Varicose Vein Treatments

Varicose veins occur in the veins closest to the surface of the skin. These veins are a superficial system. The major vein system for the legs lies deeper in the leg muscle and tissue. So, when these veins on the surface begin to clump and bulge, they can be removed without any major change to the venous system. Fortunately, Dr. Maffei performs most varicose vein procedures in his office on an outpatient basis. Depending on the location and condition of the varicose veins, Dr. Maffei has several procedures from which to choose.

Sclerotherapy is a procedure in which small to medium-sized varicose veins are injected with a solution that scars, then closes those veins. Those veins should fade after a few weeks. Sclerotherapy doesn’t require anesthesia and is done in Dr. Maffei’s office.

VeinGogh is a procedure that generates a tiny, regulated, high frequency current in the affected vein via a hair-thin probe. Then, a microburst of energy heats the vein, coagulates the blood and collapses the vessel wall, which is quickly absorbed into the body. The outer layers of the skin are minimally impacted, and the patient quickly returns to normal activities.

Vein Closure EVLT or endovenous laser ablation uses the VenaCure laser to deliver targeted energy to the malfunctioning vein. It is an in-office procedure that is minimally invasive. The procedure works by using highly concentrated laser light emitted into the target vein through a thin fiber that is inserted into the vein. The laser heats the blood in the vein, causing the vein wall to collapse. This results in the vein being closed off and preventing further backflow or reflux from that vein. The procedure takes about 45 minutes and the patient’s normal in-office time is about two hours.

Varicose Vein Ligation and Stripping is a surgical process that normally takes place in in the hospital outpatient setting and takes about 90 minutes to perform. In this procedure, two small incisions are made, one at the top and the other at the bottom of the affected vein, and the vein is removed. This procedure is the old standard for treatment of saphenous vein reflux and is only rarely done these days.

Phlebectomy is a procedure that involves multiple small skin incisions through which the varicose veins are removed. The number of incisions depends on the extent of varicose veins present. This procedure may be done alone, or in combination with other procedures to treat varicose veins in the legs.


Below are some actual before and after photos of patients who have undergone specific treatments for varicose veins.

These are before and after images of a patient who underwent a combination of EVLT laser ablation, vein closure and phlebectomy for a severe case of varicose veins with venous reflux.