Injection Sclerotherapy is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Varithena^® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Phlebologist and Sclerotherapy Specialist Dr. Sam Gupta can help diagnose and treat varicose veins and chronic venous insufficiency with a variety of treatment modalities, including Sclerotherapy and Varithena^®. Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.

At Alsara Vein Clinic, we treat vein problems all day, every day.

Call us at 816-396-0245 for a Consultation

Enjoy the best possible spider vein treatment outcomes that are long-lasting in the fewest visits possible

Alsara Vein Clinic's spider vein specialist offers the latest, state-of-the-art spider vein treatments. The most effective treatment options currently available are injection sclerotherapy (the gold standard), ultrasound-guided sclerotherapy (used to seal the deeper "feeder veins"), ohmic thermolysis (the revolutionary VeinGogh), and surface laser. We have all of these and some other options available. Typically we use a combination of treatment modalities to help you enjoy the best possible outcomes that are long-lasting in the fewest visits possible. Spider vein treatmentimaging is performed using Ultrasound, Veinlite^®, and AccuVein^®. Combined with Alsara Vein Clinic's expertise, years of experience, and obsession for outstanding results, you can get the results you always desired. Schedule a Consultation today.

Spider veins are the smaller versions of varicose veins caused by the same risk factors as underlying varicose veins. Based on the size of the surface veins (commonly referred to as “spider veins”), veins may be bluish in color (venulectasia), green (reticular veins) or red/purple (telangiectasia).

How are Spider Veins Treated?

At Alsara Vein Clinic, we have almost every treatment modality for the treatment of spider veins. Over the years, we have realized that “inside-out” is the best approach to give you an optimal, long-lasting outcome. We first scan the affected areas using ultrasound looking for any “feeder” veins beneath the skin surface. If present, we use Ultrasound Guided Sclerotherapy to close an entire cluster of spider veins at its source beneath the skin that is otherwise not visible from the outside. Any remaining surface veins are then treated using Injection Sclerotherapy (the Gold Standard) by injecting medication (Sclerosant) directly into the affected surface veins. We use Ohmic Thermolysis or Surface Laser for any remaining veins that are not eligible for sclerotherapy due to their size or location (near ankle or foot). These modalities use a spectrum of light that targets spider veins from the outside and closes them by heating the hemoglobin within the affected veins.

Occasionally, veins near the surface of the skin are too large to treat with sclerotherapy and not small enough to treat with Ohmic Thermolysis or Surface Laser. Microphlebectomy is a minimally invasive treatment to remove larger surface veins including varicose veins that appear on the skin surface. This is not to be confused with surgical vein stripping, which is a much more invasive procedure performed in the hospital setting under general anesthesia and traditionally was used to remove larger, deeper varicose veins. Microphlebectomy is performed in the comfort of our office. Using very fine instruments, the unwanted bulging veins are removed through minuscule openings without the need for sutures and typically without causing any scarring. The patient is able to resume normal activities quickly and is immediately rid of the unsightly veins that are removed permanently.

We go to extreme lengths to make sure the treatments are safe and effective, but as painless as possible.

Spider Vein Treatments

Alsara Vein Clinic offers the Next Generation of Spider Vein Treatments

Learn more about our Spider Vein Treatments and watch spider vein treatment videos.

When you arrive for yourLaser/VenaSeal treatment, you will be asked to change into a pair of comfortable shorts that we provide you. If you choose, you may bring your own loose-fitting shorts.

Next, our vein specialist or our ultrasound technologist may perform a brief ultrasound scan and mark areas of interest on your leg. You are now are ready for our unique multi-step numbing process.

Multi-step Numbing Process

Your comfort is extremely important to us during the vein treatment process. We strive to reduce any discomfort as much as possible. That's why Alsara Vein Clinic has developed an exclusive multi-step numbing process to ensure your comfort every step of the way.

Although the vein treatment process offered at Alsara Vein Clinic generally involves little or no pain, we also offer the use of Nitrous Oxide to help take the edge off a patient’s anxiety, helping him or her to relax through the EVLA procedure.

