What Is The Best Vein Treatment For Spider And Varicose Veins?

Minimally invasive vein treatments are used to address symptoms such as leg heaviness, swelling, aching, restless legs, and visible veins when these symptoms are caused by venous disease.

How Is Your Vein Treatment Determined?

Your treatment plan depends on which veins are affected, the direction of blood flow, and whether venous reflux is present. To start, we will perform your vein evaluation, which is typically guided by:
  1. Review of symptoms and medical history.
  2. Ultrasound to map vein structure and blood flow
  3. Identification of reflux, vein size, and location.
  • Minimally invasive
  • Cutting edge
  • Zero downtime
  • Conveniently located
  • Ivy League-trained doctors

Top Spider & Varicose Vein Treatments

Select a treatment to learn more

If you are still unsure about what treatment is best for you, book a consultation
Sclerotherapy icon

Sclerotherapy

Radiofrequency Ablation (RFA) icon

Radiofrequency
Ablation (RFA)

Endovenous Laser Treatment Icon

Endovenous Laser
Treatment (EVLT)

Compression therapy icon

Compression
Therapy

Phleboctomy icon

Phleboctomy

Sclerotherapy

Top Rated Treatment

Sclerotherapy is a minimally invasive vein treatment where a doctor injects a special medication, called a sclerosant, directly into an unhealthy vein. This medication irritates the vein walls, making the vein collapse, seal shut, and gradually fade from view.
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Effectiveness

Five stars icon
Shield check icon

Safety

Five stars icon
Thumbs up icon

Lasting effects

Four stars icon
Clock icon

Procedure time

30-60 min

Recovery

Fast

Downtime

Zero
Medical illustration of sclerotherapy, showing a solution injected into a varicose or spider vein to close and treat the vein.

How Does Sclerotherapy Work?

Sclerotherapy is a minimally invasive procedure where a medication is injected into an unhealthy vein. The medication irritates the vein walls, causing the vein to collapse and close off. Blood naturally reroutes to healthier veins, and the body gradually absorbs the treated vein.

Who Can Receive Sclerotherapy?

This procedure is a safe and effective treatment option for most patients experiencing symptoms from spider veins. The procedure requires a comprehensive consultation and an ultrasound mapping of your veins to determine if you are a suitable candidate.
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A minimally invasive and high technology treatment

Understand how
Sclerotherapy works

Sclerotherapy is best for:

Click on each condition to get information about causes, symptoms, other treatments and more

Radiofrequency Ablation (RFA)

Top Rated Treatment

Radiofrequency Ablation (RFA), also known as VNUS or ClosureFAST, is a Medicare-approved, minimally invasive technique for eliminating unhealthy veins. RFA uses thermal (heat-based) energy to damage the vein, causing it to seal closed. RFA is used to treat major varicose veins and is a safer and more effective alternative to surgery.
Heart pulse icon

Effectiveness

Five stars icon
Shield check icon

Safety

Five stars icon
Thumbs up icon

Lasting effects

Five stars icon
Clock icon

Procedure time

30-60 min

Recovery

Fast

Downtime

Zero
Medical illustration of radiofrequency ablation (RFA), showing a catheter delivering heat to close a diseased vein and restore healthy blood flow.

How Does Radiofrequency Ablation Work?

Radiofrequency Ablation (RFA) seals the underlying diseased vein, which is often the source of varicose veins. The procedure involves inserting a thin catheter under ultrasound guidance. This catheter then delivers controlled radiofrequency energy to the vein walls, heating them to close off the problematic vein.

Who Can Receive Radiofrequency Ablation?

Candidates are typically people with varicose veins caused by underlying venous insufficiency. We confirm this condition with an ultrasound evaluation. RFA effectively treats the source of the problem. This allows your body to redirect blood flow into healthier veins.
YouTube video
A minimally invasive and high technology treatment

Understand how
Radifrequency Ablation works

Radiofrequency Ablation is best for:

Deep vein thrombosis icon

Incompetent
Saphenous Veins

Click on each condition to get information about causes, symptoms, other treatments and more

Endovenous Laser
Treatment (EVLT)

Endovenous Laser Treatment (EVLT) addresses the underlying vein disease rather than just the visible symptoms. This treatment is widely used as a first-line therapy for diseased superficial veins and is supported by extensive clinical evidence demonstrating its safety, effectiveness, and long-term results.
Heart pulse icon

Effectiveness

Four stars icon
Shield check icon

Safety

Four stars icon
Thumbs up icon

Lasting effects

Five stars icon
Clock icon

Procedure time

30-60 min

Recovery

Fast

Downtime

Zero
Medical illustration of endovenous laser treatment (EVLT), showing a laser fiber used to heat and close a varicose vein from the inside.

