Coastal Vein Institute
Varicose & Spider Veins are more common than you think:
Approximately 55 percent of women and 45 percent of men in the United States suffer from some vein related problem. Varicose veins affect 1 out of 2 people age 50 and older.
What are Varicose Veins
VARICOSE VEINS are abnormal enlarged or swollen veins that can be flesh colored, but are usually dark purple or blue in color. The veins often have the appearance of cords that are twisted or bulging. For darker skinned people, the color difference from the rest of the skin is not as noticeable. However, for fair-skinned individuals the color of the veins in combination with the swelling above the skin surface makes the skin look very displeasing. The legs are the areas of the body usually affected by varicose veins. In particular, they are found on the backs of the calves or on the inside of the legs. In addition to the visual symptoms mentioned above, there are several other symptoms that may accompany spider and varicose veins, such as: swollen legs, especially around the ankles general soreness or leg cramping including night cramps legs that feel tired, heavy, and restless legs that have a burning, tingling or throbbing sensation itching and rash around the problem veins.
What are Spider Veins:
SPIDER VEINS (venous telengiectasias) are smaller than varicose veins. These problem veins reside closer to the surface of the skin than do varicose veins and are red and/or blue in color. Spider veins are short, thin, jagged lines that look like tree branches or the lines in a spiders web. These veins are mostly found on the thighs, ankles, and feet, but can also appear on the face. Once again, spider veins are very noticeable in fair-skinned or pale-skinned individuals and for many are a serious cosmetic skin blemish.
VARICOSE VEIN TREATMENTS:
Veins often take away from the beauty and appearance of your legs. Perhaps more importantly, varicose veins produce significant symptoms and can lead to serious medical conditions. The good news is that veins today can be treated or removed quickly, with minimal discomfort, in a doctor's office. There is no need for hospitalization and the recovery time is measured in minutes, not weeks. Almost immediately, you will be able to do all the things you did before you developed varicose veins.
VNUS Closure -
The VNUS Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease. Treatment times are usually less than 2 minutes, and patients are in and out of the office in less than 90 minutes. The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.
Endovenous Laser Therapy (EVLT) -
EVLT is an innovative new treatment that eliminates the need for surgery and is approved by the FDA for treatment of the greater saphenous vein, the largest vein in the body that runs through the leg. Performed in our office, EVLT involves threading a thin laser fiber up the saphenous vein in the thigh from below the knee to the groin. The fiber is slowly withdrawn while the laser delivers pulses of energy to the inside of the vein, causing it to close. This office-based procedure is virtually painless and is completed in one to two hours.
Micro Phlebectomy "
Micro phlebectomy is a minimally invasive method for treating small varicose veins. Recent advances have made it possible to perform this procedure in our office using only a local anesthetic. A small hook is used to remove the vein through tiny incisions. As the incisions are extremely small, stitches are rarely needed. The incisions typically heal within a few days.
SPIDER VEIN TREATMENTS:
Ultrasound-Guided Foam Sclerotherapy "
Sclerotherapy has been used to close abnormal leg veins for many years and may be used for treatment of both spider and varicose veins. With sclerotherapy, a very fine needle is used to inject a medication directly into the spider or varicose veins. This medication stimulates the inside of the vein, which then collapses and become reabsorbed. Modern sclerotherapy is performed under ultrasound guidance using foam made of the sclerosing medicine mixed with air. It affords excellent results when used separately or in conjunction with other treatments. Each vein may require one to several injections and most disappear in a few weeks to several months.
Vein Wave Therapy "
Veinwave is a new procedure which uses thermocoagulation to safely and effectively treat spider veins and telangiectasia anywhere on the body. The procedure was developed by vascular surgeons as a way to treat very tiny veins that cannot be treated with sclerotherapy. Veinwave can also be used to treat veins in difficult-to-treat locations, including the face, ankles, and knees. The treatment relies on thermocoagulation to heat and close vessels instantly, in a procedure that takes less than 15 to 30 minutes to perform and involves no downtime.
Vascular and Interventional Radiology
Dr. Bosarge became board certified in diagnostic radiology through the American Board of Radiology in 1996. Dr. Bosarge obtained his Florida medical license in 1997. In 2003 Dr. Bosarge was certified in the abdominal aortic aneurysm (AAA) stent. (more)
Vascular and Interventional Radiology
Dr. Cramer was board certified in diagnostic radiology in 1978 and became certified in vascular and interventional radiology by the American Board of Radiology in 1995, and was recertified in 2004. (more)
In 1993 Dr. Harlin became board certified in general surgery through the American Board of Surgery and in 1997 achieved certification in vascular surgery through the American Board of Surgery. (more)
General Surgery and Vascular Surgery
Dr. Kafie is board certified in both general surgery and vascular surgery through the American Board of Surgery. More recently, he was recognized as a Champion Surgeon in the state of Florida by the Center for Medicare and Medicaid Services. (more)
Dr. LeCroy is board certified in general surgery through the American Board of Surgery, and he is board certified in vascular surgery. Dr. Lecroy received his license to practice medicine in Alabama in 2001 and in Florida in 2008. (more)
Vascular and Interventional Radiology
Dr. Montgomery is board certified in diagnostic radiology through the American Board of Radiology, and he is also board certified in vascular and interventional radiology. He obtained his license to practice medicine in Florida in 2003. (more)
Dr. Tucker is a member of several medical and surgical societies including the American College of Surgeons, Escambia County Medical Society, Pensacola Surgical Society and Carraway Surgical Society. He is a Clinical Assistant Professor with Florida State University. (more)
Dr. McDaniel is a board certified vascular surgeon who is licensed to practice in Florida, Alabama and Mississippi. He has a strong clinical research and teaching background with a dedication to developing new medical technologies to improve clinical cardiovascular outcomes. MORE
Michael L. Miller, M.D. is from Marietta, Georgia and graduated medical school from Mercer University in Macon, Georgia in 1996. Dr. Miller completed his general surgery residency at Keesler Medical Center, Keesler AFB, in Mississippi in 2002. In 2005, Dr. Miller completed a fellowship in vascular surgery from the University Medical Center in Tucson, Arizona.
Dr. Miller became board certified in vascular surgery through the American Board of Surgery in 2014. He has been Chief of Vascular Surgery at Eglin Hospital, Eglin Air Force Base, since MORE