| Laser Treatment | Fiber is inserted into vein. Vein is then heated up and closed shut. | Office, Out-patient Center or Hospital | Tumescent | Ambulatory immediately; return to most normal activities within 24 hours | Quick procedure, minimally invasive, local anesthetic, great results, less bruising, minimal post- operative discomfort. | Minimal risk of DVT, infection and pain. |
| Ligation & Stripping | Incision made at groin and ankle. Vein is then tied off and removed. | Out-patient Center or Hospital | General (hospital) or Tumescent (in- office/out-patient) | 2-4 weeks | Old technique. Instant results. | Invasive. Post- procedure pain, swelling, bruising, scarring. Possible risk of infection and blood clots. Higher risk of future recurrence of varicose veins. |
| Phlebectomy | Multiple tiny incisions are made and vein is then pulled out. | Out-patient Center or Hospital | General (hospital) or Tumescent (in- office/out-patient) | 1-2 weeks (until small incisions heal) | Instant results | Invasive. Post- procedure pain, bruising, scarring. Possible risk of infection and DVT. |
| Compression Stockings | Form-fitting stockings are worn to promote healthy venous circulation. | Home | None | None | Easy to do. Can be done at home. | Uncomfortable, hot to wear. Effective Rate is low. |
| Sclerotherapy | A sclerosing solution is inserted directly into the vein causing it to close. | Office, Out-patient Center or Hospital | Topical or None | 4-16 week resolution time | Good results when performed properly. Best results occur when combined with laser therapy. | Takes several weeks to disappear. Possible risk of infection, and pulmonary embolism. Possible allergic reaction to solution, staining and/or ulceration. |
| Radiofrequency Treatment | Catheter advanced to furthest treatment site. Electrodes deployed, RF energy initiated. Catheter withdrawn, closing vein. | Office, Out-patient Center or Hospital | General (hospital) or Oral, IV and/or tumescent | Elevate and ice for 24- 48 hours. Return to normal activities immediately. | Minimally invasive. Good results. | Size limitations |
