At vivaMD Medical Spa & Weight Management, we offer vein ablation with CLOSUREFAST™ system,  laser vein therapy as well as Sclerotherapy using Asclra for treatment of varicose, reticular and spider veins.

What are varicose veins?

Varicose veins are large blue, dark purple veins. They protrude from the skin and many times the have a cord-like appearance and twist or bulge. Varicose veins are found most frequently on the legs. The recommended treatment for these types of veins is endovascular laser ablation to be done by board-certified Vascular Surgeons.

What are spider veins?
Spider veins are very small and very fine red or blue veins. They are closer to the surface of the skin than varicose veins. They can look like a thin red line, tree branches or spider webs. Spider veins can be found on the legs and face and many cover a small or large area.

What are reticular veins?
Reticular veins can also be known as feeder veins. They are the blue and green veins beneath the surface of skin. Reticular veins enlarge because of increased pressure in the vein. They can be caused by heredity. You may have reticular veins alone but you may also have spider veins at the same time.

What are unsightly veins?

These benign vascular lesions include enlarged blood vessels and capillaries that appear on the surface of the skin as splotches, dots, bulges and spider shapes. They can show up in a variety of colors ranging from red to purple to blue. Weakness in the walls and valves of the veins cause blood to stagnate rather than to be properly circulated. Some vascular lesions are so tiny that they are not visible under normal conditions. Others, such as varicose leg veins can be quite prominent.

What Causes Spider and reticular veins?
Spider and reticular veins can be caused by many factors.

Having a family member with prominent veins may increase the risk of you developing them. Approximately half of the people who get varicose veins have a family history of them.

The normal wear and tear of aging may cause valves in the veins to weaken and not work as well.

Women are two to three times likely to develop varicose veins than men. Up to half of American women have varicose veins. Changes in hormones due to puberty, pregnancy, menopause and birth control pills may increase a woman’s risk of developing varicose veins.

During pregnancy, the growth of the fetus increases the pressure on the veins in the legs. Varicose veins that occur during pregnancy usually improve within 3-12 months following pregnancy.

Overweight and obesity
Having extra weight on the body can put additional pressure on the veins.

Prolonged standing or sitting
This particularly true with legs bent or crossed. When standing or sitting with legs bent or crossed, the veins have to work harder to pump the blood up to the heart.

Other possible causes for leg veins are race, posture, occupation, hormones such as estrogen and progesterone, primary valvular incompetence and incompetent perforating veins.

Vein Ablation with CLOSUREFAST™ system for the treament of varicose veins:

More than 30 million people are affected by varicose veins or CVI in the Us. With only 1.9 million seeking treatment annually, leaving the vast majority undiagnosed and untreated. Without treatment, those with the disease may experience progressive symptoms, such as swollen legs, skin damage and/or ulcers that can be debilitating and significantly impact their quality of life.

Fortunately, with proper treatment, that outcome is preventable. And that is why vivaMD Medical Spa proudly introduces CLOSUREFAST™system- Endovenous Radiofrequency ablation for the treatment of varicose veins.


The ClosureFast™ procedure uses radiofrequency energy to precisely and effectively treat patients suffering from Chronic Venous Insufficiency (CVI). The ClosureFast™ catheter precisely heats a 7 cm vein segment (or 3 cm for shorter, refluxing vein lengths) in one 20-second interval to provide controlled heat to contract the collagen in the vein walls, causing them to collapse and seal. Once a leg vein is closed, blood flow is redirected to healthy veins.


The ClosureFast™ procedure eliminates the need for groin surgery and general anesthesia, and is generally performed using local anesthesia in a vein specialist’s office or an outpatient surgical facility. The procedure takes approximately 45-60 minutes and most patients typically spend two to three hours at the medical facility due to normal pre- and post-treatment procedures.


Studies show that the ClosureFast™ procedure is associated with lower rates of pain, bruising and complications and a faster improvement in patients’ quality of life when compared to 980 nm laser ablation. The average patient typically resumes normal activities within a few days following treatment, and most patients report a noticeable improvement in their symptoms within 1-2 weeks after the ClosureFast™ procedure.

A prospective, international, multi-center study showed that 91.9% of treated veins were closed 5 years following treatment with the ClosureFast™ procedure. The study used the Kaplan Meier analysis, a common statistic used for a variety of endpoints, including effectiveness of a treatment over defined period of time.


How is the ClousreFast™ procedure different from vein ligation and stripping? 

With vein stripping, the physician makes an incision in your groin and ties off the vein, after which a tool is threaded through the leg vein in order to pull it out through a second incision just above the calf. The ClosureFast™ procedure is minimally invasive. In contrast to vein stripping, the vein is closed using heat delivered by a catheter inserted through a small incision below the knee. Vein stripping is usually performed in an operating room under general anesthesia, while the ClosureFast™ procedure is often performed in an outpatient setting, typically using local or regional anesthesia.

How long does the ClosureFast™ Procedure take?

The ClosureFast™ procedure typically takes approximately 45-60 minutes.

Does the ClosureFast™ Procedure require anesthesia?

The ClosureFast™ procedure can be performed under local, regional or general anesthesia. It is generally performed using local anesthesia in a vein specialist’s office or an outpatient surgical facility.

After the ClosureFast™ Procedure, how quickly can I return to normal activities?

Many patients experience a quick return to normal activities, typically within a few days. For a few weeks following the treatment, a vein specialist may recommend a regular walking regimen and suggest you refrain from very strenuous activities (i.e., heavy lifting) or prolonged periods of standing.

How soon will my symptoms improve after the ClosureFast™ Procedure?

