treat vein disease.
Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors


60 min
VenaSeal or Also called vein glue, is one of the latest FDA-approved vein treatments for vein diseases.
Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors



Safe and effective minimally-invаѕіvе procedure for treating unhealthy veins.

Sclerotherapy vein treatment in San Diego, California. Performed by Harvard Trained Vein Doctors



ClariVein uses a small rоtаtіng саthеtеr mixing mechanical pressure with injection of a sclerosant. 

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San Diego Vein Treatment Overview

Our Vein Doctors in San Diego are some of the top experts in venous medicine. We are constantly searching for new and novel treatment modalities. If our San Diego vein experts feel that a new treatment is safe to use in our clinic, they add it to our options to ensure that our patients are getting the least invasive, least painful, and most effective vein treatments. 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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