Vein Treatment Options Los Angeles
Nu Vela Vein Center, a modern laser and vein center located in Porter Ranch, San Fernando Valley, offers the most advanced varicose vein treatments that are currently available in the Los Angeles area. All vein treatments provided by the Center involve office-based, technologically advanced, minimally invasive procedures.
Veins that can be treated at the Nu Vela Vein Center include visible and often unsightly veins that appear on the chest, face, hands, and arms, and troublesome leg veins; namely, saphenous and perforator veins, varicose veins, reticular veins (blue veins), and spider veins .
Whether you have pesky visible veins or leg pain associated with varicose veins, Dr. Raffi Dishakjian, M.D., a highly skilled vein surgeon, will be delighted to assist you and offer his advice and suggestions. Dr. Dishakjian will work with you to create the best personalized vein treatment plan that fits your condition and meets your expectations.
Vein Treatments Provided by Nu Vela Vein Center
Until a decade ago, compression therapy involving bandaging or wearing of compression stockings was the only option available to vein patients preferring a non-surgical solution to their vein problems. Although compression stockings offer some relief to patients with aching and heavy legs and are beneficial to those with existing blood clots in the deep and superficial veins, or in healing ulcers; these stockings can’t eliminate varicose and spider veins, and do not cure chronic venous insufficiency, the underlying cause of vein disease, also known as venous reflux.
Currently, the only effective way to treat or get rid of unwanted veins is through their elimination. This is achieved either with surgical removal, or alternatively by heat or chemical based vein ablation techniques. These technologically advanced, non-surgical treatment systems are available in most modern vein centers and clinics.
As dilated superficial veins can appear on different parts of the body and come in different sizes and forms, no single vein treatment modality is effective or safe to treat every type of vein. Whereas lasers are very good at treating facial veins, for example, they give very poor result when applied to leg veins. Fortunately, during the last couple of decades, new non-surgical techniques and technologies have evolved, devised to safely and effectively treat any type of problematic vein.
At Nu Vela Vein Center, we take pride that we are equipped with cutting-edge, state-of the-art vein treatment technologies and lasers that can deliver excellent treatment results with minimum pain, and no scarring. Dr. Dishakjian, the phlebologist at the center, is qualified to offer an extensive variety of vein treatments to meet the individual needs of the patient. The minimally invasive vein treatments provided by our vein center include:
- Sclerotherapy for spider and reticular vein removal
- Venefit™ or Endovenous Laser Treatment (EVLT) for leg varicose vein treatment
- Foam sclerotherapy for superficial leg varicose veins elimination
- Microphlebectomy for removing bulging leg veins of the leg and foot
- Laser vein removal for eliminating chest and facial veins
A carefully planned treatment program will often be necessary to restore vein health, proper circulation and the desired aesthetic results. Dr. Dishakjian will review in detail the various vein treatment options for your individual condition and tailor a treatment plan that gives you the best therapeutic and cosmetic outcome. Dr. Dishakjian will then personally perform all the treatments and the Ultrasound mapping of leg veins to ensure his patients receive the care and attention they deserve.
Description of the Procedures
The descriptions given below are very brief. The details of each of the procedures and their range of applications are available in the relevant pages of our website.
Sclerotherapy for spider and reticular vein removal
Sclerotherapy is the standard treatment for spider veins, reticular veins (small blue veins), and superficial small varicose veins that usually appear on the leg, but may also appear on other parts of the body, such as the chest and the hands.
SCLEROTHERAPY INJECTIONS FOR SPIDER AND SMALL BLUE VEINS
*Individual results may vary.
Sclerotherapy entails injection of a sclerosing solution into a spider or reticular vein through a very fine needle. The chemical takes effect right away, collapsing the blood vessel within a few seconds. The body’s natural healing process then re-routes the blood flow through healthy veins and the bothersome vein fades from view over a period of several weeks. The procedure is performed using the thinnest possible needles to minimize the pain of injection. In fact, most patients are pleasantly surprised about how painless this experience is when applied to spider and blue vein removal. Typically 2-3 treatment sessions are needed for gradual fading of the treated veins. Whereas wearing compression stockings for about a week isthe standard recommendation after leg vein sclerotherapy, hand vein removal may require only 2-3 days of compression, and compression is not required at all after chest vein treatment.
Besides noticeable cosmetic benefits, sclerotherapy of leg veins may also remedy the bothersome symptoms associated with spider veins, including aching, burning and night cramps of the legs. For more about the procedure and FAQs, please go to sclerotherapy and spider vein removal or sclerotherapy FAQ.
