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Vein Treatments & Procedures

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At Carolina Vein Care & Aesthetics, patients benefit from a seamless blend of advanced, minimally invasive vein treatments tailored for vein health and comfort. The vein treatments offered by the highly experienced board-certified vascular specialist physicians and a compassionate, dedicated staff are designed to offer effective relief and restore vein health, aesthetics, and confidence in a comforting, easily accessible setting.

What to expect:

During the evaluation appointment, a vein specialist will complete a full exam, which may include the use of Ultrasound, and develop a personalized treatment plan to address your condition. All the vein treatments performed at our office are considered minimally invasive and are associated with minimal pain and faster recovery time.

Here’s a detailed look at each treatment option, including how Carolina Vein Care’s expertise and compassionate approach make them a trusted choice in vein care. Our physicians may recommend one or more of the following treatments:

Our Vein Treatments

1. Sclerotherapy: Targeted Relief for Spider and Small Varicose Veins

Sclerotherapy offers a precise, minimally invasive treatment for smaller veins, such as spider veins and mild varicose veins. Through this outpatient process, a sclerosing solution is injected directly into the vein, causing it to close off and naturally be reabsorbed by the body.

  • How It Works: Using a small, fine needle, an FDA-approved sclerosant medication is injected into the vein, causing it to collapse and gradually disappear over time.
  • What to Expect: Depending on the number and size of veins treated, several sessions may be recommended. The results typically improve within a few weeks.
  • Who It’s Best For: This treatment is ideal for patients with aesthetic concerns regarding spider veins or small varicose veins, offering effective results without significant downtime.

2. Phlebectomy: A Simple Solution for Larger Varicose Veins

For larger, surface-level varicose veins, phlebectomy is a minimally invasive technique designed to provide immediate relief and a smoother appearance. With small incisions to gently remove the vein, this procedure is both effective and nearly scar-free, making it popular among patients concerned with both comfort and cosmetic results.

  • How It Works: The vein is carefully accessed through small incisions (about 3mm), then removed to eliminate the visible bulging. This procedure is performed by Carolina Vein Care’s board certified vascular specialist physicians, ensuring both safety and precision.
  • What to Expect: Phlebectomy is performed in-office under local anesthesia (numbing medicine injected into the skin) and offers immediate improvement in appearance, with minimal discomfort and little downtime.
  • Who It’s Best For: This treatment is recommended for those with larger varicose veins, especially those that may cause discomfort or affect appearance.

3. Endovenous Laser Ablation (EVLA): Precision Treatment for Large Veins

Endovenous Laser Ablation (EVLA) uses laser technology to treat deeper varicose veins. This technique is precise and minimally invasive, making it ideal for larger veins requiring more targeted treatment. EVLA is performed in the office under local anesthesia. EVLA is performed by board-certified physicians using advanced technology to ensure optimal results and comfort.
  • How It Works: A laser fiber is inserted into the vein, delivering controlled laser energy that causes the vein to close off and redirects blood flow to healthier veins. EVLA works very much the same as RFA, but the catheter delivers heat energy into the vein with a different technology.
  • What to Expect: The procedure is brief and allows patients to return to their normal activities soon afterward, usually by the next day, with noticeable improvements.
  • Who It’s Best For: Individuals with larger or deeper varicose veins who want effective, minimally invasive care.

4. Radiofrequency Ablation (RFA): A Gentle Yet Effective Approach

Radiofrequency Ablation (RFA) offers a gentle yet effective way to treat varicose veins, using radiofrequency energy to close off the problematic vein. RFA, like EVLA, is performed in the office with local anesthesia. This approach minimizes discomfort and allows for rapid recovery, ideal for patients seeking efficient results.
  • How It Works: A thin catheter is inserted into the vein, applying radiofrequency energy that closes the vein and reroutes blood to healthier veins. This approach reduces both pain and downtime.
  • What to Expect: Patients typically experience minimal discomfort during this quick procedure, and they often resume normal activities by the next day.
  • Who It’s Best For: RFA is suitable for those with larger veins looking for effective treatment that emphasizes comfort and quick recovery.

5. Varithena (Polidocanol Endovenous Microfoam [PEM]): Non-Surgical Foam Injection for Visible Veins

Varithena/Polidocanol Endovenous Microfoam (PEM – Injectable Foam) offers a unique, FDA-approved foam injection treatment for leg veins, allowing patients to see significant cosmetic improvement with minimal invasiveness. Carolina Vein Care’s board-certified physicians perform this treatment in a comforting, welcoming environment designed for relaxation and confidence in care.
  • How It Works: The microfoam is injected directly into the vein, causing it to collapse. The injections are performed with ultrasound guidance to further enhance the effectiveness and safety. This procedure reduces vein visibility and relieves symptoms quickly.
  • What to Expect: Varithena is a brief, non-surgical procedure completed in less than 30 minutes, with results visible after one or two sessions.
  • Who It’s Best For: Ideal for patients with visible leg veins looking for an effective, minimally invasive treatment that doesn’t require surgery.

6. Ultrasound Exam: The Essential Diagnostic Tool

An ultrasound exam is the first step for most patients at Carolina Vein Care, providing detailed imaging of vein health and helping to determine the most effective treatment plan. This exam not only ensures precise diagnosis but also allows Carolina Vein Care’s team to personalize each patient’s treatment plan under one roof and many times in a single visit.
  • How It Works: A non-invasive ultrasound device is used to capture real-time images of veins, aiding in accurate diagnosis and treatment planning.
  • What to Expect: The exam typically takes 30-45 minutes, depending on whether both or only one leg requires treatment, is painless, and gives immediate insights into vein conditions.
  • Who It’s Best For: An ultrasound exam is essential for every patient considering treatment of varicose veins, as it allows the team to tailor solutions for maximum effectiveness. An ultrasound is usually not needed for patients who only have smaller “spider veins”, especially if there are no leg symptoms such as pain or swelling.
Want to learn more or ready to schedule? Call us at 864-610-1947 to book a consultation today.

Now Offering Virtual Vein Screenings

Safely and securely send photos to our office so you can perform a self-assessment from the comfort and privacy of your home! Click on the button below to start your complimentary self assessment virtual vein screening, and we will contact you for a consultation.