Advanced Vein Center of Orange, California
The Doctors of the Advance Vein Center are able to treat the complete spectrum of vein disorders from small spider veins on the face to large bulging veins and venous ulcers on the legs.

The Advanced Vein Center is one of the very few medical offices in the country specializing in the Laser Endovenous Saphenous Vein Treatment - LES-Vein© . This procedure, is done in the doctor’s office on an outpatient basis with the use of a local anesthetic and a mild sedative if needed. The patient is awake throughout the procedure and able to resume normal activity almost immediately.

LES-Vein© is an innovative treatment that practically eliminates the need for older surgical treatments for varicose veins. With a 97% success rate, our advanced techniques enable patients to realize the best possible results.

The LES-Vein© Procedure works! Here's Why.
When the valves in the large saphenous vein in the leg do not function properly, venous blood under unusual pressure leaks back into the small vein system causing varicose and spider veins to appear near the surface of the skin. By controlling this leakage through the valves of the saphenous vein, we are very successful at eliminating the unwanted and unsightly veins from the lower extremities. View Video of Varicose Vein Treatments.

How?
The LES-Vein© Procedure is accomplished by simply inserting a small needle into a vein near the knee and passing a tiny laser into the saphenous vein. The leaky vein is painlessly closed by pulling the laser back through the damaged area. Any discomfort is controlled locally and there is no need for general anesthesia.

After LES-Vein©?
Any enlarged, protruding varicose veins can then be quickly removed through microphlebectomy. Smaller spider veins on your hands or face can be removed easily through the use of LASER or sclerotherapy.

What is the difference between the various endovenous vein treatments?

Different Types of Vein Terms/Names
Deep Veins are are located deep in the leg between muscle and fascia (tough fibrous tissue). They are responsible for returning 90-95% of the venous blood back to the heart. Perforating Veins link the deep and superficial veins together. Superficial Veins are usually affected by varicosities because they have little external support like the deep veins. These veins are visible from the skin when varicose. They drain the blood from the skin and are also responsible for blood storage. When these veins become varicose they can appear engorged and distended. This group also includes reticular veins and 'spider' veins. Reticular veins are small blue veins often seen through the skin. These are often the cause of spider veins, which are the tiniest blue purple veins seen in the skin.

About Dr. Bruce R. Hoyle, M.D.
Dr Hoyle was born and raised in Toronto Ontario Canada. His undergraduate and medical school training were at the University of Western Ontario. He interned in Vancouver British Columbia and completed a residency in Family Medicine at McMaster Medical Center in Hamilton Ontario.

Dr. Hoyle came to the Orange County California in 1982. While establishing a private practice, he spent 6 years working as an ER doctor in several Orange county hospitals.

In 1990 Dr. Hoyle earned an MBA degree from UC Irvine and was the medical director for a large group in Orange County. He continued his private practice and in the mid 90’s broadened it to include cosmetic procedures. It was this area of medicine that eventually led him to vein disorders.

Timing is everything. The treatment of vein disorders had not changed in decades. However the use of ultrasound to diagnose vein disorders, the use of endovenous lasers and foam sclerotherapy as treatment for varicose veins were new innovations. Dr. Hoyle was the first doctor in Orange County to perform an endovenous ablation. He was in the first 200 doctors in the country to become board certified in the new specialty of Phlebology. He eventually left Family Medicine and cosmetic medicine to focus on veins and established a new dedicated vein practice across from St Joseph’s Hospital.

Outside of medicine, Dr. Hoyle is an avid outdoors person. He enjoys road cycling, hiking, sailing, golf and scuba diving. He is an accomplished home wine maker and enjoys cooking. He has 3 daughters.

Up to 60% of the adult population will develop varicose veins and/or smaller visible veins called "spider" veins. What causes varicose and spider veins is just beginning to be understood. It is now believed that a type of injury to vein walls and venous valves is the problem. This injury is actually an acquired inflammation of the vein walls and valves. This is in turn exacerbated by other factors such as heredity, obesity, female gender, pregnancy, hormones, standing occupation and aging. Genetics plays a big role in the development of varicose veins. Although it's not possible to change the genes your parents gave you, many other factors also affect the formation and severity of varicose veins.

How Veins Work
To understand why the different lifestyle factors make such an impact, it's important to have a basic understanding of how veins work. The main purpose of leg veins is to return blood up the legs to the heart. The blood is pumped up the legs by muscle contraction and breathing. So, when you walk or move, the venous blood moves. And when you stand still, so does the blood.

Varicose Vein Treatment Offered by the Advanced Vein Center of Orange California

Ambulatory Phlebectomy | LES-Vein© Procedure | LASER Vein Closing Procedure
Radiofrequency Occlusion | Sclerotherapy | Surgery |

When and How Are Veins Treated?
The most commonly asked questions are: Do veins require treatment and What treatment is best? Veins that are cosmetically unappealing or cause pain or other symptoms are prime candidates for treatment. There are two general treatment options: conservative measures, such as compression stockings, and "corrective" methods such as sclerotherapy, surgery and light source/laser treatment. In some cases, a combination of treatment methods works best.

