Veins FAQ


These are some of our most frequently asked questions. We hope this information is helpful in guiding you toward better vein health and beauty.

Please call us at (850) 233-0264 to schedule your initial consultation. We look forward to meeting you.

What is the initial Vein Consultation like?

Low section image of a couple standing together at the beachDuring your initial visit, you will answer basic questions about medical history, and symptoms that might be caused by your veins. You then meet with one of our nursing specialists and the physician who will discuss the procedures that are right for you.

A non-invasive ultrasound is also performed to map the veins and pinpoint any underlying problems. Our goal during the initial consultation is to help you feel comfortable and informed about the course of treatment that is best for your particular problem.

What Treatments are Available for Varicose Veins and Spider Veins?

  • Endovenous Laser Ablation (EVLA) aka Endovenous Laser Treatment (EVLT)
  • Sclerotherapy
  • Ultrasound Guided Sclerotherapy
  • Foam Sclerotherapy
  • Radiofrequency Closure (VNUS)
  • Microphlebectomy

What is EVLT?

EVLT stands for Endovenous Laser Treatment aka EVLA (Endovenous Laser Ablation). EVLT is a 30 minute, non-surgical, outpatient procedure that is performed with a relaxing medication and local anesthesia for closure of abnormal varicose veins. Dr. Moskowitz has performed over 7,000 successful EVLT procedures since it was FDA approved in 2002.

What are the Benefits of EVLT?

  • 98-100% success rate
  • 30 minute, Safe, outpatient procedure
  • Immediate symptom relief
  • Return to normal activities immediately
  • Minimal to no Discomfort
  • No general anesthesia or hospitalization
  • No scarring

What causes Varicose and Spider Veins?

Varicose veins are caused by faulty valves that don’t close properly, allowing blood to reflux down the leg and pool in the vein. This causes high pressure in the veins, venous hypertension, causing them to bulge to the surface. aching, throbbing pain, leg heaviness, tired legs, Restless legs syndrome.

Spider veins may be triggered by pregnancy or hormonal variations and sometimes result in itching, restless legs and leg aching or pain. Although surface veins are mainly a cosmetic problem, they may be an indication of more serious vein disease below the surface.

Are Varicose Veins Hereditary?

Heredity is a primary factor in over 80% of varicose vein cases. Other contributing factors may include pregnancy, obesity, hormone therapy, standing or sitting for long periods of time and trauma to the area.


Why do I need an Ultrasound?

The first step in determining the right treatment for abnormal veins is discovering the source of the problem. An Ultrasound of the legs provides a visual window, revealing the diseased, refluxing veins beneath the skin’s surface. This allows us to pinpoint the exact origin of the varicose veins and customize a treatment plan for each patient. Because the problem is treated at its source, the results are quicker, more effective and less painful than traditional methods, such as vein stripping.

What is Foam Sclerotherapy?

Foam sclerotherapy is similar to liquid sclerotherapy but can be more effective for treating larger veins. Foam Sclerotherapy displaces the blood and remains in contact with the inner lining of injected veins for a longer period making it more effective than liquid sclerotherapy for closure of larger veins.

What is Chronic Venous Insufficiency?

Chronic venous insufficiency describes changes in the tissues of the leg and ankle such as brown discoloration, leg ulcers, and lipodermatosclerosis, due to longstanding high pressure in the veins. Varicose veins are usually but not always present with chronic venous insufficiency.

Will Insurance pay for Treatment of my varicose veins?

During your initial consultation an ultrasound will be performed to determine whether or not you have Saphenous vein insufficiency. Most insurance companies will reimburse all or at least a percentage of the treatment cost for EVLT and sclerotherapy if you have symptomatic venous insufficiency.

Doesn’t my Body Need the Veins that are being Treated?

No. Closure of the abnormal veins actually improves circulation by re-routing blood flow through the healthy normal veins in the leg. For every visible vein in your leg, there are many more beneath the skin. Remember, even the tiniest spider vein has appeared as a result of it not doing its job. In truth, the body does much better without veins that malfunction. Healthy veins help to return venous circulation back to normal.

Can the veins on my hands, face, and chest also be treated?

Yes, sclerotherapy, laser treatments, and IPL (Intense Pulsed Light) are very effective in improving veins on other areas of the body.

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