Enjoy healthy legs again, like thousands of patients freed from varicose veins at Liv Hospital!
Vascular
Precision
Treat visible veins with laser and non-surgical methods at Liv Hospital. Our vascular specialists use advanced tools to ensure safe, walk-in treatments. This gallery reveals not just results, but the care, science, and precision behind every outcome.
What are varicose veins?
01
Varicose veins are enlarged, twisted veins visible just under the skin surface. They occur when vein valves malfunction, causing blood to pool. Most commonly affecting legs, they can cause discomfort and indicate circulatory problems.
These veins appear blue or dark purple and often bulge. They develop due to increased pressure in the venous system. Risk factors include genetics, pregnancy, obesity, and prolonged standing.
When should I consider cardiovascular surgery for varicose veins?
02
Surgical intervention is recommended when conservative treatments fail. Consider surgery for severe pain, skin ulcers, bleeding veins, or thrombophlebitis. Candidates typically have large, symptomatic varicosities affecting daily life.
Surgery is appropriate when cosmetic concerns significantly impact quality of life. Cardiovascular surgeons assess vein reflux through ultrasound before recommending procedures. Those with recurrent varicose veins after previous treatments may also benefit.
What surgical options are available for varicose veins?
03
Common surgical options include endovenous laser ablation (EVLA), radiofrequency ablation (RFA), and ambulatory phlebectomy. Traditional vein stripping is now less common. Sclerotherapy is used for smaller veins.
Newer techniques include VenaSeal closure system using medical adhesive. Cardiovascular surgeons select procedures based on vein size, location, and patient factors. Combination approaches often yield optimal results.
How does endovenous laser ablation work?
04
EVLA uses laser energy to seal problematic veins. Under ultrasound guidance, a laser fiber is inserted into the vein. The laser heats the vein wall, causing it to collapse and seal shut.
Blood is rerouted to healthier veins naturally. The procedure is performed under local anesthesia. Patients can walk immediately after with minimal downtime.
What is the recovery time after varicose vein surgery?
05
Recovery varies by procedure: Minimally invasive techniques allow return to work in 1-2 days. Strenuous activities should be avoided for 1-2 weeks. Compression stockings are typically worn for 2-6 weeks post-surgery.
Walking is encouraged immediately after surgery. Full recovery takes 2-6 weeks depending on procedure extent. Follow-up appointments monitor healing and vein closure.
Are there risks associated with varicose vein surgery?
06
Potential risks include infection, bleeding, nerve injury, and deep vein thrombosis. Temporary numbness or skin discoloration may occur. Allergic reactions to anesthesia or sclerosant are rare but possible.
Modern techniques have significantly reduced complication rates. Choosing a board-certified cardiovascular surgeon minimizes risks. Preoperative evaluation identifies potential complications.
Can varicose veins return after surgery?
07
Treated veins don't return, but new varicose veins can develop. Recurrence rates are 5-20% over 5 years. Proper postoperative care reduces recurrence risk.
Continued risk factors like genetics or obesity contribute to new vein formation. Regular follow-ups help detect and address new issues early. Wearing compression stockings as recommended helps prevent recurrence.
How effective is varicose vein surgery?
08
Modern procedures have 95-98% success rates. Most patients experience significant symptom relief. Visible vein improvement is typically noticeable within weeks.
Success depends on proper patient selection and technique. Ultrasound-guided procedures ensure accurate treatment. Patient satisfaction rates exceed 90% for properly selected cases.
Is vein surgery covered by insurance?
09
Insurance often covers medically necessary procedures. Coverage requires documented symptoms like pain, ulcers, or bleeding. Cosmetic-only treatments are typically self-pay.
Pre-authorization with detailed medical records is essential. Cardiovascular surgeons help document medical necessity. Coverage varies by insurer and plan specifics.
What is the difference between spider veins and varicose veins?
10
Spider veins are small, web-like veins near the skin surface. Varicose veins are larger, raised vessels that can cause symptoms. Spider veins are primarily cosmetic concerns.
Varicose veins involve deeper venous system pathology. Treatment approaches differ significantly. Cardiovascular surgeons treat both but focus on medically significant cases.
Can I prevent varicose veins from worsening?
11
Preventive measures include regular exercise, weight management, and avoiding prolonged standing. Elevating legs when resting improves circulation. Wearing compression stockings can slow progression.
Avoiding tight clothing and high heels helps. Moving frequently during long periods of sitting is beneficial. However, genetic factors limit complete prevention.
What is the VenaSeal closure system?
12
VenaSeal uses medical adhesive to close problematic veins. A catheter delivers cyanoacrylate glue directly into the vein. The vein seals shut immediately without thermal energy.
