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Venefit™ Targeted Endovenous Therapy (previously called VNUS closure procedure) is a clinically proven, minimally invasive, non-surgical procedure that treats varicose veins on an outpatient basis with minimal discomfort. The Venefit™ procedure is described as endovenous because a varicose vein is thermally ablated from within the vein. Thermal ablation of a vein with Venefit™ has been achieved by means of a catheter equipped with a radiofrequency (RF) generating electrode. It is for this reason that the procedure is also known as Endovenous Radiofrequency Ablation (RFA).
The closure fast catheter is attached to the VNUS radiofrequency generator.
Nu Vela Laser and Vein Center has been one of the first Vein Centers in the San Fernando Valley region of Southern California to introduce the Venefit™ Targeted Endovenous Therapy for varicose vein treatment in Los Angeles. Currently, the system is one of the two FDA-approved endovenous modalities for the comprehensive treatment of varicose veins; the other being Endovenous Varicose Veins Laser Treatment (EVLT).
VARICOSE VEINS AFTER SAPHENOUS VEIN CLOSURE
*Individual results may vary.
Nowadays, vein surgeons use endovenous thermal ablation, Venefit, or EVLT, when leg vein Ultrasound mapping indicates the presence of incompetent saphenous and perforator veins. Incompetence in the veins usually results from the improper functioning of vein valves, allowing blood to pool in the very superficial leg veins. The condition is known as venous reflux.
Once the problematic saphenous/perforator veins are closed under the influence of the heat delivered by the electrode of the Venefit™ system, the blood flow in the deep veins reverts to its normal pattern towards the heart. As a consequence, branch varicosities; that is, large and very superficial veins that are most obvious to the patient, adjust back to normal pressure conditions, and within a few weeks, patients notice dramatic visible improvement in the appearance of their legs. Some of the residual veins may need additional treatments, such as micro phlebectomy (ambulatory phlebectomy), foam sclerotherapy (for branch varicosities), or sclerotherapy (for reticular and spider veins). The closure of incompetent saphenous and perforator veins is of crucial importance in varicose vein treatment for preventing the recurrence of the condition.
At present, the RFA catheters supplied by Venefit come in two sizes: a large catheter, 7 cm long (Covidien Closure Fast™ Catheter) intended for the ablation of the Greater saphenous vein, and a small catheter, ClosureRFS™ stylet, 3 cm long, which can be used for the ablation of the smaller saphenous vein, tributary veins, and perforator veins.
Ideal candidates for Venefit™ are those dealing with symptomatic varicose veins caused by venous reflux. Common symptoms include leg heaviness, aching, throbbing, swelling, fatigue, cramping, itching, or discomfort that worsens after prolonged standing or sitting. Venefit™ is often recommended for patients whose symptoms persist despite conservative measures such as exercise, leg elevation, and wearing compression stockings. It may also be appropriate for individuals who want a minimally invasive alternative to traditional vein surgery.
The best way to determine whether Venefit™ is right for you is through a comprehensive vein evaluation that includes duplex ultrasound imaging. At Nu Vela Laser and Vein Center, Dr. Dishakjian personally performs ultrasound assessments to identify the source of venous reflux and determine whether Venefit™ can effectively treat the affected veins. Based on your anatomy, symptoms, and overall vein health, he will develop a personalized treatment plan designed to improve circulation, relieve symptoms, and reduce the appearance of varicose veins.
Dr. Dishakjian begins the Venefit™ procedure by using duplex ultrasound to locate the affected vein and precisely guide a thin radiofrequency catheter into position through a small opening in the skin. He then administers a local numbing solution around the vein, which helps keep the patient comfortable while protecting the surrounding tissues from heat.
Once the catheter is properly positioned, controlled radiofrequency energy heats the vein wall, causing the diseased vein to shrink and close. Blood is naturally redirected through healthier veins, while the body gradually absorbs the closed vein.
After treatment, Dr. Dishakjian wraps the leg and applies a compression stocking to support recovery. Patients can walk immediately and typically return to normal daily activities by the following day. However, we recommend not driving yourself home because the treated leg may remain temporarily numb. Dr. Dishakjian personally monitors each patient’s progress during follow-up visits and determines whether any remaining visible veins would benefit from additional treatment.
