Vein Care

Vein disease is complicated and stressful, and most of the time, accurate information about treatments and conditions is hard to come by. Our goal is to make you feel as comfortable as possible during your treatment process, which means you need as much information about your condition or treatment as possible.

At California Vein Specialists in Orange County, we offer nonsurgical treatments covering the full spectrum of venous disease. So to help you understand more, here are the treatments and conditions that our practice can help you with vein disease.

Endovenous Laser Ablation

Endovenous Laser Ablation (EVLA) is a minimally invasive, more desirable alternative for the treatment of painful, unsightly varicose veins.  With a 98% effective rate, varicose veins can be removed in the office and the procedure allows patients to return to normal activity immediately.

Hand Rejuvenation

Hand rejuvenation includes the removal of hand veins (see below) and the introduction of hyaluronic acid fillers to restore volume that has been lost from tissue degradation. When injected into the skin, fillers can add padding between the skin and the bony, veinous structures underneath. This prevents the hands from appearing sunken, a tell-tale sign of the natural aging process.

Hand Vein Treatment

Many people experience hands with more prominent veins than they would prefer. These veins are often the same kind of bulging varicose veins that develop elsewhere on the body, like the arms or legs. For the most part, these veins are only a cosmetic issue and rarely turn into a health concern. Hand rejuvenation, or the removal of those varicose veins, is performed with sclerotherapy (see below). Typically, patients only need about two sessions to achieve ideal results.

Pregnancy and Veins

A small percentage of patients who had varicose veins have never been pregnant. Many women develop varicose veins and other vein concerns for the first time during pregnancy. Since this is the case, it is vital that we have some understanding of how to treat varicose veins in pregnant women. Unfortunately, since every pregnancy and risk factor is unique, there is no singular treatment that should be considered. Instead, our office will conduct a thorough examination of your conditions and review your entire medical history. Then, once all the factors have been accounted for, a decision will be made about the best way to move forward with your vein treatment. 


VenClose, also known by other names such as ClosureFast™ and VNUS Closure, is a minimally invasive procedure performed to treat patients suffering from varicose veins or chronic venous insufficiency. This minimally invasive treatment uses radiofrequency energy to deliver thermal heat to the affected vein wall, which shrinks the vessel and forces its closure.


Sclerotherapy has made a major evolution with the introduction of Microfoam. Traditional sclerotherapy causes damage to the lining of the vein, causing it to collapse and making the walls of the vein then stick together. The vein is then slowly reabsorbed and disappears. Foam Sclerotherapy works in the same way only it is much more efficient. Foam is made by adding air to a liquid sclerosant such as the detergent Polidocanol (Asclera). Even before its recent upgrade, sclerotherapy was considered the gold standard of vein removal. Now, it is even more popular since it began incorporating the new Microfoam technology.

Sclerotherapy with Nitrous Oxide

Nitrous oxide, commonly known as laughing gas or just nitrous, is a mild sedative that has been used in minor medical and dental procedures for many years. When combined with sclerotherapy (see above), nitrous oxide provides a much more comfortable experience for the patient, especially if they are concerned about pain or discomfort. It is much less intense than general anesthesia or IV sedation, which is why it has traditionally been reserved for more minor procedures. The patient gets to remain fully awake and has fewer complications and side effects and shorter recovery times than other types of sedation. 

Spider Vein Treatment

Spider veins are the black, blue or purple appearing veins that are most common in the legs or arms. Similar to varicose veins, they do not pose a medical threat, but it is better to have them addressed, whether it be for cosmetic improvement or just to be cautious about your health. Most patients will undergo sclerotherapy (see above) for these blemishes, but there are other options available, like laser ablation, if sclerotherapy is not a suitable option. 

Varicose Vein Treatment

There are many different treatments for varicose veins, including laser ablation, Venefit (see below), sclerotherapy (see above), sclerotherapy with nitrous oxide (see above) and Varithena (see below). The treatment you receive will be based entirely on which is most effective for your conditions and how well your body responds to treatment. Regardless of the treatment you receive, your recovery will be minimal, and your results with be amazing. The vein is immediately corrected with any of these options and will have you feeling confident when you go to put on a pair of shorts in the summer. Our office will also work with you to help focus on varicose vein prevention in the future, so you don’t have to keep coming back to us. 


Varithena was first approved as a treatment for varicose veins by the Food and Drug Administration in 2013. It’s an injectable foam that’s administered using ultrasound technology. This line of treatment can greatly improve the appearance of the legs as well as reduce painful symptoms. It is entirely nonsurgical, can treat veins of any size, and it reduces painful cramping and achiness. In some cases, varicose veins can be considered a threat to the circulatory system, so insurance will often cover the cost of Varithena to prevent having to pay for something much more complicated in the past. 


Veinwave has been available in Europe for over ten years; the FDA has recently approved the Vein Wave for use in the USA. It was developed to treat the small fine spider veins that are resistant to sclerotherapy, using radiofrequency. Although microsclerotherapy is still the gold standard to treat spider veins, Vein wave is an excellent adjunct to these treatments, and especially when treating veins less than .3 mm.

Facial Vein Treatment

Facial spider veins are broken blood vessels that are distended and become visible on the face. Spider veins on the face, or facial telangiectasia, can appear blue, red or purple and are usually the result of aging, sun damage, hereditary factors, injury, allergic reactions or hormonal shifts. While spider veins may not necessarily be harmful, they can cause frustration, embarrassment, and self-consciousness. Some patients may also suffer from a common condition known as rosacea, which commonly appears as fine veins and blushing on the cheeks and may be exacerbated when exposed to triggers such as stress, alcohol or spicy foods.

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