Sacramento

Varicose Vein Treatment in Sacramento

Varicose veins are more than a cosmetic concern. These enlarged, malfunctioning leg veins are usually a sign of venous insufficiency, an underlying circulation problem. Without treatment, they can lead to aching, cramping, swelling, blood clots, changes in skin color, and even open wounds or ulcers. At NorCal Vein Specialists in Sacramento, we focus on diagnosing and treating varicose veins, including for patients whose previous surgery didn’t give them lasting results.

Every patient begins with a detailed exam and ultrasound. From there, Dr. Malvehy designs a treatment plan built around your specific needs, using advanced, well-established methods. Because treatment addresses the venous insufficiency at the root of the problem, many patients find that a single course of care clears their varicose veins entirely.

Dr. Malvehy frequently pairs EndoVenous Laser Ablation (EVLA) with ultrasound-guided chemical ablation. Everything takes place right in our office, so there’s no vein stripping, no operating room, no incisions, no stitches, and no downtime.

Beyond varicose veins, our team treats many other vein conditions:

Spider Veins

Spider veins are very small veins near the surface of the skin, typically under 1 mm across, that appear red, blue, or purple. Most don’t hurt, although some people notice occasional itching or aching. Many clinics still treat them with saline injections, but our Sacramento office uses Asclera, the only brand-name FDA-approved medication for spider veins, as part of an individualized plan. Hypertonic saline can be uncomfortable, while Asclera doesn’t burn or sting, making the experience much more pleasant.

Venous Insufficiency

When veins in the legs can’t efficiently return blood toward the heart, blood collects in the lower legs. This is venous insufficiency. It can cause a heavy or throbbing feeling, aching, calf cramps, swelling, restless legs, discolored skin, venous ulcers, and wounds that won’t heal. Our Sacramento team can confirm the diagnosis with an in-office ultrasound, and in most cases we can provide definitive treatment in the office under local anesthesia.

Leg Pain & Restless Legs

Leg pain, cramping, and Restless Leg Syndrome (RLS) frequently trace back to vein problems. Our evaluation starts with an in-office ultrasound to check for venous insufficiency, a test that insurance and Medicare often cover. Research has shown that 40% of people with RLS also have venous insufficiency. For 90% of patients, a quick procedure at our Sacramento office brings relief.

Venous Ulcers

Venous ulcers, also called leg ulcers, tend to form on the lower leg or ankle in what’s known as the gaiter area. They commonly follow skin discoloration caused by venous insufficiency, can be quite painful, and rarely heal without proper vascular care. At your first appointment, we use ultrasound to pinpoint what’s causing the ulcer and build a treatment plan around it. Most patients are treated in a single visit to our Sacramento location using a combination of techniques, such as EndoVenous Laser Ablation and ultrasound-guided foam chemical ablation.

Forehead Veins

Genetics and the natural loss of fat beneath the skin can make forehead veins stand out. Once they become visible, they generally grow more prominent with time and seldom fade on their own. We take an individualized approach to treating forehead veins. The procedure is done in our Sacramento office, takes roughly 15 minutes, and involves no downtime.

Facial Veins

Prominent blue veins at the temples often result from genetics or thinning fat under the skin. Larger spider veins on the nose, cheeks, and chin usually develop from a combination of genetics, sun exposure, and aging. Our Sacramento office treats both temple veins and larger facial spider veins with no downtime. Most patients receive a tailored form of sclerotherapy with Asclera, delivered as a liquid or foam and sometimes guided by ultrasound.

Bulging Hand Veins

For a long time, anyone hoping to reduce or remove hand veins was steered toward standard hand rejuvenation, typically fillers used to camouflage the veins. Fillers need to be repeated regularly, and they never treat the bulging veins themselves. NorCal Vein Specialists in Sacramento pioneered a different approach: Handscaping™. This specialized foamed sclerotherapy protocol (using Asclera) requires just one or two injections per hand. Most patients need only one treatment, and results are usually permanent.

Schedule Your Visit

Whether you’re interested in cosmetic treatment for veins on your hands, face, or forehead, or you want lasting relief from the symptoms of venous insufficiency, NorCal Vein Specialists provides caring, high-quality treatment designed to help you feel comfortable and confident. Book your appointment at our Sacramento office today!