Varicose veins, which arise due to chronic venous insufficiency, are not simply unsightly; they can also cause pain and discomfort. Some of the symptoms, such as restless legs or cramping, might arise even if you do not have the visible signs of the disorder. Traditionally, many patients underwent a surgery known as stripping for varicose vein removal, but we do not recommend this outdated, unsafe method. We have safer and less invasive varicose vein removal treatments available that do not require a significant amount of downtime. We want our patients to understand their options and help them choose the procedure that is best for their situation.

Radiofrequency Ablation for Varicose Vein Removal

Radiofrequency ablation destroys the vein through the use of heat. The practitioner uses ultrasound to find the vein and place a probe in the right location. The probe then generates heat to cover the entire length of the vein to remove the problem veins. Most patients experience promising results in a short period of time.

Endovenous Laser Ablation Therapy

Endovenous laser ablation therapy works similarly to radiofrequency ablation in that it utilizes an ultrasound to guide the probe. In this instance, it uses a laser rather than heat. Once in position, the laser fibroses the vein, which restricts blood flow and reduces the appearance of the veins.

Ultrasound-guided Foam Sclerotherapy

With ultrasound-guided foam sclerotherapy, the vein doctor also utilizes an ultrasound to guide the procedure. Upon finding the right vein, the doctor injects a special chemical known as sclerosant into the problem vein. The foam solution incorporated in this type of sclerotherapy facilitates spasms in the vein so more of the chemical can be injected for better results.


VenaSeal, one of the newest varicose vein removal treatments available, is a proprietary adhesive used to close troublesome superficial veins. It is an FDA-approved and medical grade product designed to be gentle, flexible, and harmless. In the VenaSeal closure system procedure, the vein doctor uses a catheter to inject the adhesive into the trouble veins to prevent the blood flowing backward into the vein. Often, the procedure is guided by an ultrasound.


Unlike the previous treatments, microphlebectomy requires incisions. The vein doctor makes small incisions in the skin through which the varicose vein is removed. The incisions are so small that generally they do not require stitches or a stay in the hospital to recover. The above procedures provide some of the safest and minimally-invasive varicose vein removal options. Generally, they require little to no downtime, and you often can leave the doctor's office on the same day and go back to your daily life. Ready to move forward in treating your varicose veins? Sign up for a free vein screening.