Procedure Instructions

A vein map identifies which veins are working correctly and which are not. The ultrasound exam is done with the patient in a standing position. It is a lengthy appointment, with the ultrasound map taking 60-90 minutes to scan both legs. 

Prepare for your ultrasound by:

  • Being hydrated on the day of the scan.
  • Eating a snack before your visit. 
  • Bring loose-fitting shorts to wear during your scan. No compression shorts.
  • Wear comfortable flat-soul shoes. 

Radiofrequency Ablation, also known as Thermal Ablation uses heat to seal the "trunk" veins closed. 

To prepare:

  • Eat and drink normally
  • Take your regular meds
  • Bring or purchase in the clinic a pair of 20-30 mmHg, thigh-high graduated compression stockings
  • You will be asked to wear disposable shorts provided by Trident Vein Center. 
  • Shower before the visit. It would be best if you did not shower again until the following morning.

Post Procedure: 

  • Sleep in your compression stockings the first night after your procedure. You may remove it the following morning to shower.
  • Wear the compression stocking during the day for the next 6 days. You may remove it at night when you get into bed. 
  • WASH YOUR COMPRESSION STOCKINGS EVERY FEW DAYS. 
  • You may remove all bandages the morning after your procedure. Place a Band-Aid over the site where the steri strip was (under the lowest cotton ball). Change Band-Aid every day for three days. 
  • Walk for 20-30 minutes at least twice a day. 
  • Take Ibuprofen (200 mg, 3 pills, 3x/day) or Tylenol (625 mg, 3x/day) as needed for pain. Do not drive for 24 hours if taking any prescription sedative. 
  • No air travel or long car trips for 72 hours following the procedure. If you need to sit in the same position for more than one hour, take a short walk, or if you cannot get up to walk, try repeated calf muscle contractions while seated. 
  • Drink plenty of water.

Varithena injections are a chemical sclerosant that causes the "branch" veins to seal closed.

To Prepare:

  • Eat and drink normally
  • Take your regular meds
  • Bring or purchase in the clinic a pair of 20-30 mmHg, thigh-high graduated compression stocking
  • Bring a pair of loose-fitting shorts to wear during the procedure. No compression shorts. 

Post Procedure:

  • Wear your compression stocking for 7 days. You may remove them to sleep.
  • Walk for 20-30 minutes at least twice a day.
  • Do not drive for 24 hours if taking any prescription sedative or pain medications.
  • Take Tylenol (625 mg, 3x/day) as needed for pain. If that is not helping, take Ibuprofen (200 mg, 3 pills, 3x/day).
  • No air travel or long car trips for 72 hours following sclerotherapy.
  • If you need to sit in the same position for more than one hour, take a short walk, or if you cannot get up to walk, try repeated calf muscle contractions while seated.
  • Drink plenty of water.
  • You may apply an ice pack to areas of discomfort (30 minutes at a time with 30-minute breaks).
  • When out in the sun, use sunscreen with an SPF of at least 30. This will decrease the chance of permanent skin staining over the areas where your veins are treated.

Ultrasound Guided Foam Sclerotherapy is injections of a chemical sclerosant that causes the "branch" veins to seal closed.

To Prepare:

  • Eat and drink normally
  • Take your regular meds
  • Bring or purchase in clinic a pair of 20-30 mmHg, thigh-high graduated compression stocking
  • Bring a pair of loose-fitting shorts to wear during the procedure. No compression shorts. 

Post Procedure:

  • Wear your compression stocking for 3 days. You may remove them to sleep.
  • Walk for 20-30 minutes at least twice a day.
  • Do not drive for 24 hours if taking any prescription sedative or pain medications.
  • Take Tylenol (625 mg, 3x/day) as needed for pain. If that is not helping, then take Ibuprofen (200 mg, 3 pills, 3x/day).
  • No air travel or long car trips for 72 hours following sclerotherapy.
  • If you need to sit in the same position for more than one hour, take a short walk, or if you cannot get up to walk, try repeated calf muscle contractions while seated.
  • Drink plenty of water.
  • You may apply an ice pack to areas of discomfort (30 minutes at a time with 30-minute breaks).
  • When out in the sun, use sunscreen with an SPF of at least 30. This will decrease the chance for permanent skin staining over the areas where your veins are treated.

Visual Guided Sclerotherapy is injections of a chemical sclerosant that causes the "leaf" veins to seal closed.

To prepare:

  • Eat and drink normally
  • Take your regular meds
  • Bring or purchase in the clinic a pair of 20-30 mmHg, thigh-high graduated compression stockings. 
  • Bring a pair of loose-fitting shorts to wear during your treatment. 

Post Procedure:

  • Wear your compression stocking for 3 days. You may remove them to sleep. 
  • Walk for 20-30 minutes at least twice a day. 
  • Do not drive for 24 hours if taking any prescription sedative or pain medications. 
  • Take Tylenol (625 mg, 3x/day) as needed for pain. If that is not helping, then take Ibuprofen (200 mg, 3  pills, 3x/day). 
  • No air travel or long car trips for 72 hours following sclerotherapy.
  • If you need to sit in the same position for more than one hour, take a short walk, or if you cannot get up to walk, try repeated calf muscle contractions while seated. 
  • Drink plenty of water. 
  • You may apply an ice pack to areas of discomfort (30 minutes at a time with 30-minute breaks).
  • When out in the sun, use sunscreen with an SPF of at least 30. This will decrease the chance of  permanent skin staining over the areas where your veins are treated.

The VeinGogh Ohmic Thermolysis System generates a tiny, regulated, high-frequency current delivered to the vessel via a hair-thin probe. A "microburst" of energy selectively heats the vein closing the vessel, which is quickly absorbed into the body.

Post Face Treatment:

  • No makeup for 24 hours.
  • Wash your face only with finger tips and mild facial cleanser.
  • Use Dermaka cream 2-3 times a day until healed.
  • You may apply 1% hydrocortisone cream for a few days to
    minimize inflammation.
  • Avoid direct sun exposure of treated areas for at least 3 weeks as this may cause long-term or, rarely, permanent skin staining.
  • Sunscreen (SPF 30) is advised for up to 8 weeks after treatment.

Post Leg Treatment:

  • Wash your leg with mild soap for 7 days.
  • Use Dermaka cream 2-3 times a day until healed.
  • You may apply 1% hydrocortisone cream for a few days to
    minimize inflammation.
  • Avoid direct sun exposure of treated areas for at least 3 weeks as this may cause long-term or, rarely, permanent skin staining.
  • Sunscreen (SPF 30) is advised for up to 8 weeks after treatment.

Ultrasound Guided Foam Sclerotherapy is injections of a chemical sclerosant that causes the veins to seal closed.

Post Hand Treatment:

  • Wear your compression wrap for at least 24 hours.
  • You may take the wrap off for a bath or shower.
  • Keep your hands above heart level as much as possible for 12 hours.
  • When out in the sun, use sunscreen with an SPF of at least 30. This will decrease the chance of permanent skin staining over the areas where your veins are treated.

Post Face Treatment: 

  • Clean treated area with dial soap and water.
  • Apply an ice pack several times over the next 24 hours.
  • Apply Dermaka cream 4 times a day for two weeks.

Healing time from vein procedures can vary from person to person, but it's important to set the expectation that complete healing may take a year or more. While some individuals may experience significant improvement within six months of the procedure, others may require more time to recover fully. It's also important to note that if you're experiencing swelling in your legs, it's common for this to take about a year to improve. Therefore, it's essential to be patient and to follow our recommendations for post-procedure care to ensure a successful recovery.

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