Vein Services


Approximately 55 percent of women and 45 percent of men in the United States suffer from some vein related problem.

Varicose veins affect 1 out of 2 people age 50 and older.

VARICOSE VEINS are abnormal enlarged or swollen veins that can be flesh colored, but are usually dark purple or blue in color. The veins often have the appearance of cords that are twisted or bulging. For darker skinned people, the color difference from the rest of the skin is not as noticeable. However, for fair-skinned individuals the color of the veins in combination with the swelling above the skin surface makes the skin look very displeasing. The legs are the areas of the body usually affected by varicose veins. In particular, they are found on the backs of the calves or on the inside of the legs.

In addition to the visual symptoms mentioned above, there are several other symptoms that may accompany spider and varicose veins, such as:

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SPIDER VEINS (venous telengiectasias) are smaller than varicose veins. These problem veins reside closer to the surface of the skin than do varicose veins and are red and/or blue in color. Spider veins are short, thin, jagged lines that look like tree branches or the lines in a spider’s web. These veins are mostly found on the thighs, ankles, and feet, but can also appear on the face. Once again, spider veins are very noticeable in fair-skinned or pale-skinned individuals and for many are a serious cosmetic skin blemish.

Treatment Options

Varicose Vein Treatments

Veins often take away from the beauty and appearance of your legs. Perhaps more importantly, varicose veins produce significant symptoms and can lead to serious medical conditions.

The good news is that veins today can be treated or removed quickly, with minimal discomfort, in a doctor's office. There is no need for hospitalization and the recovery time is measured in minutes, not weeks. Almost immediately, you will be able to do all the things you did before you developed varicose veins. Sound too good to be true? Let us tell you about the sophisticated treatment options at the Coastal Vein Institute . . .

VNUS closure

The VNUS® Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease. Treatment times are usually less than 2 minutes, and patients are in and out of the office in less than 90 minutes. The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Endovenous Laser Therapy (EVLT)

EVLT (Endovenous Laser Therapy) is an innovative new treatment that eliminates the need for surgery and is approved by the FDA for treatment of the greater saphenous vein, the largest vein in the body that runs through the leg. Performed in our office, EVLT involves threading a thin laser fiber up the saphenous vein in the thigh from below the knee to the groin. The fiber is slowly withdrawn while the laser delivers pulses of energy to the inside of the vein, causing it to close. This office-based procedure is virtually painless and is completed in one to two hours.

Micro Phlebectomy

Micro phlebectomy is a minimally invasive method for treating small varicose veins. Recent advances have made it possible to perform this procedure in our office using only a local anesthetic. A small hook is used to remove the vein through tiny incisions. As the incisions are extremely small, stitches are rarely needed. The incisions typically heal within a few days.

Spider Vein Treatments

Ultrasound-Guided Foam Sclerotherapy

Sclerotherapy has been used to close abnormal leg veins for many years and may be used for treatment of both spider and varicose veins. With sclerotherapy, a very fine needle is used to inject a medication directly into the spider or varicose veins. This medication stimulates the inside of the vein, which then collapses and become reabsorbed. Modern sclerotherapy is performed under ultrasound guidance using foam made of the sclerosing medicine mixed with air. It affords excellent results when used separately or in conjunction with other treatments. Each vein may require one to several injections and most disappear in a few weeks to several months.

Vein Wave Therapy

Veinwave is a new procedure which uses thermocoagulation to safely and effectively treat spider veins and telangiectasia anywhere on the body. The procedure was developed by vascular surgeons as a way to treat very tiny veins that cannot be treated with sclerotherapy. Veinwave can also be used to treat veins in difficult-to-treat locations, including the face, ankles, and knees. The treatment relies on thermocoagulation to heat and close vessels instantly, in a procedure that takes less than 15 to 30 minutes to perform and involves no downtime.


Screening Services

Coastal Vein Institute offers complementary screening to evaluate the appropriate treatment options for each patient’s varicose and spider veins. All screenings are preformed by Registered Vascular Technologists in our ICAVL accredited vascular lab. The tests are quick, painless and noninvasive.