Non-surgical Varicose Vein Removal

Fortunately, Vein stripping surgery is a thing of the past. Modern varicose vein treatments are minimally-invasive with little pain or down-time.  There are different non-surgical treatment options offered at La Jolla Vein Care. The advantages of the modern non-surgical treatments are that return to normal activities is almost immediate, there is little pain or bruising and there are no scars! The different non-surgical treatments that are used to eliminate varicose veins at La Jolla Vein Care include:

Before and After Varicose Vein Treatment

This young La Jolla Vein Care patient’s varicose veins were a result of an incompetent great saphenous vein. As a result, her treatment included radiofrequency closure of the great saphenous vein with foam sclerotherapy used to treat the surface bulging varicose veins.

Before and After Varicose Vein Treatment

This is another before and after picture of the same patient whose bulging varicose veins were removed without surgery at La Jolla Vein Care, utilizing radiofrequency and foam sclerotherapy treatments.

1) foam sclerotherapy, which uses an injection of a solution to collapse the vein, 2) radiofrequency ablation, which uses radiofrequency energy to heat and collapse the vein, 3) clarivein or mecahnochemical ablation which utilizes a small wire that spins while delivering a liquid solution to the vein and 4) microphlebectomy, which uses tiny incisions to remove the veins. More information can be found about each treatment type on our website.  The best treatment type depends on the size and locations of the veins affected and the patient preference.   Many times, a combination of treatments will be recommended.


Am I Too Old? Varicose Vein Treatment at Any Age

We’re often asked, ‘Am I too old to treat my varicose veins?’  The answer is no. Since modern varicose vein treatments are largely non-surgical, there are appropriate treatment options for those of any age. While varicose veins are more common with each decade of life, they can appear on young teenagers or at any time in older adults.    For active older adults, addressing varicose vein conditions is even more important to maintain healthy legs.    Otherwise, symptoms of leg heaviness, fatigue, swelling and pain can slow you down.  There are other complications of untreated varicose veins such as superficial thrombophlebitis, varicose vein rupture and leg ulceration, in severe cases.  There are a variety of minimally invasive treatment options for varicose veins, and depending on the individual preference, severity of the condition and the veins affected will help you and your doctor determine the best treatment course.

This is a 90 year-old female who wanted her varicose veins treated because they were bothersome to her when she played tennis and she didn’t like the way they look. These varicose veins were treated with painless injections, given at two treatment sessions. This is called foam sclerotherapy treatment of varicose veins.
The after picture is at one month following the varicose vein injections (foam sclerotherapy). She tolerated the treatment well and she was able to return to normal activities right away, with the main restriction being wearing compression stockings for several weeks.


Watch A Phlebectomy: Varicose Vein Removal



Microphlebectomy is one treatment option for removing varicose veins on the surface of the legs. It is performed in the office at La Jolla Vein Care using a local anesthetic.  It involves making a tiny puncture/incision and using a tool that resembles a ‘crochet hook’ to remove the varicose veins.  The incision is so small that stitches are not required.   This procedure may take 1 to 2 hours, depending on the extent of the varicose veins.  Return to normal activities after the procedure is possible. Compression stockings are required after treatment.  There are different treatment options to remove varicose veins. It is important to discuss what is best for you with your doctor.

To understand more, watch a video of a microphlebectomy performed at La Jolla Vein Care this week by clicking here: Microphlebectomy

New Foam Treatment of Varicose Veins

In November of 2013, the US Food and Drug Administration (FDA)  approved Varithena,™   a new type of foam treatment for the treatment of patients with incompetent veins and visible varicosities of the great saphenous vein (GSV) system. Varithena is a pharmaceutical-grade, low-nitrogen, polidocanol foam dispensed from a canister device. In two pivotal, placebo-controlled Phase III trials, VANISH-1 and VANISH-2, Varithena achieved a clinically meaningful improvement in the symptoms of superficial venous incompetence and the appearance of visible varicosities and addressed the underlying venous incompetence in the majority of patients treated. Varithena (polidocanol injectable foam) is a sclerosing agent indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins and visible varicosities of the great saphenous vein system above and below the knee.  Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities.  Treatment is a minimally invasive, non-surgical procedure that requires neither tumescent anesthesia nor sedation.  Foam sclerotherapy has been used for years by medical doctors. What is new with Varithena , is that the foam is pre-made with low-nitrogen as opposed to room air, and is dispensed in a proprietary canister.   It is not yet available in doctors offices. Making Foam

