We are a practice of a fellowship - trained vascular surgeon with extensive experience in the most modern and minimally invasive treatment of vein disease. We look forward to meeting you and providing you with the best possible care!

Services Offered

Endovenous Laser Treatment

To effectively diagnose a patient showing symptoms of varicose veins, a physician will conduct a duplex ultrasound to determine if saphenous vein insufficiency is present.  This is the most frequent cause of varicose vein formation.  Once diagnosed, the physician will decide if endovenous laser treatment is an appropriate solution. Once the procedure is complete, a compression dressing is placed on the treated leg for 2 days followed by 1 week of compression stockings.  Under normal conditions the patient may return to work the following day. The following are common physician recommendations: •Wear compression stockings for a period of one week all the time, then 3 more weeks during the day

•Abstain from high-impact activities such as running or step aerobics for a period of  3 weeks
•Walking is encouraged, as it will aid in the healing process.

  A repeat ultrasound will be done in 3-7 days to check the deep leg veins, and again in 4 weeks to ensure that the treated veins are sealed.  Occasionally, a treated vein will reopen, requiring either injection of foam sclerotherapy or repeat laser treatment.  98% of treated veins are sealed shut at 1-year follow-up.

TriVex System - Advanced Varicose Vein Treatment 

The TriVex System offers new, safer, more effective treatment to people who suffer from Varicose Veins. It was developed by Smith & Nephew, Inc., Endoscopy Division, in conjunction with, a leading general surgeon. Many patients resist treating their varicose veins because they are afraid of the pain and recuperative time involved with surgery. The Trivex System offers patients a minimally invasive treatment that lets them walk out of the hospital with few scars and be virtually pain-free within a couple of weeks. While traditional varicose vein surgery is a "blind procedure," meaning that surgeons cannot always see the vein or confirm removal, The TriVex System's unique illumination feature allows the surgeon to quickly and accurately target and remove the vein and then visually confirm its complete extraction.

This new process makes varicose vein removal more effective, complete and less traumatic for patients, by reducing the number of incisions required to perform the procedure and the duration of the surgery. Studies suggest that this method not only reduces the pain associated with varicose vein removal but also reduces the potential post-operative infection. The TriVex System offers a much safer and more effective means to treat varicose veins as opposed to outdated traditional methods. For more information about the treatment of varicose veins and the TriVex System call (310) 823-7314 or contact us.

Progression in Varicose Vein Treatment:

The *treatment for varicose veins* has come a long ways with many improvements. A common procedure was the Hook Technique. Complications with the Hook Technique included the following:

•Tedious procedure
•Difficult to perform
•Incomplete? - stab avulsion phlebectomy
•Multiple Incisions
•Incisions were difficult to "hide"
•Not up to date technology
•Painful recovery
•Lengthy recovery period 

Surface Laser Treatment
 
Surface laser treatment is used to eradicate spider veins.  The laser beam is externally pointed at the veins to be treated, and the laser light energy is used to close the veins. Skin pigmentation can impact the effectiveness of any laser, therefore the patient should have no sun exposure four weeks prior to treatment to guard against blistering and scarring. Although discomfort is mild, some form of cooling may be used to increase the patient’s comfort.  Cooling may be achieved through the use of ice, a cool air device or topical anesthetic.  The duration and number of sessions will vary depending on the severity of the condition and the location. 

Many facial veins can be treated in one session; however, most conditions on the leg require three to five treatments to ensure all spider veins are treated.  These treatments are spaced four to six weeks apart.   Once the procedure is completed, it is recommended that compression stockings be worn for three to five days.  As with any procedure, some mild side-effects might occur.  These side effects include slight redness to the skin tone or mild swelling in the treated area.  Common recommendations for the patient: •Stay out of the sun and tanning beds for 4 weeks before and after surface laser treatment.

•Wear compression stockings for a minimum of three to five days
•Abstain from high-impact activities such as running or step aerobics for three weeks
•Walk at a moderate pace, as it will aid in the healing process

Sclerotherapy

Sclerotherapy is an appropriate treatment of small- to medium-sized reticular veins that feed spider veins, or small varicose veins that remain after the endovenous laser treatment of reflux in the large saphenous veins.  Occasional patients will also have perforator veins (connection between the deep and superficial veins) that are causing a skin ulcer.  These are also well-treated with injection sclerotherapy.