Varicose Vein Center

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The Varicose Vein Center provides the following services. The tiniest capillary spider veins to the largest varicose veins can be effectively and safely treated. Treatment decisions are based on a patients history, physical examination and, in many cases, a duplex ultrasound examination. Dr. Ninia has lectured and given physician training sessions on each of these topics through his participation as a member of the Board of Directors of the American College of Phlebology and as a Faculty Member of the National Procedures Institute.

  • Injection-Compression Sclerotherapy
  • Foam Sclerotherapy
  • Ultrasound-Guided Sclerotherapy
  • Ultrasound Examination and Consultation
  • Ambulatory Phlebectomy
  • Endolaser Vein Therapy
  • VenaSeal™ Vein Closure

Injection-Compression Sclerotherapy

Injection-Compression Sclerotherapy is a highly effective method of Long Island varicose vein removal that is offered at the Long Island Varicose Vein Center. This method is a very popular one for those seeking to remove their smaller varicose veins and spider veins. Injection-Compression Sclerotherapy involves injecting a small amount of solution directly into the varicose vein. This solution will cause the vein to scar and force blood to redirect itself through the patient’s healthier veins. This process causes the vein to collapse and ultimately disappear.

Injection-Compression Sclerotherapy is popular because it is minimally invasive, allowing the patient to get the procedure done rather quickly and with minimal recovery time. The majority of patients who undergo Injection-Compression Sclerotherapy are able to resume regular activities immediately, although it is recommended that aerobic activity be suspended for several days. The saline solution used in Injection-Compression Sclerotherapy is also helpful because there are little to no side effects due to its use.

Many patients prefer this method of Long Island varicose vein removal and varicose vein treatment because it tends to be a quick, affordable, and non painful procedure. Some people may not be good candidates for Injection-Compression Sclerotherapy. These include women who are pregnant or are on birth control medication. For more information on the Injection-Compression Sclerotherapy procedure, please contact the Long Island Varicose Vein Center today.


Foam Sclerotherapy

One of the newer methods of Long Island varicose vein removal practiced at the Long Island Varicose Vein Center is that of foam sclerotherapy. The foam sclerotherapy procedure involves the injection of a foam sclerosant into a blood vessel, thereby closing it. The solution that is used is known as polidocanol or sodium tetradecyl sulfate, and has the consistency of shaving cream. The solution is helpful because it can be tracked easily and is highly visible in ultrasound detections. The foam is also less diluted than the saline injections used in other varicose vein removal procedures. This allows the solution to easily come into contact with the varicose vein wall. This is helpful in tracking down the patient’s problematic vein. After the foam solution is injected, the patient’s blood will redirect itself through healthy veins, causing the problematic vein to shrink up and visibly disappear. This will also help  establish a more normal flow of blood for the varicose vein treatment patient.

This procedure is generally a quick one that can take place right in the office of the Long Island Varicose Vein Center. Many patients wonder what to expect during their foam sclerotherapy procedure. Upon coming into the office, you will be greeted by one of our team members who will explain the procedure. We will outline what will happen, and go over all of the benefits and risks. First, when you come to the office, be sure to bring a pair of shorts and your compression stockings. We will explain the procedure, describe the benefits and risks, and then escort you back to have the procedure performed. The foam sclerotherapy procedure requires the use of thin needles which may be only mildly uncomfortable. After the procedure is performed, the patient may feel a little itch or burning sensation which will only last for several minutes. Each session lasts no more than forty minutes, however more than one procedure is usually required. 

Many varicose vein removal patients prefer to go the foam sclerotherapy route because it is a relatively minor procedure that allows them to look and feel better. If you are interested in learning more about foam sclerotherapy, please contact the Long Island Varicose Vein Center today!

Endovenous Foam Treatment

Ultrasound Guided Sclerotherapy

Sometimes varicose veins are actually hidden beneath the skin of a patient. When this happens  use of an ultrasound is very important. Ultrasound Guided Sclerotherapy is a very specific procedure that is used to treat and remove a patient’s advanced varicose veins. It is a very effective procedure that involves the injection of a sclerosant solution into the patient’s abnormal veins. This is done with the guidance of the ultrasound machine. After the solution is injected, the patient’s vein wall will collapse. This causes the varicose vein to disappear altogether

Prior to the patient’s ultrasound guided sclerotherapy procedure, the team at the Long Island Varicose Vein Center will have performed a detailed ultrasound examination and consultation. This is done to create a digital map of the patient’s lower leg veins. The ultrasound will display all of the patient’s veins that are abnormal in addition to deep veins and arteries. This will help the physician determine the cause of the patient’s visible varicose veins. After the exam, the patient will lie down and expose the leg containing the varicose veins. Then, the physician will guide the needle into the abnormal vein, all while being guided by the ultrasound.

Ultrasound Guided Sclerotherapy is an effective and minimally invasive method of performing Long Island varicose vein removal. The use of the ultrasound is useful because it allows the physician a close up look at the entire procedure. If you have any questions about Ultrasound Guided Sclerotherapy please call the Long Island Varicose Vein Center today.


