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FEATURED DOCTOR
Dr. Michael LearyDr. Leary is a board certified for Emergency Medicine. He has had a successful career in a level 1 trauma center. Dr. Leary has been recognized as a leading Orange County vein specialists and is board certified on the American Board of Phlebology and the American Board of Emergency Medicine.
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VEIN TOPIC
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Endovenous Laser Treatment
Varicose veins are commonly found in both women and men and can be very painful and unsightly.
In order for a vein doctor to determine the cause of varicose veins, the doctor will use a non-invasive ultrasound, which will help assist the doctor in evaluating the veins that are not visible on the surface of the skin, and help decide the best treatment plan for a patient with varicose veins. Varicose veins are commonly caused by the incompetent valves of the saphenous vein that can lead to venous hypertension, dilatation, chronic venous stasis and then finally chronic inflammation.
Veins depend on one-way valves that keep blood moving in an upward motion. Without the correct blood flow, the blood reverses its flow and causes the valves to close improperly. When a valve fails to close correctly, it can cause a vein to swell and become painful, and bulging varicose veins result. Increased pressure to the vein can cause a person’s legs or ankles to swell and to have severe pain and aching. Skin changes, and ulceration are a result of the chronic inflammation. Phlebitis can also occur when suffering from varicose veins. The risk of a deep vein thrombosis is also increased in patients with chronic venous insufficiency.
To help the severity of the symptoms graded compression stockings are highly recommended. Compression stockings help the fluid out of the legs and help it flow to the heart. Staying active and minimizing the amount of time a person sits or stands is also very helpful. Compression stockings also reduce the risk of DVT.
Treatments for varicose veins have come a long way over the years. Instead of vein stripping, many doctors use an endovenous laser treatment that is virtually painless. With using this exciting new technology, patients are able to receive their treatment in a comfortable office atmosphere, instead of visiting a hospital. Patients receive a local anesthetic that is administered around the vein.
During the procedure, heat energy, from a laser or radio frequency is released to eliminate the improper flow in the affected vein, which is called Endovenous Ablation of the saphenous vein. Endovenous laser procedure allows for a virtually painless correction of chronic venous disease. Now the phlebology specialist can treat serious venous disease in the office setting, all patients are awake without the need for general anesthesia. Laser energy painlessly eliminates the abnormal flow in the vein without incisions, without scaring and with no down time. A compression stocking is worn after the procedure for five days. The patient is encouraged to walk and even exercise immediately after the procedure. Most of our patients miss no work. Normal daily activities can be resumed immediately.
These procedures are extremely safe and effective procedures. There are risks, as no procedure is risk-free. Severe complications are extremely rare and unlikely. Endovenous procedures are minimally invasive and much less chance of thrombosis when compared to older methods such as vein stripping. Endovenous ablation allow for safer, less expensive and superior cosmetic results.
Patients considering treatments should consult with a highly trained phlebologist who is familiar with all aspects of vein disease. Board certification in Phlebology is preferred. Phlebology is the specialty of venous disease.
At California Vein Specialists, Dr. Michael Leary is board certified in phlebology and is a National Training Physician, training other Doctors from all over the US.
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Vein, Vein, Go Away!
New advances in laser technology have brought about remarkable changes in the treatment of painful and unsightly varicose veins. Unlike the painful surgical stripping methods, new treatments for varicose veins are essentially painless. The minimally invasive techniques significantly reduce recovery time and post treatment scarring. The Endovenous laser procedure has proven to be the most effective treatment for varicose veins.
"Now endovenous laser offers my patients a more effective treatment. The treatment is done here in the office. It takes less than an hour, and there's no general anesthesia. They can drive themselves to the office and drive themselves home."
At California Vein Specialists, Dr. Leary combines medical and cosmetic venous procedures, providing patients with the total treatment package. "While some practitioners concentrate on venous disease, they don't follow through with the cosmetic element to help the patient's leg look normal again. We do everything from improving the disease to completing the treatment by eliminating spider veins and treating other physical issues," says Dr. Leary.
Dr. Leary is happy to announce the availability of the new Biolitec 1470 ELves. "I have experience with all the various lasers for performing the Endovenous Ablation of Varicose Veins, including radio frequency, The 810 DIODE Laser and the 940. Biolitec's new 1470 is truly gentle compared to all the other technology. My patients have very little, if any, post-op pain, and also very little bruising. The new laser is fast, extremely effective, and incredibly gentle. I feel this is the best technology on the market for treating venous disease."- Dr. Leary
California Vein Specialist was the first office in Orange County to offer the new exciting technology.
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AFTER TREATMENT
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*Individual results may vary.
