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The Vein Center

What Types of Veins Can We Treat?

Most vein problems occur in the legs. There are many causes for their development. Standing for long periods of time increases pressure in the lower areas of your body. Age causes veins to lose their elasticity which makes them stretch and heredity also play a large role. For some people, varicose veins can be a painful problem, but in most cases, the treatment of visible veins is a cosmetic concern.

  • Spider Veins: mostly cosmetic and do not have symptoms.
  • Varicose Veins: gnarled, enlarged veins that can cause bulging, painful swelling, and soreness.
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Treatment Options

Spider Vein Treatments

The Vein Center offers multiple spider vein treatment options at Advanced Dermatology, including sclerotherapy and laser therapy.

    • During sclerotherapy, a chemical solution is injected into a targeted vein to restrict blood flow to that specific vein. The solution then shrinks and dissolves the vein over time (usually within a few weeks) without the need for surgery. Spider Vein Treatments are considered a “lunchtime” appointment, after which you can return to work immediately without any downtime!
    • Laser Therapy: Spider vein laser therapy is primarily used to diminish the appearance of spider veins. It works best on the smallest veins and is a good alternative to sclerotherapy or may be used in combination with sclerotherapy to optimize results. Certain skin types are not recommended for laser therapy and it does not have an impact on symptoms due to chronic venous insufficiency.

Varicose Vein Treatments

  • ASVAL Procedure: Microphlebectomy utilizing the revolutionary technique. The ASVAL technique is virtually scar-free and enables Dr. Gallagher to treat even the smallest of veins while reducing the possibility of staining often associated with sclerotherapy. There is no downtime, and the procedure can be done in the comfort of our vein centers. You can return to normal activities the very next day, and in most cases, the procedure is covered by insurance companies.
  • Endovenous Laser Ablation is an FDA approved method for solving the issue of deep, painful varicose veins. By employing a small laser alongside a needle, this outpatient procedure pinpoints the varicose veins and targets the laser directly at them, causing the vein to break down and cease functioning.
  • Radiofrequency Ablation procedure uses radiofrequency energy to precisely and effectively treat chronic venous insufficiency (CVI). This procedure results in less pain and bruising than alternative treatments.
  • Varithena is a sclerosant foam that is used to close a vein. The Varithena microfoam is injected into the targeted section of the vein and treats the vein wall, which causes the diseased vein to collapse. The body automatically begins to redirect blood flow to surrounding healthy veins. The microfoam then disperses as it comes into contact with blood in the healthy veins.
  • Ultrasound-guided Foam Sclerotherapy (UGS) This is an additional procedure recommended to patients with venous reflux who also have varicose/spider veins. Once the refluxing vein is closed, the vein branches that drain to the now closed vein have to be closed. This is necessary for two reasons: (1) to decrease the chances of recurrence and future problems; (2) to help eliminate the varicose and spider veins and their symptoms.

More details are available at Island Vein Specialists 

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John F. Gallagher, MD, FACS, RVT, RPVI

Dr. John Gallagher has spent many years studying and enhancing the treatment of varicose and Spider Veins. Our goal remains to correct any functional venous problems while giving the best possible cosmetic results. Our patients should feel good and look good!

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John F. Gallagher


Dr. John F. Gallagher runs Long Island’s premier clinic for vein treatment services and helps patients deal with varicose veins, spider … Read More

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