In general:

• Performed in the office as an outpatient
• Procedures take less than an hour to perform
• No general anesthesia is required
• Quick relief of symptoms

The refluxing veins are identified with ultrasound. Local anesthetic is used to minimize discomfort. The treatment fiber is inserted through a small catheter into the vein. Heat energy is then used to seal the refluxing vein closed, and blood flow is redirected into healthy veins.

Endovenous Radiofrequency Ablation:

Endovenous Radiofrequency Ablation was approved by the FDA in 1999 and quickly became the procedure of choice for treating venous insufficiency. Radiofrequency energy is used to effectively seal the veins closed. This minimally invasive procedure is performed under local anesthetic in the office and takes less than an hour. Patients return to normal activities within a few days, so downtime is minimal.

Endovenous Laser Therapy (EVLT):

With EVLT, a laser fiber is used to transmit the heat energy to close the refluxing vein. This procedure is minimally invasive and just as effective as the radiofrequency procedure.


Microphlebectomy is a procedure that can be used in conjunction with endovenous ablation. Large ropy vein clusters can be removed through small puncture sites. The procedure removes these large veins and speeds up the healing process.

Ultrasound Guide Sclerotherapy:

Ultrasound is used to visualize and direct therapy into veins that are too small to close with a laser or radiofrequency fiber. Vein Essentials uses only FDA approved sclerotherapy solutions (Sotradecol or Polidocanol).

Visual Sclerotherapy:

Sclerotherapy has long been the gold standard for treatment of spider veins. Vein Essentials uses only FDA approved sclerotherapy solutions. These solutions are much safer and have less side effects than hypertonic saline. This is considered a cosmetic procedure and is not covered by insurance. The costs and expected therapy duration will be discussed during your office visit.

Intense Pulsed Light Therapy:

Intense Pulsed Light (IPL) can be used to complement other therapies to achieve the best cosmetic result. For certain applications, namely facial veins, IPL therapy has proven superior to injection therapy. Dr. Ewy will discuss the best treatment options for your symptoms during your visit to our office.
Spider Veins
Varicose Veins
Venous Ulcers
Venous Stasis Dermatitis
Chronic Leg Swelling
Restless Legs








Our Physician - Dr. Marvin F. Ewy


Spider Veins

Varicose Veins

Venous Ulcers

Venous Stasis Dermatitis


Chronic Leg Swelling

Restless Legs

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