Most patients report a noticeable improvement in their symptoms within one to two weeks following the procedure.

Can I expect any bruising or tenderness after the ClosureFast™ Procedure?

Although it is possible to experience pain, bruising or tenderness after treatment, many patients report minimal to no scarring, bruising or swelling following the ClosureFast™ procedure. Speak to your physician to learn more about the ClosureFast™ Procedure, its risks and outcomes.

What potential risks and complications are associated with the ClosureFast™ Procedure?

As with any medical intervention, potential risks and complications exist with the ClosureFast™ procedure. A vein specialist will have a consultation with you to determine if your conditions present any special risks. They will also review with you potential complications associated with the ClosureFast™ Procedure, which can include, but are not limited to, vessel perforation, thrombosis, pulmonary embolism, phlebitis, hematoma, infection, paresthesia (numbness or tingling), skin discoloration, skin burn and/or adjunct nerve injury.

Is the ClosureFast™ Procedure suitable for everyone?

The vivaMD cardiologist- Dr. Nabil Abudaya can tell you if the ClosureFast™ procedure is the right option for your vein problem. Many patients with varicose veins and chronic venous insufficiency can be treated with the ClosureFast™ procedure.

Is age an important consideration for the ClosureFast™ Procedure?

The most important step in determining whether the ClosureFast™ procedure is appropriate for you is a complete ultrasound examination by a vein specialist. Age alone is not a factor in determining if the ClosureFast™ procedure is right for you. The ClosureFast™ procedure has been used to treat both women and men across a wide range of ages. Talk to a vein specialist to determine if the ClosureFast™ procedure is right for you.

What happens to the treated vein left behind in the leg? Don’t I need it?

After treatment, the affected vein becomes fibrous tissue. Over time, the vein will be absorbed into surrounding tissue and blood will reroute to other veins.

Is the ClosureFast™ Procedure covered by insurance?

Many insurance companies pay for the ClosureFast™ procedure in part or in full. The ClosureFast™ procedure has coverage policies with major health insurers. Prior to seeking treatment, consult your insurance provider to confirm coverage.


Sclerotherapy or vein therapy was developed over 75 years ago and at present is one of the most prevalent treatments for spider and varicose veins. vivaMD Medical Spa & Weight Management’s medical professional will inject sclerosing agent Asclera with tiny needle to the specific vein/s. Treatment can last from 15 to 60 minutes, depending on the number of veins treated in a particular session. Upon injection, the solution replaces the blood in the vein, causing irritation and corrosion to the walls of the vessel. The body then initiates the natural healing process and the vein begins to shrink and eventually disappear. During the consultation, you will be advised as to the number of treatments necessary to achieve desired results.BeforeandAfterPhotoofAscleraInjections5

Who is a candidate for Sclerotherapy?

Our medical professional will determine if you are a candidate for laser vein treatment or sclerotherapy.  During consultation, a review of your medical history will ascertain the cause and severity of your condition. Depending on the types of veins, a combination of different treatment modalities may be suggested.

What is the Sclerotherapy treatment like?
The vessels in question will be examined and reviewed with you by the medical professional. A treatment strategy will then be decided upon to eradicate these veins. You may be asked to stand while the problem veins are marked and photographed. The sclerosing agent will then be injected into the targeted veins. Discomfort is minimal and no anesthesia is required. You need to wear support hose or a supportive wrap for a short period of time following treatment. This precautionary post-treatment measure will apply compression to the treated vessels to prevent recurrence.

What results will I see from Sclerotherapy?
Gradual improvement in the look of the veins will be noticed. Many patients experience 60% to 80% clearance. During the consultation, you will be advised as to the number of treatments necessary to achieve desired results.

How many Sclerotherapy treatments will it take? 
Several treatments may be required to achieve the optimum result. In some cases, as few as two or three treatments will fulfill the desired outcome.

How long will Sclerotherapy last?
Sclerotherapy usually lasts from two to five years, depending on the size and age of the veins. After this period of time, most people begin to develop new veins, but the previously treated veins do not reappear.

What are the side effects of Sclerotherapy?
In most cases, you will be able to resume regular activities immediately. However, excessive standing or vigorous exercise and activities are not advised for 24 to 48 hours. Following treatment, the affected veins may darken and the area may appear bruised. Patient must bring Support hose with them in wear it after treatment and go for 20-30 minutes walk. This application of pressure will help reduce side effects and aid in more effective healing and treatment. After the treatment of larger vessels, the affected area may appear pigmented but this is temporary and will fade over time.

III. Laser Vein Treatment

At vivaMD Medical Spa & Weight Management, we offer state of the art laser therapy for treatment of face and leg veins. Although, the gold standard for leg veins treatment remains the traditional sclerotherapy. However, for women and men who are not comfortable with needle injections or rare risk of skin ulceration from sclerotherapy, laser vein treatment with Aerolase LightPod Neo is an excellent alternative.


The LightPod Neo is the state-of-the-art laser for treating spider veins. Now the practitioner has the power of 650-microsecond 1064nm technology with uniquely high efficacy in just 1 to 2 treatments, yet unprecedented levels of treatment safety thanks to the unique power and pulse duration. TheLightPod Neo  Nd:YAG 1064nm laser has established a new standard for efficacy and safety in treating spider veins. The Neo combines the high affinity for hemoglobin and deep-heating power of a 1064nm laser, with the innovative 650-microsecond pulse technology for a unique blend of high power and  a gentle, safe pulse duration. With Neo, any facial vessel as well as leg telangiectasias are treated with ease and little or no discomfort, and most are cleared in just or 2 treatment sessions. To learn more about theLightPod Neo the state-of-the-art laser for treating spider veins