As an alternative to surgery, the endovenous laser targets the underlying diseased saphenous veins. Performed at the Institute, this technique achieves ablation of the saphenous veins without incisions and with only local anesthesia (tumescence). Down time is minimal with a rapid return to normal activities.

Surface sclerotherapy is effective in treating surface veins such as spider and reticular veins, as well as varicose veins remaining after laser treament or surgery. As an alternative to surgery, ultrasound-guided sclerotherapy may be used to treat the saphenous veins.

Surgery (saphenous vein stripping and phlebectomy) is performed at RocklandMD. Day-surgery procedures are performed under general or spinal anesthesia and a post-operative convalescence is required. Technical results with surgery are improved with the use of ultrasound vein mapping done prior to the operation.