Welcome to The Vein Treatment Center

Established in 1982, The Vein Treatment Center © is the leading New York City medical facility specializing exclusively in the treatment of varicose veins, spider veins, and related venous disorders.

The methods developed at the facility, including Endonvenous Laser Ablation (EVLT) and now Painless Sclerotherapy, have revolutionized the specialty and are used by physicians worldwide.



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Meet Dr. Navarro

Dr. Luis Navarro, a Board Certified Phlebologist and vascular specialist, has devoted his professional life to the development of treatments for venous disorders. He has pioneered numerous non-invasive procedures, including EVLT, Combined Therapies, and now PAINLESS SCLEROTHERAPY.

About Dr. Navarro About the VTC

Painless Sclerotherapy

Advancements in technology have revolutionized Sclerotherapy and the treatment of veins on legs, hands and other areas of the body. The Vein Treatment Center has been treating veins for over 30 years with safe, fast, and long lasting cosmetic results.

Sclerotherapy Vein Treatments

Before & After Photos

View our before and after photo galleries that show the results of vein treatments on the legs, hands, face & more.

See for yourself why The Vein Treatment Center is the NYC leader in treating and removing unwanted varicose veins, spider veins, and all venous conditions.

Legs Hands Face



Monthly Archives: October 2020

Ultrasound Guided Sclerotherapy for Vein Removal

To treat advanced varicose veins Ultrasound Guided Sclerotherapy (UGS) is an extremely specialized procedure. This procedure allows the doctor to inject a sclerosant solution into the damaged vein. As a result, the walls of veins collapse and dissolve, and gradually disappear.

Ultrasound Guided Sclerotherapy utilizes a tiny and flexible tube known as a catheter, rather than a needle (Transcatheter Image-Guided Occlusion Sclerotherapy, aka TIGOS). It is safe to use catheters for large veins under challenging areas more effectively.

Ultrasound allows vein experts to visually lead and monitor a needle toward an accurate source of the damaged vein (valve). After detecting the vein, they inject it with medicine. With the help of an ultrasound, doctors can treat varicose and spider veins more rapidly and safely. Hence, invasion surgical treatment is for more extensive and deeper veins.

However, sclerotherapy efficiently treats spider and varicose veins. Doctors often consider it as a treatment for small varicose veins. The sclerotherapy procedure comprises injecting a solution straight into the vein. It forces the flow of blood to redirect through healthy veins. As soon as the veins collapse, it gradually fades away.

The fading duration after sclerotherapy spans a few weeks. In some patients, the veins disappear after a month or more. You might need more than one sclerotherapy treatment to diminish all the veins.

How does Ultrasound Guided Sclerotherapy Work?

There is always confusion as to how ultrasound guided sclerotherapy works. What happens is that first, a detailed duplex ultrasound examination takes place. This creates a map that is a virtual presentation of the veins in the leg.

This map shows all the veins along with other structures such as arteries and deep veins. It helps the specialist identify the problem that has caused the varicose veins in the body.

Once the ultrasound is completed, the patient has to remain in bed as the procedure continues. Now the doctors can easily and accurately target the abnormal veins with the needle. While doing this, they will be monitoring the process on a monitor near them. Once they have injected the vein, it will collapse, and the body will absorb it, which will result in it disappearing soon.

Does This Method Have Any Advantages?

Well, yes, there are a few advantages, but the most significant one is that it allows doctors to monitor each vein that gets injected. This results in the doctor paying attention to other arteries and deep veins in the process to make sure they don’t get damaged. Sclerosant is a foam that has been even more helpful than when it was a solution. The procedure is now more effective and safe.

What Happens After Treatment?

This isn’t a long treatment, and it takes roughly half an hour. However, doctors state it as an hour of treatment because further examination is also necessary. Once the treatment is over, the patient receives grade 2 graduated compression stockings and is requested to walk for about 30 to 40 minutes to allow the blood to flow into the deeper veins.

Usually, patients come back for examination again a week after of the procedure. This check-up involves another detailed ultrasound to ensure the success of the treatment and that there isn’t any other damage.

Temporary side effects

You might experience some side effects after Ultrasound Guided Sclerotherapy, especially at the spot of the injection. Following are the temporary side effects;

  • Due to needles, you might see marks (bruises) in that particular area.
  • There will be some raised red areas.
  • Some tiny skin sores may occur.
  • Your skin might get a bit dark in the form of lines or spots
  • Several small red blood vessels will appear.

Usually, these side effects fade away within a few days, but some patients require several weeks to recover. However, they all will completely disappear because they are temporary side effects.

Side Effects that May Require Treatment

Moreover, other difficulties are not common but might need treatment. Following are the side effects;


Usually, inflammation is mild but might cause warmth, swelling, and discomfort around the injection areas. To reduce the inflammation (pain and discomfort), your doctor may recommend an over-the-counter pain killer such as ibuprofen or aspirin.

Ultrasound Guided Sclerotherapy for Vein Removal

Blood clot

After the treatment of the varicose vein, there is a possibility that a blood clot may occur in that vein. A lump of the blood clot may require drainage urgently. There is a rare chance that blood clot possibly ill travel to a deeper vein of your leg.

A clot in a deeper vein of your leg means there us a thrombosis. It is an emergency scenario because the cloth travels toward your lungs to block a crucial artery. A thrombosis carries a risk and complication of sclerotherapy. So, it is best for you to immediately contact the health service provider and get the necessary medical care. Symptoms of thrombosis include chest pain, dizziness, or difficulty in breathing.

Air bubbles

Small air bubbles might appear in your bloodstream. Generally, there do not cause any symptoms. But if they do, the symptoms will be headaches, visual disturbances, nausea, and fainting. Eventually, these symptoms will fade away gradually. Hence, you can call your doctor or visit an authenticated website if you experience troubles with limb sensation or movement after the procedure.

