Ambulatory phlebectomy is a minimally invasive surgical technique performed under local anesthesia at New York University Hospital or Dr. Kabnick’s offices in NYU Vein Center. This process involves removal of veins through tiny incisions. Incisions are so small that stitches are generally not necessary, and leave nearly invisible scars. Generally, ambulatory phlebectomy is the preferred treatment for varicose veins.

The VenaCure EVLT procedure is a minimally invasive office-based treatment alternative to VNUS Closure™, and surgical stripping of the great saphenous vein. Unlike the VNUS® Closure procedure, a small laser fiber is utilized to close the vein. Once the fiber is positioned correctly and the area around the area is anesthetized, the laser treatment begins. The laser energy heats and seals the vein closed.

Based on your consultation with Dr. Kabnick, you’ll choose the treatment that best suits your specific condition and desired outcome. Patients will find optimal aesthetic results if they also have simple sclerotherapy injections to treat their surface or spider veins. Sclerotherapy is also another method, along with surgery, radiofrequency and laser ablation, for treatment of varicose veins and venous malformations.

Veinwave uses thermocoagulation to heat and close vessels, safely and effectively treating spider veins and telangiectasia (fine thread veins) anywhere on the body. The procedure is a way to treat very tiny veins that cannot be treated with sclerotherapy or surface lasers (surface lasers differ from endovenous lasers). Veinwave can also be used to treat veins in difficult-to-treat locations, including the face, ankles, and knees, common areas for unattractive spider veins.

Varithena® is an FDA-approved, prescription medicine for varicose veins. It’s used to treat problems in the great saphenous vein (GSV) system of the leg, including twisted (torturous) veins, veins with a range of diameters, and veins that have unsuccessfully been treated with other methods. Varithena® consists of an injectable foam that effectively treats the most common symptoms of varicose veins, including aching, heaviness, throbbing, swelling, and itching.

The VenaSeal® Sapheon Closure System eliminates superficial varicose veins that cause these symptoms. A trained vein care professional inserts a catheter directly into the diseased vein and injects the adhesive, which is a clear gel that polymerizes into a solid substance. There is no need for sclerosants, lasers, radio frequency waves, skin cutting or “vein stripping.” This allows patients to return to their usual activities quickly, with less bruising, and with a reduced risk of nerve injury.

Radiofrequency ablation is a minimally invasive procedure used in the treatment of varicose veins. It is an alternative to the traditional stripping operation. Under ultrasound guidance, a radiofrequency catheter is inserted into the abnormal vein and the vessel treated with radio-energy, causing the vein to close. Radiofrequency ablation is used to treat the great saphenous vein, the small saphenous vein, and perforator veins.