Treatment Options

When you visit We’re So Vain, in New London, CT, the first step in the process will be to evaluate your veins and what the best treatment option is in order to maximize the results. This comprehensive evaluation will include an ultrasound examination of the veins, which will allow our vein specialists to determine the optimal treatment plan.

Treatments include:

Venous AblationAmbulatory Micro Phlebectomy | Sclerotherapy | Venous Ulcer and Perforating Vein

Venous Ablation

Click here to download a list of instructions prior to receiving a VNUS Closure Procedure.

Venous ablation (the Closure™ Procedure) is an alternative treatment option to traditional vein stripping surgery, bringing state-of-the-art technology to an age-old disease. The Closure procedure is a minimally invasive procedure and is performed on an outpatient basis. Using ultrasound guidance, your physician will position the Closure catheter into the diseased vein through a small puncture in the skin. The slender catheter delivers radiofrequency (RF) energy to the catheter, which heats the vein wall. As the vein wall is heated and the catheter is withdrawn, the collagen in the wall shrinks and the vein closes. Once the diseased vein is closed, blood is re-routed to other healthy veins. Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Dr. Azia may encourage you to walk frequently and to refrain from prolonged standing and strenuous activities for a period of time. Patients who undergo the Closure procedure typically resume normal activities within a day.

The Closure procedure is a minimally invasive option that allows you to walk in and out in the same day and resume your normal activities the very next day. Typically, the procedure only requires a local or general anesthesia and it can be performed as an outpatient procedure, right in our office. Most patients experience a significant relief of symptoms. Moreover, since the procedure is minimally invasive, patients often experience minimal to no scarring, bruising, or swelling. At We’re So Vain, we want you to be confident in your legs.

Ambulatory Micro Phlebectomy

Ambulatory or stab phlebectomy is a method of surgical removal of surface veins. This is usually completed in our office using local anesthesia. Incisions are tiny and typically leave imperceptible puncture mark scars. The diseased veins are removed through these tiny incisions. Once, the veins are removed, your blood will automatically reroute to healthy veins, which improves circulations. Post-operative discomfort is minimal. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period. Very soon after the procedure, you should experience a significant reduction in the symptoms you’ve been experiencing, such as pain, swelling, or fatigue.


Sclerotherapy is a cosmetic medical procedure used to treat varicose veins and spider veins. A tiny needle is used to inject a solution directly into the vein. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Over time, the body will absorb the treated vein. Mild discomfort may occur, and a burning sensation may be felt for 1 to 2 minutes when veins are injected. The number of veins injected in one session is variable, depending on the size and location of the veins, and the patient’s overall medical condition. Several sclerotherapy sessions may be needed for any vein region, but one may also be all that’s needed. Medically prescribed support hose and/or bandages may need to be worn for several days or weeks to assist in the resolution of the veins. In general, spider veins respond to treatment in 3 to 6 weeks, and larger veins respond in 3 to 4 months.

Venous Ulcer and Perforating Vein

In the United States, it is estimated that up to 1.8 million people are afflicted with venous ulcers which are the most common chronic wounds treated in wound care centers. More than half of the venous ulcers treated are recurring ulcerations or wounds that might have healed before but later return. Conventional treatments for venous ulcer patients include the use of antibiotics, salves, and compression therapy. However, these treatments have often resulted in high failure and recurrence rates. These treatments attempt to heal the skin without correcting the underlying venous insufficiency can lead to a delayed ulcer healing and recurrence. The ClosureRFS™ Stylet allows our practice to offer you a minimally-invasive option to traditional surgery for the venous ulcers on your legs. It is the only endovenous ablation device specifically cleared by FDA for the treatment of incompetent perforating veins, which is the most common origin of your leg ulcers. This outpatient treatment can be either the primary procedure or it can be performed in addition to another outpatient leg vein Closure™ procedure. This procedure is used when chronic venous insufficiency disease of your large saphenous veins has been diagnosed and uses the ClosureFAST™ catheter.