The ultrasound imaging machine.
In the weeks that follow the procedure, Dr. Dishakjian, the phlebologist (vein doctor) of the center, will monitor the progress of patient recovery, and accordingly recommend an appropriate procedure to eliminate any residual veins to achieve the best cosmetic outcome with the least discomfort.
Please go to varicose veins – FAQ for answers to a host of questions related to endovenous thermal ablation.
VENEFIT (VNUS) PROCEDURE AT NU VELA
Perforator veins connect the superficial and deep vein systems of the legs. When these veins become incompetent, abnormal blood flow can contribute to venous insufficiency, recurrent varicose veins, and more advanced complications.
Using duplex ultrasound guidance, Dr. Dishakjian can treat suitable refluxing perforator veins with the VNUS ClosureRFS™ Stylet, which delivers controlled radiofrequency energy to close the affected vein. Treatment may be performed alone or alongside Venefit™ to address multiple sources of venous reflux.
“I chose Dr Dishakjian to remove my spider veins because of his knowledge and understanding of the complexity of the veins, arteries and capillaries. My legs look absolutely amazing after spider vein removal because of Dr Dishakjian’s artistic approach. In addition, I am pleased to mention the absence of any scarring. I have the confidence now to wear my shorts, skirts and dresses. It is a wonderful feeling. I know how blessed and fortunate I am to have found Dr Dishakjian and his great staff. Again, thank you.
Thank you,”
by Anna L.
Instructions for preparing yourself for Venefit™ Targeted Endovenous Therapy of varicose veins and aftercare are essentially the same as those recommended for Endovenous Laser Treatment (EVLT). Please click EVLT & Venefit FAQ for answers to questions you may have about these procedures, or go to varicose veins- FAQ to find answers related to varicose veins and their treatment.
VNUS CLOSURE STYLET TREATING PERFORATOR VEINS
Los Angeles patients prefer Dr. Raffi Dishakjian for Venefit™ because he brings together advanced vein expertise and a highly personal approach to care. As a board-certified physician, phlebologist, and cosmetic surgeon, Dr. Dishakjian understands both the medical and aesthetic sides of varicose vein treatment. He evaluates the underlying source of venous reflux while also considering the final appearance of the legs, helping patients achieve results that feel both healthier and more natural.
At Nu Vela Laser and Vein Center, Venefit™ treatments are never passed off to a technician or sales-driven provider. Dr. Dishakjian personally performs the diagnostic evaluation, ultrasound mapping, treatment planning, and procedure itself, giving patients direct access to a physician’s expertise at every step. For patients seeking varicose vein treatment in Los Angeles, this doctor-led model offers a level of precision, safety, and individualized attention that sets Nu Vela apart.
Dr. Dishakjian founded Nu Vela Laser and Vein Center in 2005 with the goal of bringing advanced, minimally invasive vein treatments to patients throughout Los Angeles and the San Fernando Valley. A graduate of the American University of Beirut, MD, he combines decades of medical experience with specialized expertise in venous disease. Over the years, he has treated thousands of patients and remained committed to adopting proven innovations that improve patient outcomes, making him a trusted choice for individuals seeking comprehensive varicose vein care.
Among minimally invasive varicose vein treatment procedures, the Venefit™ procedure has one of the broadest and most complete insurance coverage available. Eligibility of reimbursement is based on established medical necessity as defined by the presence of symptomatic venous reflux non-responsive to conservative treatment methods. Moreover, at our vein center, three-quarters of what you pay for the diagnostic Ultrasound test is reimbursed as payment for varicose vein treatment. At Nu Vela Laser and Vein Center we do offer financing options through CareCredit to help make the payment process more manageable for our patients.
During your consultation with Dr. Dishakjian, he can answer any questions you have about the cost of Venefit in Los Angeles and let you know about the payment options and financing options we offer.
If you are looking for a safe and effective way to treat your varicose veins, contact Nu Vela Laser and Vein Center today to schedule a consultation for your Venefit treatment in Los Angeles. Dr. Raffi Dishakjian is a dedicated varicose vein doctor who specializes in non-surgical minimally invasive vein treatments. he can provide you with the expert medical care you are in need of.
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