Vein Surgery


If you are one of the 50 million Americans suffering from varicose or spider veins, you’ll be delighted to know that new technologies offer an easy and pain-free solution to unhealthy veins. Our VenaCure and VNUS treatments offer sleek solutions to a problem that once required painful, invasive surgery and extended recovery time. Varicose veins are not only unsightly – if left untreated, they can lead to major circulatory complications and can seriously compromise your overall health.

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Varicose Veins
Microphlebectomy Spider Veins Veinwave Treatment

Patient Portfolio - Before/After Pictures


Varicose Veins

Varicose veins are swollen and/or stretched veins which protrude in a rope-like manner from the skin. Normal veins, by virtue of one-way valves, channel blood through the body. When a valve becomes defective, it allows blood flow to leak down and collect, resulting in congestion and dilation of the vein. This condition is known as Venous Insufficiency or Venous Reflux Disease is the cause of Varicose Veins.

VenaCure and VNUS treatments are minimally invasive alternatives to vein stripping and can be done in the comfort of our office. An ultrasound will determine whether you would benefit most from VenaCure (laser technology) or from VNUS (RF-radiofrequency technology). Click here to view the VenaCure Laser Vein Treatment Patient Education Video.

Neither technique requires incisions; instead, a small catheter is inserted through tiny needle punctures into the leg. The heat source (laser or RF-radiofrequency) is directed through the catheter to seal off damaged vein walls, causing the collagen within them to shrink and close the compromised vein. Your body then automatically reroutes blood to healthy veins. Either procedure takes less than 2 hours and is performed using a local anesthetic. VenaCure and VNUS both offer excellent outcomes and leave little to no swelling or scarring.

Surgical treatment of varicose veins minimizes the risk of further health issues while allowing you to return to your full, active lifestyle. Additionally, these procedures provide immediate relief from the discomfort of unsightly, bulging veins and are frequently covered by health insurance companies.

Key Benefits of VenaCure (Laser) and VNUS (RF) Treatments

Convenient in-office procedures with no hospitalization

Local rather than general anesthesia administered

Treatment completed in under two hours

Little to no scarring

Fast Recovery – most patients resume normal activities the
 
  same day

Immediate aesthetic improvement

Relief from painful symptoms

Extremely safe and effective, with over 95% success rate

Covered by most insurance policies

At least six weeks must be allowed between pregnancy or major surgery before scheduling your VenaCure or VNUS procedure. If you have a vein disorder for which these treatments are contraindicated, the Rocky Mountain Surgical Solutions surgical team is meticulously adept in performing more traditional procedures, such as sclerotherapy, ligation / stripping or ambulatory phlebectomy.Top of Page

Microphlebectomy

This procedure is used to remove small varicose veins. Small punctures are made in the skin with a needle or puncturing instrument. The needle hook is used to remove the veins. Microphlebectomy is often combined with endovenous ablation.Top of Page

Spider Veins

Spider veins or broken capillaries (properly named telangiectasia) are small red, blue, or purple web-like or linear veins on the surface of the skin. They are typically less than 2 mm in diameter, and can be flat or raised.

While Spider Veins do not pose health risks like varicose veins, they can contribute to self-consciousness and interfere with your participation in outdoor activities. More attractive legs are just a step away: Dr. Richards is an expert in both Sclerotherapy and Ultrasound Guided Foam Sclerotherapy.

Sclerotherapy has been used effectively for over a century to treat spider veins. It involves the injection of a solution into the affected vein, irritating the vessel lining. This causes it to swell and coagulate. The blood then naturally reroutes itself to other veins. Eventually, the vessel becomes scar tissue and fades from view.

Ultrasound Guided Foam Sclerotherapy represents the latest advance in such treatment. It utilizes a “detergent” sclerosant (such as sodium tetradecyl sulphate) mixed with air, creating ‘foam’, that is injected into the affected vein. The dispersion of the foam is then tracked by ultrasound. This allows larger spider veins and varicosities to be treated.Top of Page

Veinwave   Click here to read Veinwave FAQ

Millions of men and women suffer from thread veins, manifest by unsightly little clusters of red, blue or purplish veins that spider web the cheeks, thighs, calves, ankles and knees. In fact, for Western populations like the US, it's been estimated that 25-30% of women and 10-20% of men suffer from this unsightly condition. But now there's a thread of hope – Veinwave™, a new, FDA listed device for eliminating thread veins, telangiectasia, psoriasis and rosacea.

Designed primarily for vascular surgeons and dermatologists, Veinwave uses a revolutionary process called 'thermo-coagulation.' As tiny, extremely high frequency microwaves are applied to the affected skin, the inflamed thread vessels are heated. When this happens, veins do a disappearing act. Essentially, the procedure causes the sides of the blood vessel to stick together, preventing the blood flow causing the dilated veins to be visible, and results in the instant disappearance of the veins.