Venefit™ and EVLT for varicose vein treatments
At last, two minimally invasive and gentle alternative procedures to painful vein stripping surgery for varicose vein treatment and superficial venous reflux disease therapy; namely, Endovenous Laser Treatment (EVLT) and Venefit™ Targeted Endovenous Therapy (formerly known as VNUS Closure™). EVLT and Venefit are two office based procedures that eliminate the major superficial diseased veins that are in direct communication with the deep venous system; namely, the saphenous and perforator veins. These varicose vein treatments are performed under local anesthesia, whereby a needle hole opening in the skin is used to thread a catheter (Venefit or VNUS) or a laser fiber (EVLT) into the vein, typically just above or below the knee. The catheter or the laser fiber is then guided up the thigh and positioned using duplex ultrasound imaging. At this stage, radiofrequency or laser energy is precisely delivered to the identified diseased vein. The generated heat energy causes the vein wall to collapse permanently. Dr. Dishakjian will later treat the remaining side branches with sclerotherapy, foam sclerotherapy, or microphlebectomy, depending on their size and nature. More about Venefit™ Targeted Endovenous Therapy (VNUS Closure) and EVLT or other surgical and non-surgical options for varicose vein treatment.
VNUS CLOSURE FOR VARICOSE VEIN TREATMENT
*Individual results may vary.
Foam sclerotherapy for superficial leg varicose veins elimination
Ultrasound-guided foam sclerotherapy is the latest innovative treatment for large superficial leg varicose veins. These large veins cannot be treated with traditional liquid sclerotherapy; they contain too much blood which immediately dilutes the injected liquid sclerotherapy medication, thus rendering it ineffective. Foam sclerotherapy overcomes this problem by combining traditional sclerotherapy with a natural, soluble gas, to produce a shaving cream-like foam. The foamed agent does not readily mix with blood, keeping its full potency throughout the treated section of the varicose vein. Foaming also gives the sclerosing agent a very large surface area of contact with the vein wall while using a relatively small amount of the liquid agent, similar to the foamed liquid hand washing soap in common use.
Varicose vein treatment with this procedure is associated with minimal to no pain, and involves the insertion of a catheter or a needle into the main affected superficial vein through which the foam is injected. The Duplex ultrasound imaging is then used to guide and monitor the spread of the foam. More about varicose vein treatment with foam sclerotherapy.
Microphlebectomy for removing bulging leg veins
Also known as ambulatory phlebectomy, is a method of removing the very superficial bulging veins through tiny punctures that do not require stitches. The vein removal procedure, originally developed in Europe, is ideal for getting rid of foot and leg veins that are too large to treat with sclerotherapy and too close to the skin to safely and successfully treat with endovenous procedures.
Vein removal using microphlebectomy is normally done in a doctor’s office using a local anesthetic. Skin incisions or needle punctures as small as 1 mm are used to extract a vein with a phlebectomy hook. The hook is inserted into the tiny puncture, a section of the vein is hooked, and then removed through the incision. By removing certain sections of the vein, the areas of the vein which are not removed will “clot off,” eliminating the bulging veins for good. There is very little discomfort with the procedure and very little “down time” during your recovery. Most individuals are allowed to return to work and resume their normal activities on the following day. Compression during the following two weeks minimizes the swelling and discomfort and accelerates healing. More about microphlebectomy.
Laser vein removal for superficial small veins
Laser vein removal may be an alternative or complimentary to sclerotherapy for the elimination of spider and reticular veins that appear on the chest and other parts of the body and is considered the safest and most effective treatment for facial spider and reticular veins. The principle behind all laser and intense pulse light (IPL) treatments of superficial veins is the same. The laser’s energy is selectively absorbed by the red blood cells inside the veins, and the generated heat destroys the vessels. Over time the remains are absorbed by the body and the targeted veins disappear.
While lasers can virtually eliminate all spider and most reticular veins on the chest and face, IPL, being less penetrating, can only treat the finest superficial broken capillaries that are usually caused by sun damage. This of course minimizes any side effects of the treatment and makes the recovery faster. Both laser and IPL treatments are generally safe, provided they are performed by a qualified physician.
Even though facial veins may as well be treated with sclerotherapy, lasers and light based treatments are the safest option for facial reticular and spider veins. The problem with sclerotherapy around the eye is that the medicine that is being injected could travel backwards into vital structures of the head and can cause vision loss or blindness in rare cases. Depending on the size of the vessel and the color, Dr. Dishakjian, the vein specialist of the center, will either choose intense pulsed light (IPL) or one of the lasers intended for this purpose.