Sclerotherapy
Sclerotherapy can be used to treat both varicose and spider veins. A tiny needle is used to inject the veins with a medication that irritates the lining of the vein. In response, the veins collapse and are reabsorbed. The surface veins are no longer visible. Sclerotherapy relieves symptoms due to varicose and spider veins in most patients. With this procedure, veins can be dealt with at an early stage, helping to prevent further complications.

You may need anywhere from one to several sclerotherapy sessions for any vein region. Depending on the type and number of veins being treated you may have one to many injections per session. Generally, normal activities can be resumed after sclerotherapy. Medically prescribed support hose and/or bandages may need to be worn for 1 to 2 weeks to assist in resolution of the veins. The procedure, performed in the doctor's office, usually causes only minimal discomfort. Bruising and pigmentation may occur after sclerotherapy. Bruising typically disappears within 1-2 weeks. Although pigmentation almost always fades, it can last for several months. Scarring and other complications are rare.

Ultrasound-Guided Sclerotherapy
This is an in-office treatment alternative to surgical stripping. With this technique, sclerotherapy is done while the doctor visually monitors the vein on an ultrasound screen. This enables treatment of veins that can't be seen because they are below the surface of the skin and would otherwise require surgical removal.

Laser Closure Procedure Called LES-Vein©
LES-Vein© (Laser Endovenous Saphenous Vein) Procedure, sometimes referred to as Endovenous Laser Treatment and 'EVLT', is a treatment alternative to surgical stripping of the greater saphenous vein. A small laser fiber is inserted, usually through a needle stick in the skin, into the damaged vein. Pulses of laser light are delivered inside the vein, which causes the vein to collapse and seal shut. The procedure is done in-office under local anesthesia. Following the procedure a bandage or compression hose is placed on the treated leg. LES-Vein© treatment performed with a Dornier laser is FDA-approved for the treatment of the greater saphenous vein.

The Advanced Vein Care Center is one of the very few medical offices in the country specializing in LES-Vein© (Laser Endovenous Saphenous Vein) Procedure. We do all therapy in our office on an outpatient basis with the patient awake and able to resume normal activity immediately. LES-Vein© is a revolutionary treatment that almost eliminates the need for older surgical treatments for varicose veins and has a 97% success rate. Our advanced techniques enable patients to achieve the best medical and cosmetic outcome.

The LES-Vein© Procedure works!
Why?
When the valves are damaged, the large saphenous vein in the leg leaks venous blood under high pressure back into the small vein system causing varicose and spider veins to appear near the surface of the skin. By controlling the leaking of the high pressure blood through the valves of the saphenous vein, we can achieve a very high degree of success clearing unwanted veins from lower extremities.

How?
We simply insert a small needle into a vein around the knee and then pass a tiny laser into the large leaky saphenous vein. Using the laser, we close the vein.  Any discomfort is controlled locally and there is no need for general anesthesia.

After LES-Vein©?
Once we have the controlled large back pressure of venous blood through the LES-Vein procedure, we can then treat the small spider veins with much greater success than ever before.

Radiofrequency Occlusion (Closure Procedure)
The Radiofrequency Occlusion closure procedure is a treatment alternative to surgical stripping of the greater saphenous vein. A small catheter is inserted, usually through a needle stick in the skin, into the damaged vein. The catheter delivers radiofrequency energy to the vein wall, causing it to heat. As the vein warms, it collapses and seals shut. The procedure is generally done in an outpatient or in-office setting. It may be done under local anesthesia. Following the procedure, the catheter is removed and a bandage or compression stocking is placed on the treated leg. The closure procedure is FDA approved for the treatment of the greater saphenous vein but is limited to veins<14 mm.

Surgery
Surgical techniques to treat varicose veins include ligation (tying off of a vein), stripping (removal of a long segment of vein by pulling it out with a special instrument), and ambulatory phlebectomy (removal of veins through tiny incisions, SEE SECTION BELOW). Surgery may be performed using local, spinal or general anesthesia. Most patients return home the same day as the procedure. Surgery is generally used to treat large varicose veins.

Ambulatory Phlebectomy
Ambulatory phlebectomy is a method of surgical removal of surface varicose veins. This is usually done in the office using local anesthesia. Incisions are tiny (stitches are generally not necessary) and typically leave nearly imperceptible puncture mark scars. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period.

Laser/Light Source Treatments
A variety of laser/light source treatments are available today. A light beam is pulsed onto the veins in order to seal them off and cause them to dissolve. Light-based treatment is generally used only to treat small veins. Treatments may be combined with sclerotherapy. Multiple treatments are usually required.

What Results Can You Expect From Vein Treatment?
With the evaluation and treatment methods available today, spider and varicose veins can be treated at a level of effectiveness and safety previously unattainable. Regardless which treatment method is used, its success depends in part on careful assessment of the problem by a knowledgeable phlebologist.