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Varicose Veins

Varicose Veins Treatments Santa Ana & San Clemente

What are Varicose veins?

Varicose veins are large and often bulging green or blue veins that have a tortuous pattern. Varicose veins are caused by a disturbance in the normal flow of the blood in the healthy veins. Healthy veins return blood to the heart and lungs from the various tissues and organs so it can be re-oxygenated. A system of valves makes this happen by allowing the blood to flow in only one direction from superficial veins into the deep veins to the heart. When valves fail or leak, blood flows backward under the force of gravity and distends the veins. This backward flow, called “reflux,” causes blood to pool in to the superficial veins, resulting in varicose veins.

Ignoring the situation can result in symptoms such as pain, fatigue, itching, burning, swelling, cramping and throbbing. People who suffer from these symptoms instinctively lie down and elevate their legs to reduce the pooling of blood and relieve their discomfort. However, over time, these symptoms will intensify, and quite often, a person’s varicose veins will become large and “ropelike.” Overly distended varicose veins, especially near the ankle, can rupture and cause profuse hemorrhaging. Some legs can even deteriorate with swelling and dermatitis (skin irritation and inflammation), which can lead to leg ulcers.

Treatment for Varicose veins:

treatmentDr. Roham, a board certified phlebologist and experienced Orange County varicose vein treatment specialist, starts every treatment of a varicose vein with a duplex ultrasound of the affected leg in order to map the varicose veins and determine the highest point of valve failure. This will help guide the treatment plan to target this highest point of valve failure, leading to the most effective therapy while minimizing the side effects.

Foam Scelrotherapy

scelrotherapy Foam Sclerotherapy is a very powerful new tool available to vein specialists for treatment of medium and large size varicose veins. Foam sclerotherapy involves mixing small amount of air and liquid sclerosing solution back and forth in 2 syringes in order to create a foam. The foam once injected into a vessel is less likely to get diluted and washed out by blood. Also since foam has air and air is lighter than liquid, the foam raises above the blood and makes contact with the blood vessels causing erosion of the blood vessel walls which will lead to resorption and removal of the injected vein by the body.


AMBULATORYAmbulatory phlebectomy is a method of surgical removal of surface varicose veins. This is usually done in the office using local anesthesia. Incisions are tiny (stitches are generally not necessary) and typically leave nearly imperceptible puncture mark scars. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period.

Ultrasound guided Sclerotherapy:

This is another in-office treatment alternative to surgical stripping. With this Ultrasound technique and according to the clinical judgment of the doctor, Sclerotherapy is done with either a liquid or “foamed” sclerosant,while the doctor visually monitors the vein on an ultrasound screen. This enables treatment of veins that can’t be seen because they are below the surface of the skin.

Endovenus Laser Treartment

The laser fiber is inserted into the vein using an ultrasound guidance. The laser heats Endovenus the lining within the vein, damaging it and causing it to collapse, shrink, and eventually disappear. This technology is used to treat the large varicose veins in the legs and takes around 30 minutes to perform. This treatment is often covered by most health insurance companies including medicare.

Talented Orange County cosmetic surgery provider and vein specialist Dr. Tim Roham strives to provide his patients with the latest treatments, and is proud to offer a wide range of laser-assisted procedures. In addition to laser vein treatment, Dr. Roham performs laser hair removal, laser skin resurfacing, and laser tattoo removal in Santa Ana / Dana Point.

Normal vein with correctly working valves and blood flow   Varicose vein with abnormal vein valves and blood flow
Valves open to allow blood to move up towards the heart
and then close, preventing blood from flowing back down the leg again.
  Damaged valves allow blood to flow backwards down the leg.