How Does Endovenous Laser Treatment Work?

Endovenous Laser Treatment (EVLT) is a heat-based, minimally invasive laser treatment for varicose veins. Like RFA, it uses ultrasound mapping to guide a thin fiber. We insert this fiber into the diseased vein. The fiber delivers laser energy. This laser energy heats the vein walls, permanently closing the vein. People sometimes refer to this procedure as EVLA vein treatment.

Who Can Receive Endovenous Laser Treatment?

This procedure is for patients with a significant need for varicose vein treatment due to underlying venous reflux. It’s determined by a comprehensive consultation, which includes ultrasound mapping.

Endovenous Laser Treatment is best for:

Chronic venous insufficiency icon

Chronic Venous
Insufficiency

Click on each condition to get information about causes, symptoms, other treatments and more

Compression Therapy

Compression therapy is a non-invasive medical treatment that uses controlled pressure applied to the limbs to support circulatory and lymphatic health. It is widely used in both preventive and therapeutic care, particularly for conditions affecting the veins.
Heart pulse icon

Effectiveness

Four stars icon
Shield check icon

Safety

Five stars icon
Thumbs up icon

Lasting effects

Four stars icon
Clock icon

Use After Procedure

3-6 weeks

Symptoms

Improve

Downtime

Zero

For Post-op Recovery

*Essential
Illustration showing the effects of compression therapy to treat vein diseases after procedures.

How Does Compression Therapy Work?

Compression therapy uses specially designed elastic stockings to apply graduated pressure to the legs. The pressure is strongest at the ankle and decreases as it moves up the leg,  improving venous return, reducing pooling and swelling, and relieving symptoms.

Who Can Receive Compression Therapy?

This therapy is a versatile support option for anyone with venous insufficiency, spider veins, or varicose veins. It serves as a conservative first step to support leg health and is a key part of post-procedure recovery. A specialist will determine the specific pressure level (mmHg) required to provide optimal support based on your symptoms.

Compression Therapy is best for:

Spider veins icon

Symptom Management

Varicose veins icon

Post-procedure Aftercare

Ambulatory Phlebectomy

Ambulatory phlebectomy is a treatment used to remove superficial varicose veins, typically in the legs. It is performed as an outpatient procedure, meaning the patient can return home the same day, and it does not require general anesthesia.
Heart pulse icon

Effectiveness

Four stars icon
Shield check icon

Safety

Four stars icon
Thumbs up icon

Lasting effects

Four stars icon
Clock icon

Procedure time

30-60 min

Recovery

Fast

Downtime

Zero
Medical illustration of ambulatory phlebectomy, showing how a varicose vein is removed through small skin incisions.

How Does Ambulatory Phlebectomy Work?

Ambulatory phlebectomy is a minimally invasive procedure where a doctor removes bulging varicose veins through tiny skin incisions. After numbing the area with local anesthesia, specialized micro-hooks are used to extract diseased vein segments. The incisions are so small that they typically require only adhesive strips rather than traditional stitches, and blood naturally reroutes to deeper, healthier veins.

Who Can Receive Ambulatory Phlebectomy?

This treatment is ideal for patients with superficial varicose veins causing pain, swelling, or cosmetic concerns. A consultation and ultrasound mapping are required to confirm candidacy and check for underlying venous insufficiency.

Ambulatory Phlebectomy is best for:

Click on each condition to get information about causes, symptoms, other treatments and more

Results that speak for themselves

You can expect results like these with our specialized treatments for spider & varicose veins performed by the best experts in the country.

Before

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After

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A 37-year-old patient visited our Vein Treatment Clinic, seeking relief from unsightly and painful varicose and spider veins. We performed radiofrequency ablation and sclerotherapy treatments, significantly improving the veins’ appearance and completely eliminating discomfort. The patient is now enjoying a more active and pain-free lifestyle.

Before

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After

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A 69 year-old patient visited our California Vein Clinic, embarrassed by spider veins that had impacted their self-esteem. We performed radiofrequency ablation and sclerotherapy treatments, leaving their legs smooth and healthy. The patient now feels more confident, thanks to this transformative treatment.

Before

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After

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This 84 year-old patient at our New Jersey Vein Treatment Clinic came in with spider veins that had affected their daily routine. We used radiofrequency ablation and sclerotherapy treatments to relieve discomfort and restore both their leg health and confidence. The patient now enjoys a more active and fulfilling lifestyle, free from pain.

