Treatments

Vein Treatments We Offer

Dr. Eduardo offers the full range of modern, office-based vein procedures, minimally invasive, performed under local anesthesia, with most patients back to normal activity the same day. Explore each below; the right choice (or combination) is matched to your anatomy after a duplex ultrasound.

Medically reviewed by Dr. Roger Eduardo, MD, FASMBS, Board-Certified General Surgeon. Last reviewed August 2026.

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Radiofrequency Ablation (RFA)

Catheter-delivered heat seals the vein

Best for: Saphenous vein reflux, the thermal option

Visit: Office-based, ~15–30 min

Learn more 02

VenaSeal

Medical adhesive, no heat, no compression

Best for: Comfort-first closure; needle-shy patients

Visit: Office-based, 20–30 min

Learn more 03

Varithena

Polidocanol microfoam injection

Best for: Twisting, tortuous veins other methods can't reach

Visit: Office-based, ~15–30 min

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Sclerotherapy

Foam & liquid injections

Best for: Spider veins and small reticular veins

Visit: Office-based, 20–30 min/session

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Microphlebectomy

Removes surface veins through tiny punctures

Best for: Larger bulging surface varicose veins

Visit: Office-based, ~15–30 min

Learn more

First, understand venous reflux Is it covered by insurance?

Results & coverage

How well each works, and what insurance covers

Modern vein treatments are highly effective at closing a leaking vein or clearing surface veins. The bigger question patients ask is whether it is covered, and that comes down to medical versus cosmetic.

Radiofrequency ablation Closes the diseased vein with heat

~92%

Covered when medically needed

VenaSeal (medical adhesive) Closes the vein, no heat needed

~91%

Covered when medically needed

Varithena (foam) Reaches twisting veins catheters can't

~86%

Covered when medically needed

Microphlebectomy Removes bulging surface veins

lasting

Covered when medically needed

Sclerotherapy Fades spider veins, for appearance

~70%

Cosmetic, usually not covered

Covered when it is medical, not cosmetic

Insurance usually pays when all three are true: you have symptoms (aching, swelling, heaviness, skin changes or an ulcer), an ultrasound shows the vein is leaking, and compression stockings have not fixed it. Spider veins treated for appearance are cosmetic. We verify your benefits before anything is scheduled.

See how coverage works

Success = vein closure at about 5 years for radiofrequency ablation (Proebstle et al., Br J Surg 2015) and VenaSeal (VeClose 5-year, Morrison et al., J Vasc Surg Venous Lymphat Disord 2020); reflux response for Varithena (VANISH-2, Todd et al., Phlebology 2014); durable removal for microphlebectomy (De Roos et al., Dermatol Surg 2003); and cosmetic clearance per session for sclerotherapy (varies by vein). Coverage rules vary by insurer; exact thresholds are confirmed against your plan. Individual results vary.

Relief you can feel

Beyond closing the vein: how you feel

Closing a leaking vein is the mechanism. What patients actually notice is the relief, often within a few weeks.

80%

of patients get real relief from leg aching, swelling, heaviness and restless legs, usually within a few weeks of treatment.

86%

of leg ulcers heal, and they heal faster with early treatment.

5+ yrs

quality of life stays better, sustained in long-term studies.

Aching, swelling, heaviness and restless legs improve in roughly 8 in 10 patients (cohort data, Zottola et al., J Vasc Surg Venous Lymphat Disord 2024; restless-legs relief applies to patients who have both restless legs and vein reflux, Hayes et al., Phlebology 2008; Silapunt et al., Cureus 2019). Leg ulcers: about 86% heal by 6 months, faster with early ablation (EVRA, Gohel et al., NEJM 2018). Quality of life improves and is sustained at 5 years (CLASS, Brittenden et al., NEJM 2014 and 2019). Individual results vary.

FAQ

Treatment questions

Can't find your answer here? Call us at (470) 742-1832 or book a consultation, we'll answer every question before you commit to anything.

Which vein treatment is best for me?

There is no single best treatment, the right choice depends on which veins are affected, how the underlying reflux maps on ultrasound, your symptoms and your preferences. Heat-based RFA and adhesive-based VenaSeal both close a refluxing saphenous vein; Varithena treats twisting veins that catheters can't easily reach; sclerotherapy handles spider and small surface veins; microphlebectomy removes large bulging surface veins. Dr. Eduardo recommends the best fit after your duplex ultrasound, and often combines two.

Are vein treatments surgery?

These are minimally invasive, office-based procedures, not traditional surgery. They are performed under local anesthesia, with no hospital stay and no general anesthesia. Most patients walk out and return to normal activity the same day. This is a major change from the old days of vein stripping in an operating room.

What is the heat-based option for closing a vein?

Radiofrequency ablation (RFA) is the thermal, catheter-based option Dr. Eduardo offers to close a refluxing vein, alongside non-thermal options (VenaSeal and Varithena) plus sclerotherapy and microphlebectomy. The best approach for your anatomy is determined after your duplex ultrasound evaluation.

Will I need more than one treatment?

Many patients with isolated saphenous reflux are treated in one to two sessions. If you have multiple affected veins or significant spider veins, additional sclerotherapy sessions may be spaced several weeks apart. Your full plan is outlined after your duplex ultrasound.

Start your journey

Not sure which treatment you need?

A duplex ultrasound maps your veins, then Dr. Eduardo recommends the right approach. Book a vein consultation to find out.

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