Frequently Asked Questions...

VNUS Closure

Q: Is the Closure procedure painful?

A: Patients report feeling little, if any, pain during and after the procedure.

Q: How quickly can I resume normal activity?

A: Patients are walking immediately following the procedure, and patients typically resume normal activities within one day.

Q: How soon will my symptoms improve?

A: Many patients notice an immediate relief of symptoms such as pain, leg heaviness and fatigue. The full benefits of the procedure may take 1-2 weeks.

Q: Is there any scarring, bruising, or swelling after the procedure

A: Patients report minimal to no scarring, bruising, or swelling following the Closure procedure.

Q: How is the Closure procedure different from vein stripping?

A: During vein stripping, incisions are made in the groin and calf, and a stripper tool is threaded through the diseased vein, to pull the vein out of the leg. With the Closure procedure, only one small incision is made at the insertion site and the vein is then closed and left in place. This minimally invasive approach eliminates pain and bruising associated with vein stripping surgery.

Q: What if I need the vein for bypass surgery in the future?

A: The Closure procedure treats diseased veins only, which are not appropriate for bypass surgery. Physicians can use other healthy vessels should bypass surgery be necessary.

Q: Is the Closure procedure covered by insurance?

A: Most major health insurers cover the Closure procedure. Your physician can discuss your coverage further at the time of the consultation.


Q: How long has the VeinwaveTM system been available?

A: The VeinwaveTM has been used in Europe for over 8years where over 1000 physicians are enjoying the results everyday. American physicians saw the technology at international conferences and there has been building demand for the system. Therefore, the FDA recently cleared the VeinwaveTM system for sale in the USA.

Q: How does the VeinwaveTM work?

A: The VeinwaveTM system uses an important collection of proprietary technologies to effectively thermocoagulate telangiectasia and spider veins. The process causes the blood vessels to heat up to a point where the vessel walls collapse. (This is similiar to sucking the air out of a drinking straw and then gluing the inside walls together.)

Q: Does the treatment hurt?

A: Some patients have a mild discomfort, but it is very tolerable - especially compared to electrolysis, laser, or intense pulsed light treatments. It is not necessary to use any anesthetic needed for the VeinwaveTM procedures. In fact, it is advised NOT to use anesthetics because they can cause undesired vasodilation (widening of the vessels).

Q: How long until patients can resume normal activity?

A: Because the VeinwaveTM is not using photocoagulation (such as laser/light-based energy), the patient may immediately return to normal activity, including normal sun exposure. While you can apply makeup over the treated area, it is recommended that you do so lightly to enable the skin to breathe and recover.

Q: How does the treated area look afterward?

A: Most vessels almost completely disappear immediately after treatment. Some people have a response that resembles a "cat scratch" - with pinkness which will quickly subside. The tiny "micro-scabs" will flake away over the next few days. In some cases, they may appear darker after treatment. This will dissolve by the same process (and over the same time) as a bruise resolving. In patients who have a history of strong flushing or histamine reactions, the doctor may use a topical steroid.

Q: Is is necessary to wear compression hose or bandages as a result of a VeinwaveTM treatment?

A: Is is never necessary to wear any compression garments.

Q: Will treat mattes of spider veins?

A: Absolutely! Some of the best results come from treating the mattes that were caused by sclerotherapy injections or similiar treatments. The tiny vessels are difficult to treat with lasers and other technologies, but the VeinwaveTM provides a very high level of patient satisfication.

Q: Is scarring a concern?

A: No, provided it is used by trained and qualified personnel.

Q: Once an area has been fully treated, does the vein come back?

A: For the vessels that were correctly treated, the body's processes it as unwanted debris and it eventually dissolves/fades away (like a bruise). Your health, metabolism and other factors will dictate how long this takes. Although the coapted vessels are gone forever, this does not prevent new ones from forming.

Q: Does the VeinwaveTM work on rosacea?

A: The Veinwave has been widely used outside the USA for rosacea, but has not yet been cleared by the FDA for this. The European physicians find the Veinwave is very successful at removing the symptoms of rosacea (removing the vascular areas), but not actually curing the disease. The number of treatment sessions depends on severity of the disease state.

Q: How precise is the VeinwaveTM treatment?

A: The tiny probe that touches the skin is only 0.002 to 0.003 inches and is micro-insulated to protect the surrounding tissue.

Q: Can I have a VeinwaveTM treatement if I have a sprayed-on suntan or makeup in the area being treated?

A: These should be discussed with your practitioner since there is a slight potential for an adverse effect.