Varicose Veins Surgery by the Best Vein Specialists Serving Milford, New Haven, Bridgeport, Stamford and All Of Southern Connecticut
Varicose veins surgery in New Haven County, performed by our expert vein specialists will remove your varicose veins and treat the underlying vascular disorder which causes varicose veins to form.
Although many people see varicose veins as a cosmetic issue, varicose veins on the legs usually form due to venous insufficiency within the deeper veins.
Left untreated, venous insufficiency and varicose veins can lead to the formation of blood clots, and can cause debilitating symptoms such as leg heaviness, swelling and pain.
If a blood clot forms inside your varicose veins, it can break loose, travel to the lungs and cause a potentially deadly pulmonary embolism.
LEFT UNTREATED VARICOSE
VEINS CAN LEAD TO A DEADLY PULMONARY EMBOLISM
So, if you have developed varicose veins on your legs, it is recommended to have a vein consultation to help determine if your varicose veins are due to venous insufficiency.
If you do have venous insufficiency, treatment is very important to prevent your varicose veins from worsening, and to prevent potentially deadly blood clots from forming.
Board Certified Vascular Surgeon Dr. Esposito Explains Varicose Veins
“A lot of people look at varicose veins, and they think that they’re a cosmetic problem, and sometimes they are.
But most of the time, varicose veins are a sign of something more serious that’s going on underneath the surface. And that something going on underneath the surface is what we call venous insufficiency.
Varicose veins can cause pain, swelling, itching, tenderness. Can lead to phlebitis or thrombophlebitis and blood clots. So my recommendation is that if you have varicose veins, it’s very important to have them checked by a vascular specialist.”
~ Dr. David Esposito
Board Certified Vascular Surgeon
“If you come to Milford Vascular Institute with varicose veins, the first thing we’ll do is perform a dedicated vascular ultrasound exam to determine if you have venous insufficiency.
If you do have venous insufficiency, we have various techniques where we can use lasers or microwave energy. We can do injections, we can remove veins, and it’s all done in the office.
It’s all done under local anesthesia with almost no recovery, minimal time down, very little risk, very little discomfort.”
~ Dr. David Esposito
Board Certified Vascular Surgeon
Varicose Vein Removal Patient Testimonials
Our Patients Share Their Stories About Varicose Vein Treatment
How Did I Develop Varicose Veins?
DAMAGED VEIN VALVES
DEEP IN THE LEGS CAUSE VARICOSE VEINS
The veins in our legs have valves that open and close to allow blood to flow upwards, back up to the heart. These valves help keep the blood flowing upwards against gravity.
When these valves become damaged due to age, genetics, pregnancy and other factors, blood starts to leak downwards, a condition known as venous insufficiency. Over time, the blood starts to accumulate in the lower leg causing increased pressure inside the veins of the lower legs.
This added pressure weakens the vein walls and makes the veins enlarge. Eventually, these enlarged veins can start to become visible on the surface of the legs. And that’s when we notice varicose veins developing.
Without the proper varicose veins surgery, your varicose veins will only continue to become larger and more noticeable. In addition, smaller spider veins can start to appear.
VARICOSE VEINS ONLY GET WORSE WITH TIME
Are Varicose Veins Dangerous?
If you notice varicose veins on your legs, it is important to be checked by a vascular specialist as soon as possible to determine if you have venous insufficiency.
If left untreated, venous insufficiency can cause:
- debilitating leg pain
- leg swelling (edema)
- itching around the varicose veins
- a feeling of heaviness in the legs
- tenderness
- leg ulcers
- deadly blood clots
Because the blood accumulates in the lower leg, blood clots can form, travel up to the lungs and cause a potentially deadly pulmonary embolism.
BLOOD CLOTS CAN FORM INSIDE VARICOSE VEINS
Providing The Most Advanced
Varicose Veins Surgery Available Anywhere
Here at Milford Vascular Institute, our top-rated vascular specialists serving New Haven, Bridgeport, Stamford and all of Southern Connecticut, use the most advanced minimally-invasive vein treatment techniques available anywhere in the world to treat your varicose veins and the underlying venous insufficiency.
BOARD CERTIFIED VASCULAR AND INTERVENTIONAL RADIOLOGIST DR. DAVIS PERFORMING VARICOSE VEINS SURGERY
The deeper veins that are causing venous insufficiency must first be treated, since they are the reason your varicose veins have developed. Our vascular specialists perform low-risk procedures right in our office. They are performed under local anesthesia, and they include:
- radiofrequency ablation
- Varithena® microfoam injection
- VenaSeal™ vein closure procedure
- laser vein ablation
After the deeper malfunctioning veins have been closed using the above procedures, the underlying problem has been treated. However, some large varicose veins may remain and will need to be physically removed using the ambulatory phlebectomy procedure.