Dr. Fronek teaches primary care doctors to care for patients with vein problems

Dr. Fronek was recently invited to discuss vein disorders with the Family Medicine Residency Program at Scripps Chula Vista.  The doctors-in-training were excited  to learn about the variety of problems that patients have with their veins – including  spider veins,  varicose veins,  blood clots, and leg ulcers.  Primary care doctors see patients with vein disorders every day, and yet very few medical schools or residency training programs include any information about these common problems.  Dr. Fronek and Dr. Bunke-Pacquette are committed to sharing their expertise with colleagues and are frequently asked to speak at medical meetings.  Primary care doctors, in particular, can often start patients with vein disorders on conservative treatment, including graduated compression stockings and regular exercise (walking is usually the best exercise for vein disorders), as well as certain supplements such as horse chestnut seed extract, that can alleviate the symptoms that many patients with vein disease suffer from.  Informed primary care doctors can also refer patients to a vein specialist when symptoms aren’t diminished with conservative treatment, if the varicose veins worsen while a patient is using compression and exercise, or if the patient suffers from a venous leg ulcer.

New Varicose Vein Treatments 2014: Clarivein

CLARIVEIN Procedure to Treat Varicose Veins

The newest alternative to vein stripping surgery, and endovenous ablation procedures is Clarivein. The ClariVein procedure, also known as mechanochemical ablation (MOCA) utilizes a wire and sclerosant medication to seal shut incompetent veins. It can be performed in the office in less than an hour without using a local anesthetic.  A thin catheter is introduced into the vein under ultrasound guidance. A sclerosant medication, such as is used in sclerotherapy, is delivered via the catheter, to seal the veins shut. La Jolla Vein Care is one of the few southern California vein centers to offer the Clarivein, or mechanochemical ablation procedure. To read more about Clarivein, go to

Clarivein insertion

Clarivein insertion


Delivery of Sclerosant Solution

Delivery of Sclerosant Solution


Compression Socks Improve Circulation for Diabetic Patients

This year, The Sigvaris Diabetic Compression Socks officially launched featuring 18-25mmHg of graduated compression, a non-binding band, flat toe seam and soft padding for the foot, as well as DriRelease, offering moisture wicking. This new product has been clinically proven to alleviate discomfort and edema in patients with diabetes. In a recent pilot study, ‘the use of the Sigvaris mild compression diabetic socks showed statistically significant decreases in calf, ankle and foot circumferences in this initial study and may help patients with diabetes and lower extremity edema without compromising lower extremity vascularity.

Did you know approximately 1 in 3 people will have diabetes by 2050 according to the American Diabetes Association.
Diabetics are at an added risk for the development of deep vein thrombosis (DVT) up to twice as much as non-diabetic patients. -Diabetologia (2005) 48:1017-1021

Radiofrequency Technology: The Next Wave for Treating Varicose Veins

The next generation technology for treating varicose veins is here. La Jolla Vein Care is pleased to announce its newest device for treating unsightly, bulging veins of the legs- the Venefit™ procedure. The procedure utilizes radiofrequency energy to cause the veins to collapse and eventually vanish. The procedure allows for a quick, comfortable recovery and immediate return to normal activities. The next wave of technology for vein treatment is here-and it’s at La Jolla Vein Care.

Dr. Oz Show Highlights Foam Sclerotherapy Treatment for Varicose Veins

The June 1st episode of The Dr. Oz Show brought attention to foam sclerotherapy. He describes it as latest, most advanced technique to eradicate painful, varicose veins. Dr. Oz’s guest demonstrated how the procedure is performed: He used a vein light to visualize the veins, followed by a painless injection of a foamed solution. He also mentions that the old Varicose Vein Treatments hurt because of the saline solution that used to be used, but newer solutions such as polidocanol, are nearly painless.

We’re pleased that Dr. Oz brought much need attention to foam sclerotherapy, as we have been using it as an alternative to surgery for years. What most people don’t realize is that foam sclerotherapy is not new, but rather newly recognized. Foam sclerotherapy offers patients a non-surgical alternative for the treatment of varicose veins. There is essentially no down-time and return to normal activities is immediate.

Newest Technology for Treating Spider Veins

La Jolla Vein Care is pleased to announce its newest device for treating small spider veins—The VeinWave. This device uses radiofrequency energy to destroy spider veins with a high degree of precision, thus making it easier than ever to remove unsightly veins on the face or legs. The VeinWave is considerably more advanced than laser technology because it capable of pinpointing the damaged vein with greater precision, keeping the surrounding skin unharmed. By focusing specifically on the damaged vein, patients can eliminate the sunburn appearance that often results after laser treatments.