Spider and Varicose Vein Treatments


Sсlеrоthеrару іѕ a mеdісаl рrосеdurе thаt involves thе іnjесtіоn оf a sclerosant іntо a vеіn tо соmрlеtеlу оblіtеrаtе іt. This is the most common technique for spider veins.



The standard of today’s treatments for venous insufficiency, RF ablation involves a small catheter that delivers heat energy to close down the abnormal vein. The procedure is minimally-invasive and can be done directly in the office.


VenaSeal™ is a procedure that uses a special glue to close off damaged veins.  The procedure is safe and as effective as RF ablation.



Combines two techniques to treat underlying venous insufficiency.  A small catheter is used to both chemically and mechanically treat the diseased vein.  Select veins are good targets for treatment.

Ambulatory Phlebectomy

Phlebectomy is not stripping.  Instead these brief procedures are offered only by skilled clinics and remain one of the best options for bulging varicose veins. Done under local anesthesia in an office setting, the vein is removed in small sections through tiny incisions.

For these treatments and more contact us today.

Book a Consultation

Varicose Veins Diagnosis and Treatment

Blood moves towards the heart by valves in the blood vessel which control the one-way flow. Sitting or standing for long periods can cause blood to pool in the leg veins, increasing the pressure within the veins. The veins can stretch from the increased pressure. This may weaken the walls of the veins and damage the valves, making it harder to control the flow and thus increasing pressure. This pressure causes swelling and even twisting of the veins. At that point, varicose veins are mainly a cosmetic issue. However, it is important to know when these vein problems can have more serious side effects. Long-term mild swelling as a result of severe varicose veins, can eventually produce serious skin and tissue problems such as ulcers and non healing sores.

The Princeton Vascular Centers addresses all types of vein conditions including cosmetic spider veins, varicose veins and, when indicated, deep venous disease. We utilize the latest technological advances to customize a treatment plan for each patient’s needs. At the Princeton Vascular Centers, you can be certain that these tools are also in the hands of board-certified vascular specialists who have received formal residency training in vascular procedures.

When to seek Treatment

Spider vein and varicose veins by themselves are quite harmless. However, it is a good idea to consider an evaluation for vein surgery if you are experiencing symptoms or desire to have the veins removed for aesthetic purposes. Varicose veins symptoms may often resemble other medical conditions or problems, thus, it is important to speak to a board certified vascular doctor who has undergone extensive medical training and not just a cosmetic specialist. 

It’s important to have a treatment tailored to your specific condition. Varicose veins and spider veins do not fit just one pattern. Conservative measures such as compression stockings and exercise continue to be important tools in treatment. For individuals with continued symptoms or more advanced disease, there are no safe and effective tools to treat venous insufficiency without surgery. 

Our vein centers aim to increase accessibility to board certified vascular surgeons and vein specialists to develop the best vein care treatment for you. We specialize in varicose vein and spider vein treatments (a less severe and more visible form of varicose veins). 

Varicose Vein Symptoms may include:

  • Color changes in the skin
  • Sores on the legs
  • Rashes
  • Heavy feeling, burning, and/or aching sensation in the legs 

Vein Diagnosis

The primary tools for diagnosis of venous reflux are ultrasounds. This is often done during your initial consultation visit and within the office. It is a simple and safe diagnostic method with high accuracy and enables us to immediate review results together. We can then help you start planning your treatments. In select cases CT scans, MRI and angiograms can be considered depending on the condition being evaluated.

A consultation at Princeton Vascular centers will provide insights to help you decide on the best treatment plan. Treatments may include a cutting edge vascular surgery at one of our vascular centers. We may even recommend for you to wear compression stockings. 

Nationally Certified Ultrasound Technicians

Leg vein ultrasound studies provide vital information about the underlying diseased veins that affect the treatment options and in turn the doctor’s recommendations for therapy. 

The Princeton Vascular Center offers daily vein ultrasound screening of the legs through its state-of-the-art imaging equipment. Our facility is not only a modern vein treatment center, but it is also a vascular imaging department that specializes in ultrasound of leg veins and on-site readings. Since our facility focuses exclusively on circulation conditions, our ultrasound technicians have extensive experience in venous insufficiency. This makes our center the best qualified to evaluate your leg veins.

Most importantly, our team of ultrasound technicians and physicians are all certified by ARDMS, the organization that is the recognized standard for excellence in ultrasound. Our ultrasound technicians have the title of RVT (Registered Vascular Technologists). Dr. Brotman also holds the title of RPVI (Registered Physicians in Vascular Interpretation) beyond her medical school education. Therefore, the clinical members of our organization are certified nationally to perform and interpret ultrasounds. This ensures the quality and accuracy of the vein and vascular ultrasounds that we perform at our local South Jersey facilities.

Do I Need Surgery for Varicose Veins?

Varicose vein treaments fall into 2 categories: closing the vein or removing them all together. These options may be recommended by a doctor based on the severity of your pain, whether you have skin problems, or whether there are blood clots present. Some people simply choose treatment because of the aesthetic.

Trеаtmеnt fоr ѕріdеr vеіns is simple, ѕаfе and еffесtіvе. It’s important to remember that a comprehensive vein evaluation is important prior to treating spider veins. This is particularly true if you have had prior unsuccessful treatments. The best cosmetic results are seen with addressing both the aesthetics and underlying issue.

Your doctor will advice the best procedure based on your age and overall health, the extent of varicose vein damage, your goals, and your symptoms. 

Varicose Vein and Spider Vein Specialists in NJ

Princeton Vascular Centers will diagnose, treat, and monitor your recovery. Check out what our patients say about us— spoiler alert: it’s all great and we are very proud!

After your treatment, it is important to limit your chances of developing varicose veins again. These are some lifestyle choices you may want to consider:

  • watch your weight to prevent pressure
  • exercise regularly to help your lymphatic system remove the buildup of toxins
  • raise your feet when sitting 
  • reduce leg-crossing
  • limit use of tight clothes  
Book Consultation
close slider