Varicose veins surgery is performed through a small puncture in the leg so it does not require any sutures or staples, and only the diseased veins are closed. Healthy blood flow is restored through your other well-functioning veins.
These procedures allow for quick recovery time and leave minimal to no scarring in the treatment area.
Radiofrequency Ablation Vein Treatment
BOARD CERTIFIED VASCULAR SURGEON DR. ESPOSITO
PERFORMING RADIOFREQUENCY ABLATION PROCEDURE
Varicose veins surgery using radiofrequency (RF) ablation allows our vein specialists to use microwave energy to close the malfunctioning veins. RF ablation is the varicose veins surgery that is most commonly used here at Milford Vascular Institute. It is a low-risk outpatient procedure that takes less than an hour to complete.
Here is what you can expect during RF ablation:
1. In preparation for your procedure, your leg will be cleansed and prepped with Betadine solution. Lidocaine will be used as a local anesthetic. You will be fully awake and aware during your procedure. You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort. Although most patients report little to no pain during this procedure.
2. Using ultrasound, your malfunctioning vein is identified and punctured with a small needle.
3. Through this puncture, the RF catheter is inserted into the vein and advanced under ultrasound guidance to the malfunctioning valve that is causing venous insufficiency and varicose veins.
4. The vein is anesthetized with a lidocaine and saline solution.
5. The catheter is then heated and cauterizes the vein from the valve to the mid-thigh or knee.
RADIOFREQUENCY ABLATION CLOSES THE MALFUNCTIONING VEIN
6. The catheter is then removed and a compression stocking is placed for 10-14 days to allow the vein to completely close. You will require no stitching or staples at the puncture, and you can expect little to no scarring in the treatment area.
7. Immediately following the procedure, you will be able to get up and walk normally. You may experience tingling or pulling where the vein was closed down. It is normal to see some bruising in the treatment area. Elevate your leg when you are in a seated position, and make sure to walk around every few hours.
8. Three days after your procedure, you can resume low impact exercise at the gym. Two weeks after your procedure you may fly or take long trips as long as you make sure you wear your compression hose and hydrate sufficiently.
9. Within 5-10 days after your procedure you will come back to the office for a follow-up ultrasound to confirm successful closure of the vein. In time, the body will absorb the vein and it will appear on ultrasound as if the vein has been removed. You do not need the removed vein, and in fact, your other veins will function more effectively without it.
Varicose Veins Surgery Using Varithena® Microfoam
VASCULAR SPECIALISTS PERFORMING
FOAM VEIN TREATMENT
Varithena® microfoam vein treatment is a minimally-invasive procedure where microfoam is injected directly into the diseased veins using a tiny needle. The foam fills the desired section of the vein, irritates the vein wall, causing the vein to collapse. Blood flow is redirected to healthier nearby veins.
VARITHENA® VEIN REMOVAL PROCESS
The benefits of using Varithena® to treat varicose veins are as follows:
Varicose veins surgery using Varithena® is provided on an outpatient basis and allows quick recovery time so there is practically no downtime.
If you are afraid of needles, you have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort. Although most patients report little to no pain during this procedure.
IS VARITHENA® VEIN TREATMENT RIGHT FOR YOU?
Factors that limit a person’s ability to be treated with Varithena® include the type of vein, the patient’s medical history, and the patient’s insurance plans.
Varithena® treats a wide variety of varicose veins. However, not all varicose veins can be treated with this product. The veins which make the best candidates for Varithena® treatment are:
Medicare and Medicare Replacement Plans cover Varithena®. Other insurance plans have varying protocols for coverage of this product. Our insurance coordinators will always check before your procedure to see the procedure will be authorized by your insurance.
Please Note: You should not receive Varithena® if you have an allergy to polidocanol or if you have a history of blood clots.
WHAT TO EXPECT FOLLOWING VARITHENA® VARICOSE VEINS SURGERY
Following the Varithena® vein removal procedure, you must avoid heavy exercise for one week, and you must wear thigh high compression hose for 2 weeks.
It is normal to feel mild pain or discomfort for 2-3 days following the procedure. You may have slight bruising at the injection site.
For 72 hours following the procedure, you will be advised not to take a hot bath, sit in a hot tub or sit in a sauna.