Until now, micro-sclerotherapy and lasers have been the most popular procedures for removing these veins. Unlike lasers, the Veinwave procedure isn't painful, doesn't carry a risk of long-term scarring and is over in about 15 minutes. How is this possible? Veinwave's ultra-fine, insulated needle makes for a highly targeted treatment that doesn't irritate the surrounding skin tissue. That means there are no bandages or recovery time. Within 15 minutes after a Veinwave session, patients can resume their everyday activities as if it never happened. As for micro-sclerotherapy, it works pretty well on the larger varicose leg veins, but it's not too effective on the fine, thin veins of delicate facial, knee and ankle areas. But when paired with Veinwave, micro-sclerotherapy works perfectly.

The Veinwave system is more accurate than laser treatment and does not cause the pain some experience with laser treatments. Veins treated with the system do not return. The treatment does not require bandages, and patients can resume their everyday activity immediately after treatment.

The Consultation Process

A consultation is necessary before treatment to determine how many treatments are required. Therapies are available for leg, facial and nose veins as well as facial redness and blemishes.

Your initial consultation will consist of an evaluation of your medical history, a clinical examination, and a full visual assessment of your condition using our polarized light facility.

Instantly, you will be able to see the benefits of this procedure on our monitors. We will then discuss the nature of any proposed treatment in detail, including the actual procedure, recovery times and expected results. In the case of minor veins and blemishes, some patients wish to have their treatment ‘on the same day’ and where this is medically acceptable, we are happy to accommodate you. In more difficult cases you may wish to consider your decision before proceeding. You may also require a second consultation.

Treatments Available

Leg Veins

       
Red Veins
       
Blue Veins
       
Flares - Veinwave and Microsclerotherapy

Facial Veins

       
Cheeks, Chin, Side of Face, nose

Nose Veins

       
Top, Side and Intranasal
       
Rhinophyma

Facial Redness

       
Rosacea - Generalized / localized
       
Red nose
       
Red Cheeks

Common Questions:

What is Veinwave?

Veinwave is a new procedure which uses microwave energy delivered through a fine needle to safely and effectively treat spider veins anywhere on the body. The procedure was developed by vascular surgeons as a way to treat very tiny veins that cannot be treated with sclerotherapy – which can involve risks of burning and scarring when treated with lasers. Veinwave can also be used to treat veins in difficult-to-treat locations, including the face, ankles, and knees. The treatment relies on thermocoagulation to heat and close vessels instantly, in a procedure that takes less than 15 minutes to perform and involves no downtime.

Who is a candidate for Veinwave?

Any adult man or woman in good general health who has thin spider veins, or tangled, thread-like veins known as “telangiectasia,” and who is looking for a quick procedure with no downtime, can be an excellent candidate for the Veinwave procedure.

What areas does Veinwave improve?

Veinwave is ideally suited to treat spider veins wherever they may occur, even in delicate areas where other treatments may not be suitable. Areas that can be treated include:

Legs
Arms
Ankles
Knees
Face

Who is not a candidate for Veinwave?

Veinwave is not recommended for the following individuals:

Those who are epileptic
Individuals with bleeding disorders
Men and women with pacemakers
Pregnant women

How is the procedure performed?

After cleaning the injection site, your specialist will insert a very fine, insulated needle into the spider vein to be treated. Microwave energy will be distributed through the needle, destroying the tiny vessels and causing them to disappear. Most procedures take between 10 and 15 minutes to perform, and no bandages are required following the procedure. A single injection can treat up to 18-20 inches of vessels.

Is the procedure painful?

Because the Veinwave procedure uses a very, very fine needle, there is virtually no pain associated with the procedure.

What is the recovery like?

There is no downtime associated with the Veinwave procedure. Men and women treated with Veinwave can resume their normal activities immediately after their procedure. In addition, no bandages are required.

When will I begin to see results?

With the Veinwave system, you will see results immediately following your treatment, as tiny veins close and begin to disappear. Results will continue to improve over the next few days following your procedure.

What will the long-term results be like?

Treatment of spider veins with the Veinwave system is permanent: once your veins are treated successfully with the Veinwave system, you will no longer be bothered by them.

What are the risks?

There is a very small risk of scarring, although this risk is minimal and much less than the risk associated with other vein procedures.

How many sessions are needed?

While many men and women are successfully treated with only one treatment, others may require two or three treatments to achieve optimal results.

When can one return to work after Veinwave?

Most men and women return to work and other normal activities immediately after their procedure.

What are the advantages of Veinwave over other procedures?

Veinwave offers many advantages over other procedures used to treat spider veins and telangiectasia, including:

Less pain
No bruising
No downtime
Ability to treat areas like knees, ankles and face
High degree of safety

In addition, the Veinwave procedure is also faster than comparable treatments.

Is the Veinwave procedure approved for use in the United States?

Yes. Veinwave has been used for years in Europe, and recently received approval by the Food and Drug Administration (FDA) for use in the United States.

Is the Veinwave procedure covered by insurance companies?

Most insurance companies consider spider vein treatments to be cosmetic and do not offer coverage. In some cases, however, spider vein procedures may be covered, especially when they occur with more problematic varicose veins. To determine whether or not your procedure will be covered, be sure to contact your insurance company directly.

Read more Veinwave FAQ and view treatment progression pictures.

Whether you’re looking for cosmetic results or relief from painful symptoms, our vein center has a superior solution for you!

For additional information or to make an appointment, call 406-728-0285 or send an e-mail to Info@RMSSMontana.com.Top of Page