Before

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After

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At our Long Island Vein Clinic, we treated this 75 year-old patient with spider veins using radiofrequency ablation and sclerotherapy. These minimally invasive treatments improved both the patient’s appearance and overall well-being, offering transformative results.

Before

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After

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This 75 year-old patient visited our Long Island Vein Treatment Clinic with painful spider veins. We used radiofrequency ablation and sclerotherapy, minimally invasive treatments, to eliminate the veins and restore comfort and confidence. The patient experienced life-changing results

Frequently Asked Questions about Vein Treatments

What is the difference between minimally invasive and surgical vein treatments?

Minimally invasive treatments close diseased veins using heat, medication, or adhesive without surgery, while surgical treatments involve vein removal and are used far less often today.

Call us to explore your treatment options 844-690-1788

Are minimally invasive vein treatments safe and effective?

Yes, minimally invasive vein treatments are widely used and considered safe and effective when performed after a proper medical evaluation.

Read patient success stories

What’s the difference between radiofrequency ablation (RFA) and sclerotherapy?

RFA treats the underlying diseased vein using heat, while sclerotherapy treats visible surface veins by injecting medication to close them.

Call us to compare your treatment options 844-690-1788

How do I know if I am a candidate for vein treatment?

A medical evaluation is required to determine candidacy and identify the source of the venous disease.

Book a consultation

What are the risks of not treating vein disease?

Untreated vein disease can progress over time, leading to worsening symptoms such as pain, swelling, skin changes, ulcers, and circulation problems.

Speak with us to learn about treatment benefits 844-690-1788

How long is the recovery after a minimally invasive vein treatment?

Recovery is usually short. Most patients usually resume normal activities immediately after treatment, although mild soreness or bruising may last a few days.

See what to expect after treatment

Does insurance cover vein treatment?

It depends on medical necessity, which is determined by symptoms, ultrasound findings, and insurance guidelines. At Vein Treatment Clinic, we confirm this so you know before your plan begins.

Understand insurance coverage

What does “medical necessity” mean for vein disease?

Medical necessity means the treatment is required to address symptoms or underlying venous disease, not for cosmetic reasons.

Call us to learn if treatment is medically necessary for you 844-690-1788

What affects the cost of vein treatments?

The cost varies based on the type of treatment, number of veins treated, insurance coverage, and the severity of the vein condition.

Call us for more information 844-690-1788

What should I expect after a minimally invasive vein treatment?

Post minimally invasive vein treatment, most patients are advised to walk soon after to aid circulation. Compression stockings may be recommended after treatment for a period of time, depending on the procedure and your doctor’s instructions. Symptom relief (heaviness, aching, swelling) can be immediate or gradual as circulation improves. 

Read patient experiences

Will vein treatment completely remove visible veins?

Yes, in the vast majority of cases. Some treatments improve circulation, while others target visible veins. Your treatment plan is designed to address what matters most for your condition.

Explore treatment results

What type of doctor performs minimally invasive vein treatments?

Minimally invasive vein treatments are performed by physicians with specialized training in the diagnosis and treatment of venous disease.

Meet our specialists

Why choose us?

Our skilled vein specialists provide thorough evaluations for minimally invasive vein treatments with zero downtime
Icon – Ivy League trained vein doctors at Vein Treatment Clinic

Ivy League
trained doctors

Icon – Vein specialists recognized as academic and industry leaders

Academic and
Industry Leaders

Icon – Vein doctors certified as diplomates in vein and vascular medicine

Our doctors are
certified diplomates

Icon – Minimally invasive vein treatments completed in 30 minutes or less

Treatments in
30 min or less

We exceed in results

Our patients say we’re the best! Personalize your navigation through our reviews by filtering the information below
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Dr. Volney is the best doctor!!

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Jaclyn Arroyo
4 months ago

Dr Volney is super sociable. He explains well and listens very good. I’m flu went t here for a second opinion. I will stay with Dr Volney.

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Katy Perkins
4 months ago

Dr. Volney and team are incredible. Highly recommend.

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Greg Tyler
4 months ago

I can’t say enough about how great my experience with Dr. Volney has been. He took the time to explain everything in detail and made me feel completely at ease. His staff are friendly and professional, and the office is spotless and welcoming. Highly recommend!

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Bryan Gold
4 months ago

Doctor is so kind and his staff is so welcoming!

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eve r
5 months ago

Super happy with my vein treatments, I recommend it. It was a great experience and the customer service was top-notch. The doctor is very friendly 100% of the time.

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Wendy Diaz
5 months ago

I highly recommend Dr. Volney. Not only did he resolve my ongoing vein issues, he was kind and compassionate while doing so!

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bonnie bertinelli
6 months ago

Patient care team is amazing and Dr Volney is very kind, patient and he definitely knows his stuff.