Within 5-10 days after your Varithena® procedure, you will be scheduled to return to Milford Vascular Institute for a vascular ultrasound in order to check the results.
You should walk for at least 10 minutes a day for a month after the procedure. Avoid long periods of inactivity.
Compression Hose Must Be Worn For 2 Weeks
VenaSeal™ Vein Closure Procedure
DR. ESPOSITO USING THE
VENASEAL™ VEIN CLOSURE PROCEDURE
The VenaSeal™ is the only venous closure procedure that does not require injections to numb the entire leg, does not use heat to close the vein, and does not use a sclerosing solution. During this procedure, a medical “super glue” is delivered inside the vein to close it.
Here is what you can expect during the VenaSeal™ vein closure procedure:
1. In preparation for your procedure, your leg will be cleansed and prepped with Betadine solution. Lidocaine will be used as a local anesthetic. You will be fully awake and aware during your procedure. You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort. Although most patients report little to no pain during this procedure.
2. Using ultrasound, your malfunctioning vein is identified and punctured with a small needle.
3. Through this puncture, a catheter is inserted into the vein and advanced under ultrasound guidance to the malfunctioning valve that is causing venous insufficiency and varicose veins.
4. The glue is then applied in multiple steps from the valve down to the mid-thigh or knee. Gentle compression is done to allow the glue to adhere to the walls of the vein.
5. This completely seals the vein, closing off blood flow and instead diverting blood to a different series of healthy veins.
6. The incision will be dressed with sterile gauze. You will then walk out of the room, get dressed, and go home.
7. A massive advantage of this technique is that after the procedure, a compression stocking does NOT need to be worn.
8. Following the procedure, you can return to your normal routine right away with no downtime. Patients typically begin to see and feel results immediately, but some veins do take up to a year to disappear completely.
9. Within 5-10 days after your procedure you will come back to the office for a follow-up ultrasound to check the results.
WHO CAN HAVE THE VENASEAL™ VEIN CLOSURE PROCEDURE?
The VenaSeal™ Closure System is covered by Medicaid, Cigna, Connecticare, Medicare, and Medicare Replacement plans. The only contraindication for VenaSeal™ is an adhesive allergy.
Laser Vein Removal
Laser vein removal, also known as EVLT (endovenous laser ablation) allows our vein specialists to use the heat from a laser to close the malfunctioning veins.
Here is what you can expect during laser vein ablation:
1. In preparation for your procedure, your leg will be cleansed and prepped with Betadine solution. Lidocaine will be used as a local anesthetic. You will be fully awake and aware during your procedure. You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort. Although most patients report little to no pain during this procedure.
2. Using ultrasound, your malfunctioning vein is identified and punctured with a small needle.
3. Through this puncture, the laser is inserted into the vein. It is advanced under ultrasound guidance to the malfunctioning valve that is causing venous insufficiency and varicose veins.
4. The vein is anesthetized with a lidocaine and saline solution.
5. The laser is activated and cauterizes the vein from the valve to the mid-thigh or knee.
LASER ABLATION CLOSES THE MALFUNCTIONING VEIN
6. The catheter is then removed and a compression stocking is placed for 10-14 days to allow the vein to completely close. You will require no stitching or staples at the puncture, and you can expect little to no scarring in the treatment area.
7. Immediately following the procedure, you will be able to get up and walk normally. You may experience tingling or pulling where the vein was closed down. It is normal to see some bruising in the treatment area. Elevate your leg when you are in a seated position, and make sure to walk around every few hours.
8. Three days after your procedure, you can resume low impact exercise at the gym. Two weeks after your procedure you may fly or take long trips as long as you make sure you wear your compression hose and hydrate sufficiently.
9. Within 5-10 days after your procedure you will come back to the office for a follow-up ultrasound to confirm successful closure of the vein. In time, the body will absorb the vein and it will appear on ultrasound as if the vein has been removed. You do not need the removed vein, and in fact, your other veins will function more effectively without it.
Ambulatory Phlebectomy To Remove Varicose Veins
BOARD CERTIFIED VASCULAR SURGEON DR. ESPOSITO PERFORMING AMBULATORY PHLEBECTOMY TO REMOVE VARICOSE VEINS
Once the venous ablation procedure has been performed, the underlying problem has been treated. However, some large varicose veins may remain.
If these leftover veins are not addressed, you may continue to experience pain and discomfort. These unsightly veins may become inflamed and clotted. Therefore, it is best that these varicose veins are physically removed from your leg.