Advantages include no need for tumescent anesthesia or compression stockings. The procedure is nearly painless with rapid recovery. It's suitable for patients with heat sensitivity.
How is radiofrequency ablation different from laser treatment?
13
Both are thermal ablation techniques but use different energy sources. RFA uses radiofrequency energy while EVLA uses laser energy. Both heat the vein wall to cause closure.
RFA may cause less post-procedural discomfort. Closure rates are similar for both methods. Choice depends on surgeon expertise and vein characteristics.
What is ambulatory phlebectomy?
14
This technique removes surface varicose veins through tiny incisions. Using special hooks, the surgeon extracts vein segments. It's performed under local anesthesia.
Incisions are so small they rarely require stitches. The procedure complements ablation for comprehensive treatment. Recovery is quick with minimal scarring.
Can varicose veins lead to serious complications?
15
Untreated varicose veins can cause venous ulcers, bleeding, and thrombophlebitis. Chronic venous insufficiency leads to skin changes and poor wound healing. Deep vein thrombosis risk may increase.
Severe cases can cause lipodermatosclerosis (skin hardening). Rarely, varicose veins may indicate abdominal or pelvic pathology. Early intervention prevents complications.
What diagnostic tests are performed before surgery?
16
Duplex ultrasound is the gold standard evaluation. It maps vein anatomy and identifies reflux patterns. The test assesses deep and superficial venous systems.
Additional tests may include venous Doppler studies. Cardiovascular surgeons review medical history and symptoms. Some cases require CT or MR venography.
How long does varicose vein surgery take?
17
Procedure times vary: EVLA/RFA takes 45-60 minutes per leg. Ambulatory phlebectomy requires 1-2 hours. Complex cases may take longer.
Multiple procedures can be combined in one session. Patients typically go home the same day. Preparation and recovery add 1-2 hours to total time.
What is the role of compression stockings after surgery?
18
Compression stockings reduce swelling and promote healing. They improve blood flow in deep veins during recovery. Stockings help prevent blood clots and recurrence.
Medical-grade compression (20-30mmHg) is typically prescribed. Wearing duration varies from 1-6 weeks. Proper fit is essential for effectiveness.
Can I exercise after varicose vein treatment?
19
Walking is encouraged immediately after surgery. Light exercise can resume after 48 hours. Avoid heavy lifting and high-impact activities for 2 weeks.
Swimming should wait until incisions fully heal. Gradually increase activity as tolerated. Cardiovascular surgeons provide personalized exercise guidelines.
How soon will I see results after surgery?
20
Bruising and swelling subside in 2-4 weeks. Vein appearance improves gradually over 3-6 months. Symptom relief is often immediate for leg heaviness.
Final cosmetic results continue improving up to 1 year. Follow-up ultrasounds confirm successful vein closure. Multiple sessions may be needed for optimal results.
Are there alternatives to surgery for varicose veins?
21
Conservative options include compression therapy and lifestyle changes. Sclerotherapy treats smaller veins non-surgically. Newer options include mechanochemical ablation.
However, large varicose veins often require intervention. Cardiovascular surgeons recommend appropriate treatments based on vein size and symptoms. Non-surgical options have limitations for advanced disease.
What is the difference between cardiovascular surgeon and phlebologist?
22
Cardiovascular surgeons are medical doctors specializing in vascular system surgery. Phlebologists focus specifically on vein disorders. Both can treat varicose veins.
Cardiovascular surgeons have broader vascular expertise. They manage complex cases and complications. For advanced venous disease, cardiovascular surgeons offer comprehensive care.
Can varicose veins be treated during pregnancy?
23
Treatment is generally postponed until after delivery. Pregnancy hormones and pressure worsen veins. Many veins improve postpartum without intervention.
Conservative management with compression is recommended. If necessary, sclerotherapy can be considered postpartum. Surgery is delayed until family completion.
How do I choose a qualified cardiovascular surgeon?
24
Verify board certification in cardiovascular surgery. Look for specific experience in venous procedures. Review before-and-after photos of actual patients.
Choose surgeons with hospital privileges for safety. Consider those using the latest technologies. Patient testimonials and referrals provide valuable insights.
Dr. Mazen Shaheen
Consultant - Interventional CardiologyWith an international career shaped in the USA, Europe, and the Middle East, this interventional cardiologist specializes in advanced vascular and venous therapies. He completed dual fellowships in cardiology and interventional cardiology in the United States and holds multiple American board certifications across cardiovascular disciplines. With decades of experience in catheter-based interventions, stent placements, and non-surgical varicose vein procedures, he delivers precision-driven vascular care. His expertise blends complex case management, academic publishing, and minimally invasive innovations to restore vascular health and improve long-term outcomes in cardiovascular and venous disease.
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