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Melissa Pieffer
6 months ago

Dr. Volney is a kind, compassionate, and communicative doctor. He took the time to ensure all of my questions and concerns were addressed with thorough explanations. Highly recommend!

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Stephanie
6 months ago

Shoutout to Dr. Volney for the amazing care he provides to his patients! I couldn’t recommend him more !!

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Julie Galvin
6 months ago

"I cannot say enough wonderful things about my experience at Vein Treatment Clinic! From the moment I contacted them, I was treated with kindness, professionalism, and genuine care. The entire team is exceptional—but a very special thank you goes to Dr. Volney, whose expertise, warmth, and attention to detail made me feel completely at ease throughout the entire process and never once rushed me while I was asking dozens of questions. After years of dealing with visible veins that got worse after having kids, I initially went in just for cosmetic reasons but also had an uncomfortable heaviness in my legs (which I later learned were vein related). I’m so glad I did…I learned my legs can literally transform and look dramatically healthier, & I can have legs that look like they did 15 years ago which is unreal to think. If you’re even thinking about vein treatment, I would highly recommend the Vein Treatment Clinic in Austin. Thank you, Dr. Volney and team!"

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Myka Meier
6 months ago

office was a little tricky to navigate, but friendly staff and was very helpful in my vein concerns. would recommend .

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jennifer oxli
8 months ago

VIP pain management drs Dr. Juan Montoya and dr Shane Volney are great. Dr Montoya helped me with with my veins on my legs with successful procedures and explained everything. Dr Shane Volney was great with my back procedures for pain management. I will miss Dr Volney as he will still be with vip pain management but will be in Texas. I wish Dr Volney all the best today and always. Texas is lucky to have a great doctor. But I know I'll Be in good hands with the new pain management doctor. Thank you jill

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JIll Pincus
8 months ago

The facility is clean the workers are pleasant friendly very knowledgeable of what they're doing

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deborah meacham
8 months ago

I absolutely recommend Dr George Hanna , you are a great Doctor- healing people with your touch. Your dedication and expertise are above and beyond expectations. You always bring joy and warmth to the patient heart .

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Hanan Bashjawish
8 months ago

From day one Dr. Kobrinski, is one the finest Vein doctors in east coast. He is honest and explain every procedure that you may need. As when you return there is always an ultrasound procedure providing you your previous procedure.

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Ismael Garcia
8 months ago

Very attentive, felt very heard and look forward to adding VeinTreatment Clinic to me medical team.

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Protagonist Players
8 months ago

Great staff, very nice and really know what they are doing

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Melanie Marfoglio
8 months ago

Staff, Haile and Colby were very helpful, professional and knowledgeable. Very friendly office. Dr. Kobrinski is amazing! Make your appointment today!!

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Sharon livingstone
8 months ago

Clean, friendly, thorough, and informative. The office staff was friendly and the doctor has really good energy. The Only bad part is Parking is tough.

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Sonya Lamonakis
8 months ago

Vein Treatment Clinic is fantastic. The Dr. ensures that Every procedure is painless. Dr Kobrinski is excellent in every way - he is knowledgeable, caring, and proficient in following up on every procedure. No better place ????

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Susan Krause
8 months ago

The staff and Dr. Saraf are friendly, understanding, compassionate, and highly professional. After each treatment, Dr. Saraf always checked in to ensure I was recovering well. I highly recommend the Vein Treatment Clinic.

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Risa Reid
8 months ago

Great team of individuals. Dr. Saraf always listens and addresses your concerns.

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Gabriela Selva
8 months ago

Warm welcome as soon as you walk in, very nice staff. Gel is warm during vein scan. Dr. Mogul is very nice. He took his time explaining things and we came up with a plan to treat my veins. I left very pleased and look forward to start my treatment.

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esmeralda beato
8 months ago

Doctor and staff very friendly and professsional. Smooth running process from the start. Procedure results great so far.

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Ed56Ram
8 months ago

Dr McFarland is great. Well run office, always seen right on time or even earlier. Staff is very friendly and competent. Dr always answers my questions and allows patients to reach out to her after hours with any concerns.

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Kathy McCarthy
8 months ago

I highly recommend this to anyone having vein issues. I've received outstanding care and wonderful results! Dr. Kindelan is professional, gentle, caring and his technique goes above and beyond. The team he works with were all very welcoming and made me feel comfortable at every appointment. Thank you!

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Amy Zobel
9 months ago

Dr. Hemli is one of the nicest doctors I have ever seen. He and his team are wonderful!

