Spider Vein and Varicose Vein Therapy

Varicose veins and spider veins are both diseased blood vessels that no longer function the way they should. In some cases, veins become injured through trauma or disease, or they may begin to malfunction as the result of weight gain, pregnancy, older age or even genetics. Jobs that require long periods of standing or sitting can also cause varicose veins and spider veins to develop.

Both types of veins appear as purplish or bluish lines under the skin, but while spider veins are generally cosmetic, varicose veins can cause many other symptoms including pain, cramping, achiness, numbness, swelling and feelings of heaviness or fatigue in the legs.

At Bali Surgical, we provide the most advanced diagnostics and treatment techniques for both varicose veins and spider veins to help you with both cosmetic improvements and resolution of more serious vein problems.

Laser therapy

Also called endovenous laser treatment or EVLT, this minimally invasive procedure uses highly focused laser energy to target varicose veins during a simple outpatient procedure that can be done right in our offices. At Bali Surgical, we use the VenaCure EVLT system, a state-of-the-art system that was developed to decrease scarring while maximizing patient outcomes. During the procedure, a tiny incision is made into the diseased vein to allow insertion of a thin laser fiber. Once inside the vein, the laser energy is released, safely closing off the diseased vein from the flow of blood. Circulation is naturally diverted to surrounding healthy veins so you get quick relief from any discomfort caused by the unhealthy vein. The procedure typically takes less than an hour, and most patients can resume their normal activities immediately following treatment.


Typically reserved for spider vein treatment and the treatment of very small varicose veins, sclerotherapy uses a special solution injected directly into the veins to irritate the vein’s lining. As the irritation develops, the vein eventually “occludes,” or closes off, forming scar tissue which the body can absorb on its own. Sclerotherapy is the most widely used form of spider vein treatment in the U.S., and it’s been in use in some form for more than 80 years. We perform the injections right in our office, and following the procedure, you’ll be able to resume your normal activities.


Microphlebectomy is a varicose vein treatment technique that uses a series of tiny incisions to remove medium- to large-size varicose veins in the legs. Although the procedure entirely removes medium or large veins, blood flow is naturally rerouted through neighboring veins and there is no interference with healthy circulation. Most incisions are small enough to heal with a bandage alone, with no need for sutures. As a result, scarring is minimal. Microphlebectomy typically takes less than an hour to complete in our offices, and you can resume regular activities afterward.

Even when veins aren’t painful, they still require careful evaluation and treatment to ensure they’re not a sign of a more serious underlying disease or medical condition like cardiovascular disease. Today, both varicose vein treatment and spider vein treatment are safer, simpler and more effective than ever before.