Cutera© and the Sciton Profile lasers that are available at the center are the most advanced and flexible lasers that can be optimized according to the skin type of the patient and the color and size of the veins that need treatment. The contact cooling tip of Cutera’s long-pulsed Nd: YAG laser combined with topical application anesthetics will significantly minimize the discomfort during the procedure while ensuring the best possible outcome. After the vein treatment, your skin will be red for a few days and depending on the vein, you may have some bruising and darkening of the treated vein. This normally resolves within 2-5 days, but in some cases it may take a number of weeks to do so. Note that Dr. Dishakjian is also a cosmetic surgeon with long experience in handling lasers and performs a variety of laser skin treatments, not just veins. More about laser vein treatment.
FACIAL RETICULAR VEIN – LASER TREATMENT
*Individual results may vary.
NOSE SPIDER VEINS – LASER REMOVAL
*Individual results may vary.
Type of Doctors who Treat Varicose Veins
Until a few years ago, varicose vein treatment was the domain of vascular surgeons, since treatment meant a surgical procedure known as ligation and stripping. This treatment involved multiple skin incisions, surgically cutting and tying veins, then physically pulling veins out of the surrounding soft tissues, often requiring general anesthesia and an overnight stay in a hospital for pain management. However, with the advent of portable office based duplex ultrasound technology, medical lasers, and endovenous ablation techniques (heating the vein from inside with a catheter), the surgical scalpel was replaced with a needle, and the associated skin incisions, scarring and hospitalization were eliminated, moving the procedure from the operating room to the office setting.
Whereas many vascular surgeons still practice the traditional vein stripping and ligation, the practice of phlebology (vein care) has undergone a revolutionary change fueled by these technological innovations. Currently, phlebologists come from a diverse mix of medical backgrounds, like radiology or anesthesiology, specialties involving expertise in needle based vascular access. According to the definition given by the American College of Phlebology, a phlebologist is a physician who specializes in the diagnosis and treatment of vein disorders. In the year 2005, the American Medical Association, AMA, recognized phlebology as a separate self-designated specialty, the same as dermatology, vascular surgery, or any other recognized specialty.
Dr. R. Dishakjian is a board certified anesthesiologist and a phlebologist with a long surgical operating room experience. Moreover, Dr. Dishakjian is a cosmetic surgeon and an expert in cosmetic lasers. Accordingly, besides being treated by an expert phlebologist, you can be assured of the best possible cosmetic outcome. Please read the online reviews written by our patients and call us to schedule a consultation with Dr. Dishakjian.
What to Expect from Your Vein Center
Each patient requires an individualized treatment strategy based on his or her unique circumstances. A systematic approach to evaluation and assessment helps guide a vein doctor workup the eventual treatment plan.
At Nu Vela Vein Center, evaluation and assessment begins during your consultation session with Dr. Dishakjian, who takes notes of your medical history and collects information related to the specifics of your venous disease, including family history, predisposing factors (such as clotting disorders), symptom onset, and information about previous treatments. In conjunction with these, Dr. Dishakjian may perform a physical examination of the varicose veins in your legs and suggest an Ultrasound test to collect essential and detailed information regarding your venous anatomy and function. The doctor will then discuss vein treatment options, necessity, cost, insurance coverage, side effects, and carefully coordinate an appropriate and customized treatment program to meet your specific needs, restore optimal vein health, and deliver the cosmetically desired results.
It should be mentioned that most insurance plans, including Medicare, cover varicose vein treatment, once the medical necessity is established. Note that the cost of Ultrasound test is not included in free consultation; however, three quarters of what you pay is reimbursable as payment towards varicose vein treatment.
THE DOCTOR ON ABC EYEWITNESS NEWS
Diagnostic Ultrasound for Evaluating Vein Disorders
Treatment failure of leg veins is often due to overlooking problems with deeper veins in the legs, such as refluxing saphenous and perforator veins. Only ultrasound can diagnose these problems. If the test is ordered and performed at a hospital or outpatient diagnostic center, it is often done by a technologist, who is not properly trained in evaluating the superficial veins. At Nu Vela Vein Center, patients are not referred to an outside imaging center or hospital for ultrasound evaluation; Dr. R. Dishakjian, with extensive experience with the technology, personally performs all ultrasound evaluations.
Questions About Cost of Vein Treatment or a Treatment?
Our vein clinic is located in the northwest San Fernando Valley, near Chatsworth, with easy connection from most local Los Angeles freeways. Click the “Contact” button at the top of the page for directions, or call 818-832-4500. The receptionist at the front desk will be delighted to assist you with any enquiries regarding cost, additional information on varicose vein removal options, or scheduling a consultation session with Dr. Dishakjian. Consultation with the vein doctor is free with the purchase of any service. We charge a nominal refundable consultation fee for the first office visit only. This fee is fully credited towards a subsequently purchased service.