Varicose Vein Treatment
Discover effective solutions for varicose veins with our vein clinic’s advanced, minimally invasive treatments designed to improve both comfort and appearance.
You’re in great hands with the professional services of Schulman Vein & Laser Center!
At Schulman Vein and Laser Center, varicose vein treatments are available for both medical relief and cosmetic enhancement of the legs. We offer a range of advanced, outpatient procedures from our vein specialists, including:
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Laser treatments (EVLT or vein ablation),
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Micro-surgery
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Injection therapy
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Standard vein sclerotherapy
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Foam sclerotherapy
Unlike many other vein clinics or vein treatment centers, every treatment is personally performed by one of the Schulman doctors—never by assistants, students, residents, or nurses—ensuring expert care for all patients. Schedule an appointment or consultation today by calling us or filling out our form! We have vein centers in Long Island – Commack (Suffolk County), Long Island – Manhasset (Nassau County), and Manhattan.
Our Procedures
Laser Treatment of Varicose Veins
Laser treatment for varicose veins, also known as EVLT or laser ablation, is a modern advancement that has replaced outdated vein-stripping and ligation surgery as a treatment plan. Used widely for about two decades, this minimally invasive procedure is performed in our office under local anesthesia just beside the veins being treated, thus keeping patients awake and comfortable. A thin laser fiber is inserted into the vein via a needle, guided by ultrasound, to close faulty veins and improve vascular blood flow and circulation.
The entire process takes about 30 minutes, and patients can walk and drive home immediately afterward. Each follow-up appointment includes a Doppler ultrasound to monitor progress, and patients have direct access to Doctor Schulman’s personal cell phone number for any questions or concerns they may have (truth be told, nobody ever calls!).
Varicose Vein Treatment by Injections
Injection therapy, known medically as sclerotherapy, is a highly effective treatment for enlarged varicose veins, as well as smaller spider veins. During this procedure, an FDA-APPROVED liquid solution or chemical agent is injected directly into the veins, causing them to close by irritating the vein walls. The injections are virtually painless, as we use the smallest needles available. After treatment, the injection sites are covered with a small cotton pad and secured with surgical tape. In some cases, soft cast-like wraps may be applied for added compression, which is easy to remove at home.
Unlike some varicose vein experts and vein clinics who use elastic support hoses, we at Schulman Vein and Laser Center avoid them for two reasons. Elastic wraps can expand, reducing the firm pressure needed to close the treated veins, and we don’t believe in adding unnecessary costs to a patient’s bill. Sclerotherapy is an outpatient procedure, requires no anesthesia, and has a long history of success in treating the diagnosis of varicose and spider veins worldwide. The medications we use are all FDA-APPROVED, safe, and do not interact with other medications.
Foam Sclerotherapy (Foam Injections) for Leg Veins
Foam sclerotherapy is an advanced technique used to treat varicose and spider veins. In this procedure, the same FDA-approved solutions from conventional sclerotherapy are mixed with air or carbon dioxide, creating a foam with a texture similar to shaving cream. This foam helps distribute the medication more evenly inside the varicose vein. The foam dissipates quickly, preventing it from affecting healthy veins. Like all vein injection therapies, the medication works locally and has no long-term negative effects.
Micro Surgery for Varicose Veins
Thankfully, outdated varicose vein stripping and ligation are no longer used as vein treatment options. In addition to laser treatments and injection therapy, micro-surgery—called ambulatory phlebectomy—is a modern treatment option. During this procedure, small incisions are made along the varicose veins, which are then carefully removed. The incisions are closed, and the entire procedure is done under local anesthesia, allowing recovery, minimal downtime, and for you to walk out of the office immediately afterward. As with all our treatments, the Schulman Vein and Laser Center team, or Dr. Schulman personally, will follow up with you the evening of your procedure. You’ll also receive Dr. Schulman’s personal cell phone number for any questions or concerns.
At Schulman Vein & Laser Center, we always expect patient satisfaction with our laser vein removal expertise, no matter the clinic location. As a specialist in nothing except varicose vein and spider vein treatments, we’re here to answer any further questions you may have.
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Click here to view some of our Varicose Veins before and after treatment photos
We Only Do Veins™
Frequently Asked Questions about Varicose Veins
What Are Varicose Veins?
Varicose veins are abnormally enlarged, protruding surface veins seen in the legs. These veins do not work correctly to help blood in the legs travel back up to the heart. The one-directional valves in them are not working properly, allowing gravity to force blood to accumulate in the legs. Varicose veins have an elevated pressure within them and can make you more likely to have other medical complications such as varicose ulcer which is a hole in the leg at the ankle, swelling (edema), chronic venous insufficiency, and infections. Additionally, varicose veins can cause blood clots (phlebitis).
What Causes Varicose Veins?
The causes of varicose veins are sometimes hard to completely figure out. Among the most common reasons for developing varicosities are a family history of veins, pregnancy, prior leg vein blood clots (also called phlebitis, or DVT- deep vein thrombosis), prolonged standing, obesity, aging, and increased abdominal straining.
Rare congenital conditions such as Klipple-Trenaunay syndrome and Parkes-Weber syndrome are also possible causes of varicose veins.
What are the Symptoms of Varicose and/or Spider Veins?
Varicose veins are identified by their large, bulging, twisted veins, usually on the legs, that may appear as tortuous or have darkened colors such as blue or purple. They can also be accompanied by symptoms like swelling, aching, burning, itching, cramping, leg heaviness, and skin changes. However, spider veins are smaller, web-like veins closer to the skin’s surface. They are often red or blue and typically appear on the legs or face. While spider veins are usually more of a cosmetic concern, they can occasionally cause discomfort such as aching or burning. Both conditions may cause discomfort and aesthetic issues, but varicose veins are more likely to lead to physical symptoms.
How Can I Prevent Varicose Veins?
Preventing varicose veins from forming is only minimally within your control. Many factors are uncontrollable facts of life, such as genetics, aging, a history of blood clots, and our standing upright (bipedal) lifestyle. The few possibly controllable factors are pregnancy and obesity. No medical study has ever shown that wearing compression/support hose or support stockings prevents varicose veins from forming or even slows their formation.
Does Insurance Cover Varicose Vein Treatment Costs?
Insurance coverage for leg vein treatments varies based on both your insurance plans and your veins. In many cases, we will contact your insurance company with letters, photos, phone calls, and faxes to see if they can help cover the costs. Often they want to review your venous Doppler imaging results from our certified venous ultrasound lab and your medical history. Treatment that is deemed to be cosmetic is rarely covered.
If you have no insurance, or they won’t provide coverage for vein treatment costs, we give patients a discount on the fees and assist with payment plans where possible. We will help our patients as much as possible in terms of coverage, but we ask patients to understand that the final decision is up to their insurances, not us.
Will I Be Seen Personally by One Of The Vein Doctors?
Absolutely. A history and physical examination with a focus on the leg veins will be done by either of the Schulman doctors, who are actually a father and son medical practice. A detailed explanation of all treatment options will be presented to you, and we encourage you to ask any questions you might have to Dr. Schulman. Experience the difference in our quality vein care – contact us today or visit one of our locations!
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