Ultrasound Examination and Consultation

When patients are interested in vein treatment, or varicose vein removal, we need to perform a thorough and comprehensive examination. The most important tool we use is that of an ultrasound. Ultrasound machines work by generating a painless and inaudible sound wave into the body through an instrument that glides over the patient’s skin with gel. The team at the Long Island Varicose Vein Center uses ultrasounds in order to detect whether or not the patient’s veins have blood clots. Leg ultrasounds are generally performed with the patient lying down. This is vital because the blood flows differently if a patient is standing up. If the patient is in a standing position, gravity will pull the leg’s blood downward. With the patient in a lying down position,it also allows the physician to compress the vein at the same time during the examination. During this time, the doctor will also be looking at the ultrasound and verifying whether or not the patient has any blood clots.


The use of an ultrasound examination is very important in Long Island varicose vein removal and vein treatment. An ultrasound exam can guide the entire route of the doctor’s spider vein removal procedure. The image on the ultrasound will tell the doctor exactly where to to position an injection or anesthetic. The ultrasound is also helpful in guiding the needle into the varicose vein. 


After the ultrasound examination, the vein removal patient will be able to discuss vein treatment options with the doctor. The physician will suggest which form of varicose vein removal procedure is best for the patient. Afterward, you will be able to immediately schedule your vein removal procedure.

Varicose Vein Removal

Ambulatory Phlebectomy

Long Island Varicose Vein Removal

Ambulatory phlebectomy is an outpatient procedure developed by dermatologic surgeons that removes superficial veins through small, slit-like incisions in the skin.


What you should know about ambulatory phlebectomy for varicose veins

The procedure is performed under local anesthesia and patients should not feel any pain during treatment. The procedure involves four steps:


The veins to be treated are outlined or marked.

Local anesthesia is injected into the skin.

Bulging veins are surgically removed, segment by segment, through small incisions.

Graduated compression stockings are worn for a week or more after surgery.

Why choose ambulatory phlebectomy for varicose veins

Ambulatory phlebectomy is a good choice for treating both asymptomatic and symptomatic superficial veins from the skin. It is usually performed on larger veins that bulge above the surface of the skin and varicose veins. It also rarely is used on smaller veins.


Ambulatory phlebectomy may be combined with other therapies in the treatment of venous disease. The procedure is not recommended for patients unable to walk on their own or wear compression stockings.


Endolaser Vein Therapy

Endovenous Laser Ablation is a method of performing varicose vein removal and varicose vein treatment with the use of laser energy. This procedure is minimally invasive and is typically used in the removal of larger varicose veins. In this procedure, the physician also utilizes an ultrasound to close the main vein from inside the patient’s body. By using ultrasound visualization, the patient’s abnormal vein, as well as other important areas, are drawn onto their skin. This gives the physician a map that outlines their method during the procedure. Afterwards, the patient will have a topical numbing cream applied to their skin for one hour. This will make the injection of local anesthetic practically painless. 

After the local anesthesia has been administered, the patient will lie down on a sterile operating table. Next, the physician will use a small laser fiber and insert it directly into the varicose vein by using a catheter. Laser energy is then released throughout the course of the varicose vein. This process seals the varicose vein completely. Afterwards, the laser fiber is then removed and a small strip or stitch will close the incision that was made on the skin. Once the procedure is finished, the Long Island varicose vein removal patient will have their legs wrapped with elastic bandages for compression and healing purposes.

Many patients tend to use the Endovenous Laser Ablation method of varicose vein removal because it is easy and painless. However, it may be more time consuming than other procedures. If you have any questions about Endovenous Laser Ablation, please call the Long Island Varicose Vein Center today.

Varicose Vein Removal

VenaSeal™ Vein Closure

A newly popular method of Long Island varicose vein removal is the VenaSeal vein closure system. This is a non-thermal, non-sclerosant procedure that utilizes a specially formed adhesive to close the patient’s abnormal vein. VenaSeal vein closure is helpful in treating symptomatic venous reflux disease as well. This is often what causes the patient to develop varicose veins. 


The VenaSeal vein closure procedure involves the physician filling a syringe with a medical adhesive, which is then placed into a dispenser gun that is connected to a small catheter. The catheter is then attached to the abnormal vein while being monitored by the use of an ultrasound machine. The catheter will run along the varicose vein while the physician performs a series of trigger points to deliver the adhesive to the vein while the patient’s legs remain compressed. The adhesive that is used is a specially designed formula that is only intended for the treatment of lower leg vein anomalies. The VenaSeal closure system also uses the adhesive to close the vein by use of thermal energy. No anesthesia is required for this procedure and the patient may return to normal activities right away.


Many patients opt for the VenaSeal vein closure system because it does not require multiple injections or the use of any local anesthetic. This is popular for people who want to achieve Long Island varicose vein removal, and return to normal activities right away. Use of compression stocking may not even be required to be used after the procedure.

Varicose Vein Removal