This procedure is called ambulatory phlebectomy, and here is what you can expect during the procedure:
1. In preparation for your procedure, our vascular specialist will use a marker to outline where the veins are that need to be removed. You will be fully awake and aware during your procedure. You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort. Although most patients report little to no pain during this procedure.
2. You will then be asked to lie down. Your legs will be washed and painted with a solution to prevent infection.
3. You will feel a number of small pinches when the local anesthetic is injected around the vein.
4. Tiny incisions will be made where the veins were marked. The vascular specialist will grab the veins with a hook, and gently tease them out. You may feel a pulling sensation while this is happening. After each vein is removed, gentle pressure will be applied to stop any bleeding.
PHYSICAL REMOVAL OF REMAINING VARICOSE VEINS
5. After all the veins are removed, the leg will be cleaned and sterile gauze will be placed over the incisions. The tiny incisions will heal without stitches.
6. Your leg will be wrapped with gauze and an Ace bandage. Leave the Ace bandage on overnight. Remove on the following day to shower. Then, place compression stocking and wear from morning to night for 14 days. When you remove the bandage you may see bleeding from the sites. This is common and not dangerous. Simply hold direct pressure for 5 minutes then place gauze underneath the stocking directly over the area.
7. As you heal, you may notice lumps and bumps under your skin. This is part of the healing process. With time,
they will be absorbed by your body and disappear. Mild pain and discomfort are normal after the procedure.
Do Procedures Give You Anxiety?
THE PRO-NOX™ SYSTEM WILL HELP YOU RELAX
Although varicose vein procedures are minimally-invasive, and most patients feel very little, if any discomfort, procedures can make some people feel anxiety.
To reduce any anxiety or discomfort you may have during varicose veins surgery, at Milford Vascular Institute, we have made the PRO-NOX™ system available to any patients who request to use it.
The PRO-NOX™ system is a self-administered nitrous oxide and oxygen analgesia system. It allows you to control how much anxiety or pain relief you receive by inhaling the gas through a tube you place in your mouth. You will immediately feel relaxed once you start inhaling the gas mixture. The gas mixture clears from your body within minutes, so you will be alert and able to function safely after the procedure.
Is Varicose Vein Removal Covered By Insurance?
Since you are treating the underlying vascular issue that causes varicose veins, your treatment is most likely covered by your medical insurance plan.
However, it is important to note that all medical insurance plans are unique, and we will help determine if your treatment is covered.
Our wonderful team of insurance coordinators and schedulers are here to help you by coordinating with your medical insurance provider to facilitate the process of having vein treatment. At Milford Vascular Institute, it is our top priority to help make the process as convenient and comfortable for you as possible.
OUR OUTSTANDING TEAM OF COORDINATORS IS HERE TO HELP YOU
Why Choose
When you choose Milford Vascular Institute for vein treatment you can rest assured that you are getting the very best possible vascular care available in all of New Haven County. Our vein specialists are highly skilled in providing the most advanced, minimally-invasive vein treatments available anywhere.
At MVI, vein treatments are provided under the direction of board certified vascular surgeon Dr. David Esposito and Dr. Paul Davis, who is board certified in diagnostic radiology, and vascular and interventional radiology.
Dr. Esposito and Dr. Davis are top-rated experts in vein treatments. They are always at the forefront of technology in the vascular surgery field to ensure they are providing the best, cutting-edge vein treatments to their community.
Board certified Physician Assistant, Karin Augur and board certified Adult Nurse Practitioner, Thomas Rank specialize in diagnosing and treating vein disease, helping to restore healthy blood flow through your legs so they can look and feel their best. They are vascular specialists who see patients for all vascular disorders as well.
With over 70 years of combined experience in diagnosing, preventing and treating vascular diseases, our outstanding group of highly trained and skilled providers have dedicated their lives to caring for you.
With over 20 years in practice, at Milford Vascular Institute, our staff is committed to excellent patient care, always treating our patients with respect and compassion because WE CARE.
Our MVI Team ~ Always Treating You Like Family
If you’ve started to notice varicose veins developing on your legs, it is important to have an evaluation with a vascular specialist, because varicose veins are an indication of a deeper vascular problem called venous insufficiency.
Through a simple in-office ultrasound, we can determine if your varicose veins are due to venous insufficiency. If they are, we can treat you accordingly, using the most advanced vein treatment methods available anywhere.
Treatments are performed right in our offices using minimally-invasive techniques so you can enjoy no downtime and quick recovery.
To schedule a vein consultation with one of our top-rated vascular specialists here at Milford Vascular Institute, give us a call today at (203) 418-7386. It will be our pleasure to care for you.