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Melissa Fedor
9 months ago

Staff & Tech were super nice and comforting. The doctor was super professional ,detailed and helpful. Very satisfied with my appointment, I highly recommend.

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Catherine Rodriguez
9 months ago

Staff & Tech were super nice and comforting. The doctor was super professional ,detailed and helpful. Very satisfied with my appointment, I highly recommend.

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Catherine Rodriguez
9 months ago

Dr Patel and the entire staff is wonderful. The staff at this location is very professional,knowledgeable and personable.There were a few discrepancies with the preschedule appointments and my work schedule and the office was able to accommodate me in which I am really grateful for.I will return for any future services needed. Also, I will recommend this location 100%.

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xxsincerely_lisxx
9 months ago

I have had two surgical procedures at the Vein Treatment Clinic. My doctor Sarah Rajaee MD, is the consummate professional with a great bedside manner. After a few weeks I am already feeling better. At the Vein Treatment Clinic, you’ll find a very friendly people orientated team, who will treat you with absolute confidence. I highly recommend Dr. Sarah Rajaee, at the Vein Treatment Clinic.

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Fredric Bloom
9 months ago

When with my grandmother to the office every person especially the front desk was kind! The doctor answered all my questions will definitely recommend.

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Adalberto Garcia
9 months ago

When entering the office, The staff was very friendly and welcoming. Dr. Gulshan Sethi , Notice that I was very nervous,so he proceeded to educate me on how he was going to take care of my legs. He is amazing. I will recommend him to all my family and friends.

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sally ocasio
9 months ago

I love this place they care for ur issue , very communicative with every step of the surgery and made me feel comfortable. I even referred my mom n she loves it aswell

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A Q
9 months ago

Amazing, professional, quick. Good experience and so glad I did it! Love the staff and doctors.

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Amber Grove
9 months ago

Dr. Saraf and his staff made me feel totally at ease for my procedures. They send info beforehand so that you know what to expect and follow up procedures with a text.

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Sheila Levine
9 months ago

Very knowledgeable center, everything so clean and professional

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Nicky Pho
9 months ago

Great experience at the vein clinic. The staff is professional, friendly and accommodating. All my questions were answered clearly.The front office handled all insurance concerns. I highly recommend Dr Lech and his staff.

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Cary
9 months ago

Dr. Patel and his staff are the best. They're all wonderful. Dr. Patel explains the whole treatment and what to expect afterwards. He even checks up on you post procedure to see if everything is OK. I couldn't be any happier with Their service. highly recommend to anyone looking to have their legs done!!

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meg tuck
9 months ago

Dr Shair performed several of my vein procedures. Her technique is methodical, accurate, virtually pain free and right in the office. Her bedside manner is phenomenal! Ariela, the nurse practitioner, is awesome. She's very knowledgeable and her precision is accurate. Office is very clean, staff is friendly and very attentive to your needs. Highly recommend these medical professionals to anyone with venous insufficiency and are in search for a surgeon to perform various procedures relative to it.

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Tanya T
9 months ago

The office staff is friendly and efficient. Dr Shair is both knowledgeable professional. I have already referred people to the office.

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Jim B
11 months ago

Dr. Patel and his staff are the best. 5 star all around. Erika at Dr. Patel office gets 6 stars. They're all wonderful. Dr. Patel explains the whole treatment and what to expect afterwards. He even checks up on you post procedure to see if everything is OK. I couldn't be any happier with They're service.

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Angel Arce
12 months ago

Dr. Cortes is fabulous. Bright, nice, thorough...knows his stuff. If having vein issues do not hesitate to see him, you'll be in great hands!

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Amy Shukat
12 months ago

Dr Patel and the rest of the group are great very friendly they made me feel at home I was definitely at ease just a wonderful experience and it was quick so if you're looking to get any kind of treatment for any kind of vein issues I would highly recommend the vein treatment clinic there in Princeton Dr Patel and staff are top notch

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Christopher Regan
1 year ago

I love this office, What can I say, Dr. PATEL IS VERY CONFORTING, I HAVE HAD 2 procedures with him and he let's you know everything that is happening with a great bed side manner A nd His Assistant is so Wonderful, You never not see a smile on any of their faces I have been very happy with the outcome.

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Debby Cummings
1 year ago

I have been uncomfortable with my legs for many years and have dealt with pills and elevated them with constant restlessness. I am now feeling much better since my procedures with some discomfort but it is getting more tolerable now. Highly recommend this office. Dr. Is a great listener and I am so glad I found her.

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Gilbert Berrios
1 year ago

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Vein treatments work

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What is the Best Vein Treatment for You? A Comprehensive Ranking of Spider Vein and Varicose Vein Treatment OptionsAndre