How We Approach Minimally Invasive Vein Treatment

A female physician sits with a man at consultation to discuss his varicose veins

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Vein treatments have evolved a great deal in the last 20 years. What was once a difficult procedure with some serious down-time — that also came with a relatively high risk of significant complications — is now a procedure with a low risk of complications, and has patients back on their feet in no time.

The ways that varicose veins and other vein issues were treated 20 years ago could certainly be considered invasive. Vein treatment back then required a surgery called ‘stripping’ that required cutting into a patient to rid of the damaged veins, which left him or her with a great deal of swelling, bruising and pain post-surgery. On top of that, the recovery time meant you were down and out for quite some time.

Thanks to modern technology, this way of attacking varicose veins is a thing of the past.

Today, vein procedures are minimally invasive with infrequent significant side effects. Read on to learn more about what a minimally invasive varicose vein treatment looks like.

What You Need to Know About Minimally Invasive Vein Treatments

Vein Treatment Options

When it comes to minimally invasive vein treatments at Vein Clinics of America, you have plenty of options. Whether you’re looking for varicose vein treatment, spider vein treatment or you simply want to learn all about the different treatment options, we’re here for you.

Endovenous Laser Ablation

This is an effective varicose vein treatment, more commonly known as EVLA or ‘laser treatment.’ EVLA works via inserting an optic fiber right into the diseased vein. Via that fiber, laser light is used to send heat to the diseased area, which in turn collapses the unhealthy vein. Your body will take it from there by working to redirect your blood to your healthy veins, and by absorbing the collapsed veins.


Sclerotherapy is what doctors perform to get rid of spider veins and ropey, bulging varicosities. This type of treatment helps to rid of the unsightliness of spider veins, as well as helps to target the root of the problem and prevent future problems. Ultrasound-guided foam sclerotherapy treats ropey, large bulging varicosities while visually-guided sclerotherapy treats spider veins. Sclerotherapy is done through a series of microinjections of a solution that closes off damaged veins. After some time, the veins shrink and your body redirects the blood flow to healthy veins, while also absorbing the unhealthy ones that have been closed off.

Radiofrequency Ablation

Similar to EVLA, but a bit different, radiofrequency ablation is a treatment that begins with a small incision. From there, the doctor places a small catheter into the damaged vein, and via that catheter, heat is delivered in order to collapse the veins, and close them. Once closed, the blood flow is redirected to healthy veins, and eventually, your body will absorb the broken veins.


Phlebectomy is a different approach to removing bulging varicose veins near the skin’s surface is performed by many a number of tiny punctures in the skin. Through these punctures, the damaged veins are removed, usually without the need for stitches. Phlebectomy is often done alongside ELVA or radiofrequency ablation.


Another way of treating varicose vein issues is via VenaSeal, also referred to as endovenous adhesive ablation. This treatment occurs when a doctor places a bit of medical adhesive into the damaged vein via a small catheter. By putting pressure on the vein, blood is redirected to healthy veins.

No Hospitalization

All of the above minimally invasive vein treatments can be done at a Vein Clinics of America location, and do not require any hospitalization. This means they are out-patient treatments and that you get to go home almost immediately following the procedure.


Once your VCA doctor has finished your treatment, he or she will likely have you wear compression stockings in order to compress your legs for a few days up to a few weeks. Your doctor will also suggest that you move as much as possible to get the blood properly flowing again. You may also resume exercise within a few days.

fit couple running outside

Potential Side Effects

After your minimally invasive vein treatment, patients may experience some swelling and bruising, though pain should be very minimal if there is even any pain at all. This is one of the reasons patients opt for this form of treatment — you are not dealing with the harsh side effects of older types of vein treatments.


Depending on the time of treatment a patient undergoes, follow-up appointments can happen anywhere from six months to a year later. There are typically two follow-ups to ensure everything went as planned, and to make sure the treatment took and that your veins are working correctly without the damaged veins getting in the way.


The success stories of the above minimally invasive treatments are very high. Depending on the severity of the patient’s vein issues, one treatment session may be enough, while others may require a few to get rid of all the problem veins. Once treatment is completed, the treated veins do not typically return and symptom relief is typically prolonged for quite some time.

It is important to keep in mind that no treatment offers a permanent cure for vein disease. If you do encounter future problems with your veins, you can be certain that VCA will be there for you. With over 60 clinics in several states, you will be able to continue to keep your veins healthy.

See how we’ve helped these patients get back to a healthy, confident life.

varicose veins before and after photos
View Vein Treatment Before & After Photos

The doctors at Vein Clinics of America perform minimally invasive vein treatments daily, so you can rest easy knowing that this type of treatment is not only normal but something that the doctors are well-versed in. Whatever questions you have about these procedures, VCA doctors are here to answer.

We offer customized options to treat your vein issues.

Medically Reviewed by

Dr. Satish Vayuvegula
Dr. Satish Vayuvegula is the National Medical Director at Vein Clinics of America. Certified by the American Board of Venous & Lymphatic Medicine, Dr. Satish Vayuvegula is recognized as a physician who has met rigorous standards of knowledge and extensive training in phlebology, the diagnosis and treatment of varicose vein disease and related disorders. Dr. Satish also shares his passion and expertise by serving as a board member of the American Vein and Lymphatic Society, the predominant national organization for venous and lymphatic disease.

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