Nitrous Oxide is the oldest, safest, and most fast-acting sedating agent available. It has been used for centuries and is currently used by over one-third of all dental practices.

Patients experience a sense of well-being, feel more relaxed and somewhat less aware of their surroundings, as well as less responsive to any discomfort.

Nitrous oxide is breathed through a nasal mask and, after a state of relaxation is reached, local anesthesia is administered. Complications with nitrous oxide/oxygen are extremely rare. Its sedative effects are completely gone five minutes after it is stopped. It is eliminated through the normal breathing process. Patients are typically able to drive themselves home or to work. This option is available for an additional charge at your EVLA visit.

If you are uncomfortable with needles, Alsara Vein Clinic offers a breakthrough needle-free numbing system. Instead of a needle, a pressurized numbing medication is injected through the skin pores using gas pressure.

Laser Procedure:

During the laser procedure, you'll get to wear a super cool pair of protective glasses. As a bonus, we’ll give you a lollipop of your choice. This helps counteract any odd taste or smell, which can be a byproduct of the laser during the procedure that some patients may experience.

Venaseal Procedure:

Since the Venaseal procedure doesn’t involve the use of heat, there is no need for eye protection or dealing with that funny taste or smell. But if you’re feeling left out of the lollipop fun, just ask! We’ve got you covered.

As soon as your laser treatment is complete, we will obtain some ultrasound images to ensure the target vein was treated successfully (yes, the effect is that fast) and help you with dressing and stockings. You are now good to go back to work (or shopping!)

We will go over the easy-to-follow instructions before you leave our office.

You are welcome to resume normal activities immediately, including walking, low-impact activities, standing, or lifting moderate weights. In fact, staying active is crucial in keeping your calf muscles (leg pump) working. Now that we have shut down some of the bad veins in your superficial venous system, the good veins in your deep venous system will take over and rely on the pumping mechanism of your calf muscles more than ever before.

Although you are not quite ready for a marathon or heavyweight championship (or our Hot Leg Competition!), you will likely notice improvement as early as the night of the procedure. So go ahead and enjoy your legs!

In case you forgot to ask us something or have any concerns, there is no need to worry. We will call you the day after your procedure to check and see how you are doing and answer any additional questions.

Ultrasound Guided Sclerotherapy (USGS) or Spider Treatment

We will offer you a pair of comfortable shorts or you can bring your own loose-fitting shorts. Ultrasound and/or Vein Lite is typically used to identify and mark the areas needing treatment. One or more numbing tools may be used to reduce all possible discomfort. These procedures require less time and preparation than Laser/VenaSeal treatment. Our vein specialist will treat you and determine a follow-up plan. All instructions are provided before you leave the office.

You will receive a follow-up phone call the day after the procedure to check on you and answer any additional questions.

Treatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.

Large bulging veins that appear on the skin surface as ropey veins are frequently a major branch of a deeper (inside the leg) saphenous vein, such as the Great Saphenous Vein, which is often, but not always, involved. Ultrasound testing is frequently necessary to determine the level of involvement. If the saphenous vein is involved, it would likely need to be sealed first using Endovenous Laser Ablation (EVLA). This step in itself is sometimes enough to “shrink” the bulging vein. Any remaining unsightly veins may be either closed with sclerotherapy (using medication to seal the vein) or sections of the bulging veins may be removed by microphlebectomy. Unlike vein stripping, microphlebectomy is a simple, out-patient procedure performed under local anesthesia. Using very fine instruments, sections of unwanted veins are carefully removed through tiny openings without the need for sutures and with minimal risk of scarring. Vein treatments may be staged (occur on separate days) or a combination of treatments may be performed on the same day if recommended by your Phlebologist (Vein Specialist).

Now you may be able to get rid of the unsightly ropey varicose veins during your lunch break (and start looking for that pair of shorts you thought you could never wear!).

Learn more about Alsara Vein Clinic vein treatment options on our Varicose Vein Laser Treatments page.