Which NY Clinic Has the Best Treatment for Varicose Veins?

A few decades ago, vein stripping surgery was a common solution for varicose veins. Now, surgery is no longer necessary for most patients with varicose veins or spider veins. Minimally invasive techniques have largely replaced surgical extraction, which means patients can recover immediately. There is no need for general anesthesia or downtime when doctors treat veins with endovenous methods. The best NY vein clinic is one that’s run by Yale-trained and Harvard-trained, minimally invasive vein specialists. Book an appointment with these experts in Midtown Manhattan or the Financial District today. Our team includes the most notable names in vascular medicine, including Dr. Juan Montoya,  Dr. Sareh Rajaee, and Dr. Andrew Cortes.

Should I See a Vascular Surgeon or a Vein Specialist in NY?

Only a small number of patients require surgery for varicose veins. These include people with blood clots in certain veins and patients with highly complicated, tortuous veins that a treatment device can’t navigate. The vast majority of patients are better suited to a minimally invasive vein treatment. If you choose a vascular surgery clinic, you might be subjected to unnecessary surgery, if the surgeon isn’t trained in less invasive methods.

Our NY vein clinics are run by vein doctors who avoid surgery whenever possible. We have one of the foremost cardiac surgeons on staff, Dr. Juan Montoya, and he favors non-surgical methods for veins. Visiting our vein clinics ensures that you won’t receive treatment that’s more invasive than necessary. But we’re also able to treat even the most complicated veins. Our vein experts even combine modalities as needed to produce flawless results. If you’re wondering, “Where do I get my veins fixed in New York,” our vein clinics are the answer.

Which Treatment for Varicose and Spider Veins Works Best?

There’s no one treatment that’s best for everyone because we all have different vasculature and venous connections. The human body has over 60,000 miles of blood vessels, and no two people have the exact same venous pathways. We all have certain veins, including the great saphenous veins that run the length of both legs. But the small veins and capillaries that connect veins and arteries vary between individuals. The health of each person’s veins varies as well. You might have broken valves, blood clots, or vein diseases that someone else doesn’t have.

So, which treatment for varicose veins or spider veins is best for you? Our vein doctors decide this by studying your medical history, observing your symptoms, and conducting a thorough exam. We’ll also run tests if needed to analyze your veins. These might include vein mapping tests, lab work, or ultrasounds. For many patients, the cause of the surface damage lies in a deeper vein. We treat that as well to prevent a recurrence of varicose veins or spider veins. While it requires expertise from vein specialists, it’s an easy process for patients. Our treatments take 15-30 minutes, and you can drive yourself to and from the appointment. You can even exercise and go back to work! Here are some of the best treatments.

• Sclerotherapy (Asclera or Varithena)
• Radiofrequency Ablation (ClosureFast)
• Mechanochemical Ablation (ClariVein)
• Cyanoacrylate Glue (VenaSeal)
• Endovenous Laser Therapy (VenaCure)

Can I Wear Compression Stockings to Fix My Veins?

Can you wear compression stockings to make your vein damage disappear? The most likely answer is no. Compression therapy can help with certain symptoms like swelling and cramping. But it can’t remove varicose veins or treat the underlying cause, which is often valve failure in a deeper vein. Compression stockings must be fitted by a doctor to make sure you don’t apply insufficient or excessive pressure.

For most patients, the better solution is a 15-minute, permanent procedure, instead of long-term symptom management. Some insurance companies require a trial of compression stockings before they’ll cover treatment. And some procedures require you to wear them briefly after treatment to help blood flow into adjacent veins. But these are temporary uses that don’t erase the actual damaged vein.

Do I Need Vein Stripping or Surface of the Skin Treatment?

Most patients don’t need vein stripping surgery. That requires general or spinal anesthesia and several incisions through which the doctors hook, tie off, and remove the vein. Studies show that cutting veins out increases their likelihood of revascularizing. Instead, our doctors close veins inside the body so they disappear. We inject glue or a sclerosant to close the blood vessel, or we heat the vein with radiofrequency to seal it shut.

Once a vein is closed, it can’t grow back. It’s harmlessly absorbed by surrounding tissue and removed from circulation. When you close a vein, instead of cutting it, blood flows into healthy veins nearby and continues toward the heart. Our vein specialists use ultrasound guidance to position the treatment device and observe its success as it closes the vein. This prevents the dreaded recurrence that can occur with vein stripping surgery.

While surgery is often too invasive, treatment at the surface of the skin isn’t invasive enough for many veins. Varicose veins are often too large to safely treat with a surface laser. The amount of heat that requires would burn the skin. So, it’s best to avoid vein clinics that only perform surgery, as well as vein clinics that only perform cosmetic, surface procedures. Varicose veins often require ultrasound guidance and a device that can be inserted through the skin and positioned directly on the vein. Our vein doctors are experts in these methods.

How Soon Should I Treat Varicose Veins and Spider Veins?

The sooner you seek treatment for varicose veins and spider veins, the happier you’ll be. That’s because these veins often signify Chronic Venous Insufficiency (CVI). It’s a common, underdiagnosed issue with symptoms that can become debilitating. Leg pain, swelling, cramping, heaviness, restlessness, and fatigue are the early signs. Then, patients can develop slow-healing venous ulcerations, venous stasis dermatitis, hyperpigmentation, and profuse bleeding when the vein is scratched.

Not to mention, CVI can continue to produce more spider veins and varicose veins until it’s addressed. The good news is, it’s easy to treat, and our doctors can treat it at the same time as we treat your visible vein damage. Choose our accomplished vein specialists for comprehensive vein care in New York. We look forward to exceeding your expectations!