"I am so pleased with how my legs look and feel! Over the past 20 years, I have had various types of treatments in several cities for my varicose veins, and Dr. Leary is the best. Never have I seen such noticeable improvement in such little time. Dr. Leary and your entire staff are caring and professional. You were recommended to me, and now I see why. I will definitely be recommending you to others!"
Pat B.
Dear Dr. Leary and Staff,
Happy New Year! I had EVLT last January 29 on my left leg. I have been more active this past year, attending "boot camps" and walking/running a lot. I have no more lumps, and the purple discoloration is miniscule!
YAY!!! As soon as I have time, I am coming in for spider vein treatment on my face and right leg.
Thank you, and the best to you all in 2009!
With Regard,
Christina Winegar
Hello,
Thank you again,
I guess that I don't know where to start without boring you, so I'll be as brief as possible. I think of all the years that I have worn long skirts or pants; of going to the beach and not taking my sarong off to hide my legs. I have envied women wearing short skirts and not wearing black stockings to hide their legs as I often did. And I have been doing all of the above, since I was 23 years old.
When I heard your commercial on Air America Radio, I was curious, and looked California Vein Specialists on-line. I read Dr. Michael Leary's bio, was most impressed, and made an appointment for my consultation.
Your staff immediately made me feels welcome. Dr. Leary gave me an ultra sound exam on my legs, explained what procedures would be done, and made me feel very much at ease.
The following procedures over the past few months have proved so successful, that my family and friends are amazed! My husband and children had never seen me without veins and are thrilled to see me wearing shorts and dresses that I would never have worn before.
I will never be able to thank you enough, for what you've done for me. I promise to "spread the Gospel" and become a missionary for California Vein Specialists. Maybe I can help other people to realize their dream as well, of VEIN - FREE LEGS!!!!!!!!!!!
Barbara de Leon
I have to tell you again that I'm absolutely thrilled with the work that Dr. Leary has done - I've had 4-5 sclerotherapy appointments with him and it's been terrific. The difference is amazing - I'm definitely ready for summer! When I was in this morning I told him that I wish I'd done this ages ago. He is phenomenal and his work is wonderful. The entire team is so warm, friendly and accommodating - I've already told friends and am encouraging them to call you so I hope they do! I'll see you on the 27th!
Want to learn more? Contact us now at: 949-515-9377
EVLT stands for endovenous laser treatment. It is an effective method for getting rid of varicose veins, a condition caused when vein valves do not close correctly, thereby allowing blood to pool in the affected area. Veins begin to bulge as blood pushes against the vein walls. The result is painful, causing legs to ache and swell. In worse case scenarios, varicose veins can lead to unnecessary bleeding and eczema or ulceration.
Choosing EVLT
1. EVLT deals with the source of varicose veins without an invasive surgical procedure like ambulatory phlebectomy, ligation and stripping or sclerotherapy. It uses a fiber laser energy probe, guided by ultrasound, to deliver impulses to the affected area. It is highly effective, working 98 percent of the time.
Non-Eligibility for EVLT
2. Patients with heart disease or blood disorders may not be eligible for this procedure. Pregnant women are not immediate candidates either since, in many cases, temporary varicose veins disappear after pregnancy.
Before EVLT Begins
3. A physician evaluation, including a medical history, physical exam and ultrasound are required before EVLT. Additionally, most physicians want to approve post surgical compression hosiery at that time. Just before the procedure, patients are asked to shower with antibacterial soap.
What to Expect
4. EVLT is done out patient and takes less than thirty minutes The patient can usually drive themselves to the office and drive home. Only a local anesthetic is given before EVLT begins. Patients are also offered a pair of protective glasses to wear. Then, a small catheter is threaded into the vein entering usually from below the knee. The laser fiber is gently advanced through the catheter and, once in place, uses its energy to seal off the vein. Then the laser fiber is removed, the wound dressed, and compression hosiery applied. The procedure is very gentle, the only discomfort felt are a few pinches during local anesthetic administration. Our newer lasers are very gentle and patients experience very little or no pain after the procedure.
After EVLT
5. After the procedure, the patient must walk on a treadmill for roughly 15 minutes. Activity is encouraged following the procedure. Patients cannot remove compression hosiery for five days and are allowed to bath with the Compression hosiery left on. Restrictions may be imposed, such as heavy lifting over the head and from jogging. Patients are allowed to use a tread mill, and yoga and Pilates are ok. Painkillers like ibuprofen or acetaminophen may be taken as needed, but usually are not needed. Sometimes mild stiffness and soreness are felt but usually should disappear within two weeks.
A second ultrasound may be performed at two weeks after EVLT and additional physician follow-up appointments will be made. Sclerotherapy if needed is usually started with in two weeks. Most of our patients are advised to come in for yearly ultrasound evaluations.
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Laser Spider Veins








