Varicose Veins

Project decription


Varicose veins are dilated veins, most often on the lower extremities that may be associated with pain, swelling and occasional bleeding. Pregnancy, weight gain, genetic predisposition, all contribute to varicose veins. Use of support hose is usually the first line of treatment. Surgery is considered when conservative measures have failed to provide relief. There are various techniques used and the treatment that best fits your needs and expectations can be further discussed with your surgeon during your consultation.

Treatment options include:

  • Sclerotherapy – veins are injected with a solution called a sclerosant
  • Radiofrequency ablation – radio waves, also called radiofrequency energy, are transmitted through the vein wall
  • Endovenous laser ablation – similar to radiofrequency ablation, except it uses laser energy rather than radiofrequency energy
  • Vein ligation and stripping


  • Treats pain and cramping associated with varicose veins
  • Increases self-esteem and self-confidence


Patients considering varicose vein treatment should be in good health and have realistic expectations. Patients who smoke, have high blood pressure that is not under control, have blood disorders or take blood thinners, such as Aspirin, Coumadin or Plavix, may experience higher risk of healing problems.


Most patients tolerate the procedure well and are able to go home the same day. Medications for pain and nausea to be taken by mouth are routinely prescribed with an occasional short course of antibiotics. Some bruising and swelling are expected but improve over several days. Using extra pillows while you sleep will help reduce swelling. Strenuous exercises and lifting heavy objects should be avoided for few weeks. Elastic dressings are used for few weeks to help reduce swelling and bruising.

All patients considering elective surgery should abstain from smoking, including secondhand smoke and avoid any nicotine containing products, both before and after surgery. Dr. Ziakas strongly advises all his patients to quit smoking for good. The sutures used in varicose vein surgery are absorbable and dissolve over time. All patients are advised to use a good quality sunscreen when outdoors (minimum SPF 30) to minimize the hazardous effects of sun radiation on the incisions and the rest of the skin. The majority of patients are able to return to their routine activities in few days.

Full List of Non-Surgical Procedures
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