Our Vein Treatments in
California

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!

Vein Treatment Option

Endovenous
Ablation

Also known as: RF Ablation, Radiofrequency Ablation, Thermal Ablation, Laser Ablation
Best For: Chronic venous insufficiency symptoms like fatigue, restlessness, discomfort, heaviness, and cramps, as well as large varicose veins

What Is an Endovenous Ablation Procedure?

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.

How Is Endovenous Ablation Performed?

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.

Pros

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

Cons

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.

or time to recover. In addition, this is a long-proven procedure, so the majority of insurance companies cover endovenous ablation.

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

VenaSeal

Also known as: Medical vein adhesive or cyanoacrylate glue
Best For: Varicose veins and alleviating symptoms of venous insufficiency

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.

Pros

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.

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

Cons

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.

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

Sclerotherapy

Also known as: STS, cosmetic sclerotherapy. sodium tetradecyl sulfate, saline injections, salt solution injections
Best For: 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.

Pros

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).

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

Cons

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.

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

Foam Sclerotherapy

Also known as: Foamed Sclerotherapy, chemical ablation
Best For: Small or 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.

Pros

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.

Pros Summary:
  • Treats tortuous veins
  • Treats recurring vein disease

Cons

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.

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

Pre-Mixed Foam Sclerotherapy

Also known as: Foam injections, foam sclerotherapy
Best For: Complicated, enlarged varicose veins, as well as symptoms like heaviness, discomfort, cramping, and leg fatigue

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.

Pros

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.
Pros Summary:
  • Treats larger varicose veins
  • Treats recurring vein disease
  • Helps you avoid vein surgery
  • Extremely safe

Cons

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.

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

ClariVein

Also known as: Infusion catheter, mechanochemical ablation
Best For: Venous insufficiency symptoms, spider veins, and varicose veins

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.

Pros

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.

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

Cons

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.

Cons Summary:
  • Not covered by all insurance plans
  • Patient discomfort

Vein Clinic
Surgery

Also known as: Vein stripping surgery, phlebectomy, varicose vein stripping
Best For: The largest, most tortuous 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.

Pros

We believe vein surgery may be suitable for extreme cases of vein disease.
Pros Summary:
  • Last resort in extreme cases

Cons

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.
Cons Summary:
  • Outdated technique
  • High risk of complications

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

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

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

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

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

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.

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