Varicose Vein Treatment and Vascular Surgery
Varicose veins are both a medical and aesthetic concern. North Toronto Surgical employs cutting-edge, clinically-proven interventions for varicose veins, employing precise diagnostics and advanced treatment modalities to address symptoms and enhance vascular health.
Endovenous Laser Therapy (EVLT)
In-office: No hospital visit required
Procedure done in less than 1 hour: Safe and simple
Local anesthesia used: No need for general anesthesia
Recovery: Walking is encouraged immediately after the procedure. Return to full activities is expected within 1-2 weeks.
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Endovenous treatments ('from within the vein’) have emerged as effective alternatives to surgery, for the management of varicose veins and chronic venous disease. Rather than surgically removing the problem veins, these techniques involve sealing the veins closed, rerouting blood to nearby healthy veins. These treatments are equally suitable for symptomatic venous disease, or for those bothered by the cosmetic appearance of unsightly varicose veins.
Guided by ultrasound imaging, a catheter is threaded through the vein in the lower leg, and advanced to the top of the target vein, commonly in the groin. Delivery of energy by way of the laser fibre causes direct thermal injury to the vein wall, as the device is withdrawn through the diseased vein. This form of treatment requires tumescent anesthesia, a form of local freezing, along the length of the vein, in order to promote vein collapse and prevent injury to surrounding tissue.
Clinical evidence suggests equivalent, if not superior, effectiveness of endovenous ablation compared to surgical vein stripping, with a reduction in the rate of long-term recurrence.
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The price for one leg is $4,000 or $6,500 for both legs.
Endovenous Chemical Ablation (VenaSeal)
In-office: No hospital visit required
Procedure done in less than 1 hour: Safe and simple
Painless: Compared to surgery
Recovery: Walking is encouraged immediately after the procedure. Return to full activities is expected within 1-2 weeks.
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Endovenous treatments ('from within the vein’) have emerged as effective alternatives to surgery, for the management of varicose veins and chronic venous disease. Rather than surgically removing the problem veins, these techniques involve sealing the veins closed, rerouting blood to nearby healthy veins. These treatments are equally suitable for symptomatic venous disease, or for those bothered by the cosmetic appearance of unsightly varicose veins.
Using ultrasound guidance, a catheter is introduced in the lower leg, and advanced to the top of the target vein. As the catheter is withdrawn along the length of the vein, the adhesive (VenaSeal) is applied, resulting in vein closure. Unlike laser therapy, this procedure does not require tumescent freezing throughout the leg.
Clinical evidence suggests equivalent, if not superior, effectiveness of endovenous ablation compared to surgical vein stripping, with a reduction in the rate of long-term recurrence.
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The price for one leg is $4,000 or $6,500 for both legs.
Laser Therapy for Spider Veins/Small Varicose Veins
In-office: No hospital visit required
Performed in less than 1 Hour: Safe and simple
Painless: Anesthesia not required
Recovery: Return to regular activities same day
Sclerotherapy
In-office: No hospital visit required
Quick and efficient: Treatment completed in 20-30 minutes
Recovery: May return to regular activities within 1-2 days
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A proven procedure since the 1930s, varicose and spider veins can be treated by direct injection of a chemical solution or sclerosing agent, resulting in irritation of the vein wall and closure of the vein. Over time, these veins shrink and gradually fade.
Sclerotherapy is an office-based procedure that does not require anesthetic or sedation. If the veins to be treated are not visible outwardly, an ultrasound is used to guide therapy. Several sessions may be required to eradicate unsightly veins.
Sclerotherapy can be used as both a stand-alone procedure for diseased veins or as an adjunct to endovenous ablation therapies. Speak to a North Toronto Surgical vein specialist to determine which treatment modalities are most appropriate for you.
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A single session of sclerotherapy costs $300, a package of three sessions is $750. Most patients will require at least three sessions for symptom improvement.
Surgery
(Vein Ligation & Stripping)
Hospital procedure: Performed at Humber River Hospital
Procedure takes 1-2 hours: General anesthesia is required and in most cases, you go home the same day
Recovery: Return to full activities is expected within 2-4 weeks.
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Surgical removal of diseased veins has been performed for over a century. Over the past decade, endovenous ablation has largely replaced traditional open surgical treatment due to a more favourable side effect and complication profile. This technique, however, remains a viable therapeutic option in certain circumstances, mainly depending on anatomy of the problem vein and history of previous vein inflammation.
Surgical vein excision is performed in a hospital setting under general anesthesia. An incision is made at the junction between the diseased surface vein and the underlying deep vein, commonly in the groin. A counterincision is also necessary in the lower leg. The problem vein is then detached and removed (stripped) between these two sites. Removal of individual varicose veins is performed simultaneously, through tiny nicks in the skin.
After vein stripping, pain, bruising and swelling are common. In general, these symptoms last between 3-4 weeks. Return to regular activities can occur approximately 2-4 weeks following the procedure.
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The cost of vein ligation and stripping is covered with a valid OHIP card if you meet certain clinical criteria. The current wait time for surgery is 3-6 months.
Facial Veins
In-office: No hospital visit is required
Quick and efficient: Procedure done in less than 1 hour: Safe and simple.
Local anesthesia used: No need for general anesthesia.
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Facial veins, commonly referred to as spider veins or telangiectasias, are small, dilated blood vessels visible on the face. These can be caused by various factors, including genetics, sun exposure, and lifestyle. We offer safe and effective treatments to reduce the appearance of facial veins, enhancing your natural beauty and skin health.
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It depends on the treatment:
Laser Therapy: A non-invasive treatment using focused light to heat and damage the walls of the gently veins, causing them to collapse and fade away.
Sclerotherapy: Involves the injection of a solution directly into the veins, causing them to shrink and eventually disappear.
Radiofrequency Ablation: A minimally invasive procedure where controlled radiofrequency energy is used to heat and damage the affected veins.
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Consultation: Our specialists will assess your condition and discuss the most appropriate treatment options for your specific needs.
Treatment: Depending on the chosen method, the procedure can take between 15 minutes to an hour. Most treatments are relatively painless and require little to no downtime.
Aftercare: Patients are provided with detailed aftercare instructions to ensure the best possible results.
Benefits:- Minimally invasive
- Little to no downtime
- Effective and long-lasting results
- Improved skin appearance and confidence
Breast Veins Treatment
In-office: No hospital visit is required.
Quick and efficient: The procedure is done in less than 1 hour: Safe and simple.
Local anesthesia used: No need for general anesthesia.
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Breast veins are prominent veins that can appear on the surface of the breasts. These can become more visible due to various factors such as hormonal changes, pregnancy, or weight fluctuations. We provide effective treatments to minimize the appearance of breast veins, focusing on your comfort and aesthetic goals.
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It depends on the treatment:
Laser Vein Therapy: A gentle and non-invasive procedure using laser technology to target and diminish
The visibility of veins.
Sclerotherapy: This involves injecting a solution into the veins, causing them to collapse and fade, and is particularly effective for larger veins.
Micro phlebectomy: A minimally invasive technique used for larger, more prominent veins, involving the removal of veins through tiny skin punctures.
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Consultation: Our experts conduct a thorough assessment and recommend the most suitable treatment based on your condition and preferences.
Treatment: The duration and specifics of the procedure vary depending on the chosen method. Most treatments are designed for patient comfort and require minimal downtime.
Aftercare: Post-procedure care instructions are provided to ensure optimal healing and results.