Allergic reaction

Many of us carry allergies from different substances, materials, and climate. There is a huge possibility that you may experience some allergic reaction to the treatment.

Consult Dr. Navarro at The Vein Treatment Center © of NYC

With over 33 years of experience, Dr. Luis Navarro is New York’s preeminent vein doctor. The Vein Treatment Center © started as the first of its kind medical center for treating veins in New York City.

Call today for a free consultation:

The Vein Treatment Center ©
Luis Navarro MD FACS
327 East 65th Street
New York, NY 10065


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What Is A Mini-Phlebectomy?

Endovenous ablation cannot treat bulging veins on the surface of the skin. To remove bulging veins, you require either a mini-phlebectomy or sclerotherapy. A mini-phlebectomy is a technique that eliminates varicose veins by using only one to two-millimeter incisions.

Endovenous ablation often follows the same procedure for the saphenous vein. Doctors perform a mini-phlebectomy of the varicose veins only for a usual saphenous vein with no reflux (based on ultrasound).

Surgeons perform phlebectomy techniques as in-office procedures under local anesthesia. This procedure removes all the faulty veins or perforators through tiny punctures that need no stitches, and all scars disappear.

Mini-Phlebectomy Procedure | Top Vein Clinic NYC 2020-2021

Patients can walk out of the hospital and continue their regular activities immediately after the mini-phlebectomy procedures. The mini-phlebectomy method is often a combination with Endovenous Laser Ablation (Endolaser, EVLT) and other techniques.

How is a Mini-Phlebectomy Procedure Performed?

Mini-phlebectomy treatment takes place directly at a clinic. So, you don’t need to stay at a hospital and worry about extra expenses. The procedure begins with a topical anesthetic, and doctors make tiny incisions in the surface of the damaged skin.

These two incisions allow an ebntry point for tiny hook-like tools to seize the affected veins. Also, they use local anesthesia in the needle to numb the area. Before the area becomes numb, you might temporarily feel a sting or burn. However, the phlebectomy hook procedure removes the vein; the hook is like small crochet with a straight shaft and blunt tip. This hook will gradually pull out the veins delicately from the skin through the incisions.

They apply a tiny amount of pressure to clot the incision area and place a small bandage on them. After this whole procedure, the best part is that you don’t need any stitches. Doctors utilize ultrasound machine to monitor veins. The ultrasound helps to look for the most delicate point to start the varicose veins removal process. Therefore, after anesthetizing and cleansing the skin, a sequence of tiny incisions, no smaller than a pencil eraser, are made next to the enlarged vein. The mini-phlebectomy procedure usually takes up to 30 minutes to one hour.

What to Expect During Treatment?

A significant number of people have concerns regarding veins on their legs, and it is essential to detect damaged veins. Due to advanced ultrasound visualization, it is easy to see the damaged veins and the affected areas. During the procedure, they make a map on your skin like a drawn line for guidance. They apply a topical cream as an anesthesia on that part of the skin and leave it for an hour.

Due to topical cream, the patient almost does not feel the pain of local anesthesia injection. For the sake of hygiene, hospital or clinic staff prepare a sterilized table, injections, and other instruments for their patients.

The cleaning staff and doctors also make sure they clean the whole area where they will perform the mini-phlebectomy. After almost 25 to 30 minutes of the procedure, they wrap your leg in elastic bandages.

Limitations of Phlebectomy of Varicose Veins

According to an observation, due to mini-phlebectomy, long term success took place is almost 90 percent among the patients with varicose veins. After performing a mini-phlebectomy procedure, we witness excellent long-term outcomes among patients.

A mini-phlebectomy is quite a comprehensive procedure. Just like some other procedures, endovenous catheter ablation uses laser energy or radiofrequency. However, as a patient, you must discuss every individual treatment plan with your consultant.

Post Treatment

Just like every other treatment, mini-phlebectomy has post instructions. It is essential to review these instructions. Before discussing every necessary post-treatment instruction with your doctor, you should not leave the office (hospital or clinic). The treatment requires some self-care and precautionary steps to avoid experiencing side effects and unwanted pain.

So, you must keep your bandages in place until you visit a doctor the next day. The doctor will unwrap your bandage to examine your leg. You will see a little bruise that will disappear within 1-3 weeks. Moreover, during the recovery period, almost 15% of patients require medicines like ibuprofen to encounter the pain.

To decrease the risk of experiencing pain or side effects, you will receive some necessary instructions concerning how to arrange your routine after treatment. These instructions also include some changes in your regular medication plan.

Benefits Of Mini-Phlebectomy

Below are the benefits of mini-phlebectomy treatment;

  • No surgical incision is necessary—only a small nick in the skin that does not need stitches.
  • Painless surgery
  • Small incisions
  • Simply invasive
  • Treatment under one hour
  • The procedure can be done in a clinic
  • Promotes circulation
  • Eases pain
  • Reduces the appearance of varicose veins


  • Any procedure or treatment where the skin is infiltrated, there is a risk of infection. The chance of infection involves antibiotic treatment.
  • Skin pigmentation might take place at the spot of the varicose vein, but usually, it is temporary.

To avoid any sort of risk, you should consult your doctor or health service provider before and after the treatment. Also, you can visit websites where you can read about the procedure and contact mini-phlebectomy experts.

Consult the Vein Treatment Center © For All Vein Issues

If you would like to remove unwanted veins safely and painlessly, call Dr. Navarro at the vein treatment center today and schedule a free consultation.

800-300-VEIN  |  212-249-6117

327 East 65th Street, New York, NY 10065

For more information. visit our main website veintreatmentcenter.com