Spider and Varicose Veins Treatment

Vein treatment has come a long way since the days of vein stripping.  Today, effective treatments are minimally-invasive and well covered by medical insurance.   More importantly, with the ease of new treatment modalities, a far greater number of individuals are receiving the care they need for spider and varicose veins.

The Vein Specialist Centers have enthusiastically adopted cutting-edge techniques across our vein clinics in New Jersey and New York.  As a result, we have seen increased patient satisfaction and longer lasting results with the right choice of treatment.

In this article, we review current trends in spider and varicose vein treatment in New Jersey.


Cryo-sclerotherapy is a new modified sclerotherapy technique using cold air before and during the injections of sclerosing liquid into unsightly veins. The use of cold air for cooling is not new in cosmetic surgery.

Why Is Cryo-Sclerotherapy Considered Painless?

The whole procedure is done using a cryo unit that produces a continuous flow of cold air to the sites of application of sclerotherapy injections. The result is the cold air anesthetizes the skin so the treatment is relatively painless. This is especially helpful for treatment of spider veins in sensitive areas like the behind the knees and thighs.

Enhanced Sclerotherapy

1. Ultrasound-guided
Not all varicose veins are visible and some feed directly into the spider veins seen on the surface of the skin. Ultrasound is used to identify the feeder veins for image guided injections. WIth foam sclerotherapy, the medication can be seen on ultrasound interacting with the diseased vein. Physicians must be adept at ultrasound technique to perform this advanced technique for vein removal.

2. Augmented Reality
A Syris polarizing LED light provides vein magnification and a scanning optical system. With the help of two-way polarization, the vein doctor can see even the veins underneath the skin that are not always visible to the naked eye. Augmented reality helps visualize feeder veins that may otherwise cause spider vein treatment failure.

Radiofrequency ablation

The gold standard of modern varicose vein treatment. The indications for RF vein ablation include demonstrated venous insufficiency on ultrasound and symptomatic veins. The procedure is minimally-invasive with the need for little more than local anesthetic. The catheter-based technology delivers radiofrequency generated heat to collapse targeted vein segments permanently.


VenaSeal is also catheter-based technology. However, unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. Over time, the vein is reabsorbed by the body. There is still limited insurance coverage for VenaSeal. Speak with your vein specialist to see if VenaSeal is suited for your condition.

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