The Vein Treatment Center (VTC) was established in 1982 as a medical facility devoted exclusively to the treatment of varicose veins, spider veins, and related venous disorders. The VTC is the most proven and comprehensive vein treatment facility in New York, offering over 30 years of experience, the latest techniques, and state-of-the-art equipment in the diagnosis and treatment of venous disease.
Our goal at the VTC is to treat venous problems and alleviate the symptoms of venous disease while obtaining the best cosmetic results. These results are achieved through a combination of treatment methods – sclerotherapy, cryo sclerotherapy, foam sclerotherapy, duplex-guided sclerotherapy, laser therapy, mini-phlebectomy, TIGOS, Endolaser™, and/or ambulatory surgery. The combining of surgical and non-surgical treatment methods was developed by the VTC over 20 years ago as Combined Therapies™. Unequalled then, such combinations have since become the standard of treatment for varicose and spider veins all around the world.
Endolaser and Painless Cryo Sclerotherapy
In the last 10 years, the development of Endolaser™ (aka, EVLA, EVLT) by the VTC has revolutionized the field of Phlebology by making traditional surgery for varicose veins obsolete. Our patented method has been adopted by physicians around the world.
The Vein Treatment Center is the first and only treatment facility that uses PAINLESS CRYO SCLEROTHERAPY to provide the best care and treatment for patients. Through the use of cryo (ice cold air directed at the injection site), patients are able to experience a painless procedure.
The founder and medical director of the VTC is Luis Navarro, M.D., FACS, FACPh, who leads a team of highly specialized and Board Certified physicians, certified physician assistants, and medical support staff in the diagnosis and treatment of venous disorders.
Modern advancements in medical treatment have made the goal of restoring proper venous blood flow by eliminating varicose and spider veins from venous circulation even safer and more effective. Treatment methods vary from collapsing the veins from the inside with laser energy or physically removing the vein, to different methods of sclerotherapy. All treatment methods can be performed separately or in conjunction to offer the best results.
Which medical treatment is best-suited for you will depend on a number of things:
- Type (spider vein or varicose vein)
- Size & Pressure (how big are they in diameter)
- Source Location of veins involved (for legs it can be thigh, ankle or behind the knee. Veins even appear on the hands, face, breasts, back, and genital areas)
- Severity or concentration of veins
- Skin texture & Color
All of the above is determined by various non-invasive diagnostic tests that are performed in our office. Through physical examination and diagnostic testing we choose of one or more treatment methods to achieve the desired cosmetic results.
Methods of treatment for varicose veins and spider veins include all forms of sclerotherapy, cyro sclerotherapy, foam sclerotherapy, laser-assisted sclerotherapy, duplex-guided sclerotherapy, TIGOS, Endovenous Laser Ablation (Endolaser, EVLT), Mini-Phlebectomy and Ambulatory Surgery.
At the Vein Treatment Center sclerotherapy, or ‘injection therapy’, is the most common treatment for spider and varicose veins on the legs. During treatment, a mild chemical solution is injected into the incompetent vein or capillary. The sclerosing agent irritates the walls of the vessel, causing it to collapse. The body then reabsorbs the vein and blood is re-routed to a healthy vein, restoring proper venous circulation in the area. We use all forms of sclerotherapy, alone or in combination, depending on what will give the individual patient the results they desire with the least discomfort.
Advancements in technology have revolutionized sclerotherapy.
What to expect during treatment
- Instrumentation. Polarized magnification, transillumination and infrared lighting has made sclerotherapy safer and reduced the number of treatments needed. These various forms of illumination enable us to see deeper veins more clearly, making visible veins that are hidden from the naked eye. By passing a special high intensity light or infrared light through the skin’s surface we are able to locate and inject the deeper source of your spider veins. Deeper varicose veins are seen using ultrasound to determine the location of the where to inject the faulty valves enabling us to restore healthy vein function.
- Painless ‘Cryo’ Sclero
Unique to sclerotherapy at The Vein Treatment Center is cooling cryotherapy to numb the skin before you are injected. The cryotherapy machine delivers short bursts of super-cooled air to numb the skin and reduce inflammation during the injections. This results in a more comfortable procedure, faster cosmetic results, and faster healing time.
No one solution is right for every vein problem that is why The Vein Treatment Center uses all the latest sclerosing agents, alone or in combinations where appropriate; Polidocanol, Sodium Tetradecyl Sulfate (STS), Glycerine, Hypertonic Dextrose, Hypertonic Saline. Certain sclerotherapy solutions can be made into a foam consistency and used for larger varicose veins
A single sclerotherapy treatment session involves 40-45 injections in order to collapse the spider veins in one area. Patients used to describe the injections as feeling like a pinprick or mosquito bite, but now our treatment is painless as we have recently introduced a cryotherapy element that cools the skin and numbs it at the injection site during the treatment. The number of treatment sessions required varies from patient to patient, depending on the number of veins treated, ability to heal, and the level of cosmetic perfection desired.
Foam sclerotherapy is a new form of delivering the sclerosing agent that allows us to treat larger varicose veins that might be unsuccessfully treated with conventional sclerotherapy. The foam solution has the consistency of ‘shaving cream’, which improves treatment in two distinct ways. First, the foam displaces blood within the vein, permitting the full strength of the sclerosing agent to be in direct contact with the vein wall for an extended period of time without any dilution effects. Second, the foam is visible via ultrasound imaging and can be easily tracked and guided to the source of the venous problem.
Ultrasound Guided Sclerotherapy allows our vein specialists to visually guide and monitor a needle to the exact source of the incompetent vein (valve) to be injected. By using ultrasound we can treat more quickly and safely larger and deeper veins that once required more invasive surgical treatment.
We have further advanced the widely used Ultrasound Guided Sclerotherapy by utilizing acatheter (thin, flexible tube) instead of a needle (Transcatheter Image-Guided Occlusion Sclerotherapy, aka TIGOS) for even safer and more effective treatment of large veins in difficult areas like the groin and knee.
Laser-Assisted Sclerotherapy combines advanced painless sclerotherapy with lasers “through” the skin. First, a vein is injected with a sclerosing agent and then the red blood cells of the needle injection site are pulsed with laser energy to further seal the vein. The effects have improved the cosmetic results of sclerotherapy on spider veins. This new treatment method was pioneered at The Vein Treatment Center.
The Vein Treatment Center also treats areas of the hands, face, breast and genital veins.
Endovenous Laser Ablation (EVLA), also referred to as Endolaser, EVLT, is an endovenous laser treatment preformed in the office as a minimally invasive method for treating large varicose veins. Developed and patented by The Vein Treatment Center, EVLA uses existing laser and ultrasound technology to close the main vein from the inside with laser energy. EVLA makes costly hospitalizations, the need for anesthesia, incisions, the need for a surgeon, and patient downtime for recovery completely unnecessary.
Ambulatory phlebectomy, also called mini, micro, or stab avulsion phlebectomy is recommended when the size and pressure of blood in a vein is too great for sclerotherapy, and the skin characteristics of the patient make it difficult for sclerotherapy to achieve the desired cosmetic results. The ambulatory phlebectomy procedure bridges the gap between sclerotherapy and more invasive procedures.
Ambulatory phlebectomy is an in-office surgical technique performed under local anesthesia. The procedure involves removing the faulty vein or perforator through minute punctures that require no stitches and leave no scars. A patient that opts for a mini-phlebectomy can walk out of the office and participate in normal daily activities immediately after the procedure. Mini-phlebectomy is often performed in conjunction with Endovenous Laser Ablation (Endolaser, EVLT) and other techniques.