Welcome to Advanced Varicose Vein Treatments of Manhattan

Serving patients in all of Manhattan, Queens, Brooklyn, Bronx and Staten Island, we provide treatment options for people suffering from the pain associated with varicose veins.

Do you experience aches, pain, heaviness, swelling or itchiness in your legs and have varicose veins? You may be suffering from Venous Reflux Disease. This condition, also called Venous Insufficiency or Saphenofemoral Reflux, can be easily treated at Advanced Varicose Vein Treatments of Manhattan using the VNUS Closure® procedure. This procedure allows you to resume normal activities typically within a day of being treated.

The benefits of our approach include:

• Relief of symptoms
• Minimally invasive outpatient procedure
• Fast and mild recovery
• Good cosmetic outcome with minimal to no scarring, bruising or swelling
• Availability of local or general anesthesia
• Covered by insurance

Contact us today for a FREE varicose vein screening.

About Advanced Varicose Vein Treatments of Manhattan

We provide patients with comprehensive and innovative information on how to prevent and treat varicose vein problems. We educate on preventive measures you can try at home to decrease the pain and improve the appearance of your legs. When preventive measures aren't enough, our cutting edge in-office procedures will treat your varicose veins, provide relief of symptoms, and enable a quick recovery. We use a combination of Sclerotherapy, VNUS Closure and Ambulatory Phlebectomy to treat your varicose veins, minimize your pain, and get the best cosmetic results. We also have Asclera for spider veins. These advanced treatments allow us to specialize in patients with Ulcers and highly developed Venous Reflux Disease.

Advanced Varicose Vein Treatments of Manhattan is certified by the American Board of Phlebology.

Dr. Ronald Lev is Certified by the American Board of Phlebology.  ABPh has awarded diplomate status to 475 practitioners within the United States and Canada, as part of the third class of diplomates.

It is with great pride that ABPh certifies the addition of Dr. Lev to this group of diplomates. His certification with the American Board of Phlebology is a direct reflection of his skill, knowledge, and experience in providing quality patient care, and his continued commitment to the advancement of vein care. To become board certified is truly an accomplishment.  Less than 1% of all phlebology professionals in the U.S. and Canada have earned certification from the ABPh. To become an ABPh diplomate, an applicant must complete the requisite training and experience qualifications, meet the continuing medical education requisites, and pass a stringent certification examination. Certification periods are ten years and maintenance is dependent on the ability of the diplomate to display competency in four areas of assessment: evidence of professional standing, evidence of commitment to lifelong-learning and periodic self-assessment, evidence of cognitive expertise, and evaluation of performance in practice.

Dr. Ronald Lev is the founder of Advanced Varicose Vein Treatments of Manhattan. With over 12 years of experience as an anesthesiologist, Dr. Lev also works for Sleep Anesthesia Associates, a renowned company based out of New York City. In conjunction to providing services for office-based practices. Dr. Lev possesses an American Board of Anesthesiology Certification and over 120 CME credits. Dr. Lev obtained his Bachelor degree at Temple University in Philadelphia, Pennsylvania in 1991, following which Lev received his Masters in Bioengineering at the University of Pennsylvania in 1993 and a Doctor of Medicine at the University of Michigan Medical School in 1996. Dr. Lev was an intern and held his residency at the University of Washington Hospital from 1996 to 2002.

The ACP, (www.americaboardofphlebology.org) is an independent, non-profit organization founded in 2007 for the purpose of certifying physicians who have met a defined standard of education, training and knowledge in the field of phlebology. The American Board of Phlebology (ABPh) was established to:

1. Improve the standards of medical practitioners and the quality of patient care related to the treatment of venous
disorders and all aspects of venous disease
2. Serve the public and the medical profession by establishing initial and continuing qualifications for certification and maintenance of certification as physician specialists in the practice of phlebology
3. Examine physician candidates for certification and maintenance of certification in the practice of phlebology
4. Establish educational standards for teaching and training programs in phlebology
5. Maintain a registry of individuals who hold certificates issued by the Board

For more information, visit-

http://www.americanboardofphlebology.org.

Understanding Superficial Venous Reflux

Your legs are made up of a network of veins. Healthy leg veins contain valves that open and close to assist the return of blood back to the heart. Venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. This can cause blood to pool in your legs and lead to symptoms such as pain, swelling, swollen limbs, leg heaviness and fatigue, skin changes and skin ulcers, and varicose veins.

Spider Veins
Spider veins, medically known as telangiectases are dilated capillary veins less than 2mm in diameter. They are small blue to red appearing blood vessels that lie close to the surface of the skin and occur either in lines or web-like patterns. They are usually visible on the legs but sometimes are visible around the nose and lips and are commonly referred to as "broken veins." While they can ache, burn or itch now and then, but they are usually not symptomatic. Spider veins are not harmful and are simply unsightly.

Varicose Veins
Varicose veins are ropy appearing blue vessels under the skin, usually ¼ inch or larger in diameter. They are most often branches from the saphenous trunk veins, and have enlarged due to the excess pressure in the saphenous system. Varicose veins are unsightly and often painful. A clotted varicose vein causes the classic phlebitis, hot and red and painful skin at the site of the clot. Beside the visible symptoms, physical symptoms are tiredness, restless legs at night, heaviness in the leg, pain, aching, itching, throbbing and swelling, burning or a cramping sensation.

Vein Treatments:

After a comprehensive evaluation that includes an ultra-sound examination of the veins, our vein specialists will determine the optimal treatment for each patient's needs.

Our Services Include:
VNUS Closure Procedure
Ambulatory Phlebectomy
Asclera
Sclerotherapy

The Closure Procedure

The VNUS® Closure® Procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease.

The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall. As the RF energy is delivered and the catheter is withdrawn, the vein wall is heated, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Your doctor may encourage you to walk, and to refrain from extended standing and strenuous activities for a period of time.

Patients who undergo the Closure procedure typically resume normal activities within a day.

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

Sclerotherapy
Sclerotherapy is a cosmetic medical procedure used to treat varicose veins and spider veins. A tiny needle is used to inject a solution directly into the vein. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Overtime, the body will absorb the treated vein. Mild discomfort may occur, and a cramping sensation may be felt for 1 to 2 minutes when larger veins are injected. The number of veins injected in one session is variable, depending on the size and location of the veins, and the patient's overall medical condition. Anywhere from one to several sclerotherapy sessions may be needed for any vein region. Medically prescribed support hose and/or bandages may need to be worn for several days to several weeks to assist in resolution of the veins. In general, spider veins respond to treatment in 3 to 6 weeks, and larger veins respond in 3 to 4 months.