The leading spider vein dr. in Midtown describes the minimally invasive vein treatment process

Dr. Juan Montoya

Dr. Juan Montoya has specialized training in venous medicine and cardiothoracic surgery. He acquired his medical degree from the Universidad Pontificia Bolivariana College of Medicine in Colombia. He completed his post-graduate training at the University of Illinois College of Medicine, was the clinical Fellow in Cardiothoracic Surgery at Yale University School of Medicine, and served as the Chief Resident at a Yale University affiliated program. He was also the Chief Resident in Cardiothoracic Surgery at Yale University School of Medicine.

Dr. Sareh Rajaee

Dr. Sareh Rajaee has specialized training in minimally invasive spider vein and varicose vein treatments. She is board-certified by the American Board of Venous and Lymphatic Medicine. She has double majors in Biomedical Engineering and German at the University of Rhode Island, medical doctorate from the Alpert Medical School at Brown University, master’s in Public Health at the Harvard School of Public Health, and an integrated Vascular Surgery Residency at Yale New Haven Hospital.

Step 1: Initial consultation, discussion of symptoms, review of medical history, and ultrasound diagnostic test

Your vein treatment journey starts with an initial consultation. The vein doctor examines your leg veins, reviews your medical history, and discusses your symptoms. The vein doctor also administers an ultrasound test, known as duplex ultrasound, to visualize the blood flow in your leg veins, thus revealing the root cause of your vein problems, i.e., chronic venous insufficiency.

Step 2: Curating a treatment plan based on your diagnostic results, goals, and symptoms

The vein doctor curates a personalized vein treatment plan based on your goals, symptoms, diagnostic results and the location and size of your spider veins and varicose veins. The vein treatment plan is individualized according to your needs, and you are kept in the loop throughout the process, so you know what your options are.

Step 3: Primary vein treatment for underlying chronic venous insufficiency

If you have chronic venous insufficiency, the vein doctor starts your treatment with radiofrequency ablation, endovenous laser ablation, or venaseal. These minimally invasive procedures treat chronic venous insufficiency, the root cause of your vein problems.

Radiofrequency Ablation

The vein doctor inserts a catheter into the diseased vein under ultrasound guidance and via a small incision on the skin’s surface. The catheter generates thermal energy to collapse the diseased vein, rerouting the accumulated blood into healthier leg veins.

Endovenous Laser Ablation

The vein doctor inserts a laser fiber into the problematic vein under ultrasound guidance and via a small incision on the skin’s surface. The laser fiber generates laser energy to destroy the affected saphenous vein, rerouting the accumulated blood into healthier leg veins.

VenaSeal

The vein physician injects an FDA-approved, medical-grade adhesive into the diseased saphenous vein. The vein glue seals the diseased vein’s walls shut, rerouting the accumulated blood into healthier leg veins.

ClariVein

The vein specialist makes a small incision on the skin’s surface to insert a specialized catheter with a rotating tip into the diseased vein under ultrasound guidance. When activated, the rotating wire damages the diseased vein’s walls while injecting a sclerosant medicine.

Step 4: Cosmetic vein treatment for superficial varicose veins and spider veins

After the primary vein treatment, the vein doctor curates a personalized vein treatment plan for your superficial varicose veins and spider veins. The cosmetic vein treatment removes the superficial veins, thus improving the overall appearance of your legs.

Ambulatory Phlebectomy

The vein doctor makes small incisions on the skin’s surface under local anesthesia. The superficial varicose veins are physically extracted through the incisions.

Sclerotherapy

The vein doctor injects a sclerosant medicine into the spider veins — one injection per vein. The sclerosant medicine fuses the spider veins’ walls shut, turning them into scar tissues eventually absorbed by the body.

Step 5: A discussion of your post-treatment recovery guidelines and aftercare

Minimally invasive vein treatments conclude within an hour, following which the vein doctor discusses your post-treatment recovery guidelines and aftercare. You have to wear compression stockings for a few weeks and avoid strenuous workouts for a few days, but you can resume your daily activities immediately. There is no downtime.