Varicose Veins: Your Guide to Surgical Options, Recovery, and What to Expect

Did you know that about 25% of adults in Ontario experience varicose veins, often leading to discomfort, swelling, and a dip in confidence? This guide is your comprehensive resource for understanding the full range of varicose vein treatments available. We’ll walk you through everything from advanced minimally invasive techniques like laser and radiofrequency to traditional vein stripping. You’ll also find details on how to prepare, what to expect during your procedure, recovery timelines, how OHIP coverage applies, and why Dr. Luis Figueroa’s patient-focused approach at Ontario Vascular ensures you receive the best possible care.

Here’s what we’ll cover:

1. Key surgical and minimally invasive treatment options

2. Preparing for your treatment and personalized planning

3. What to anticipate on the day of your procedure

4. Understanding the recovery phases and essential aftercare

5. Information on costs and public coverage in Ontario

6. The specialized expertise of Ontario Vascular and Dr. Figueroa

7. Answers to frequently asked patient questions

Consider this your clear roadmap, providing all the insights you need from your initial consultation right through to your complete recovery.

Consultation

What Are the Primary Surgical and Minimally Invasive Treatments for Varicose Veins?

Treatments for varicose veins span a spectrum, from advanced endovenous methods that seal diseased veins to chemical injections and traditional surgical removal. The best approach for you will depend on the size of your veins, how severe your symptoms are, and your personal preferences.

What is Endovenous Laser Ablation (EVLA) and How Does It Work?

Endovenous Laser Ablation (EVLA) is a sophisticated, minimally invasive procedure. It uses a fine fiber to deliver laser energy directly into the problematic saphenous vein, effectively sealing it shut. Once the faulty vein is closed, blood naturally reroutes through healthier vessels, which helps to reduce pain and the appearance of bulging veins. You can expect minimal swelling and bruising after the procedure, and most patients can return to light daily activities within a few days.

What Are the Benefits and Risks Associated with Radiofrequency Ablation (RFA)?

Radiofrequency Ablation (RFA) utilizes a catheter to deliver controlled heat, causing the malfunctioning veins to collapse and close, thereby improving circulation and easing that heavy feeling in your legs. Key benefits include less post-procedure bruising and very high success rates for vein closure. Potential risks are generally minor and can include temporary nerve irritation or slight skin discoloration. Overall, success rates are excellent, often reaching 98–100%, with most patients experiencing prompt relief and very little downtime.

How Does Sclerotherapy Effectively Treat Varicose and Spider Veins?

Sclerotherapy involves injecting a specialized solution, known as a sclerosant, into small to medium-sized veins. This solution causes the veins to collapse and gradually fade over a period of weeks. It’s a convenient office-based treatment that typically doesn’t require anesthesia. Wearing compression stockings after the procedure helps support the healing process. You might experience mild itching or temporary brownish marks on the skin where the veins were treated, but these usually resolve as the veins disappear.

When is Traditional Vein Ligation and Stripping the Recommended Approach?

Traditional vein ligation and stripping is a surgical procedure where problematic veins are tied off and then removed through small incisions. This is usually performed under general or spinal anesthesia. It remains a suitable option for cases with extensive vein disease or when other treatments haven’t been effective. Patients should anticipate a recovery period of 2–4 weeks, with initial limitations on mobility and moderate discomfort that can be managed with prescribed pain relief.

How Do Ambulatory Phlebectomy and Other Surgical Options Compare?

Ambulatory phlebectomy is a technique used to remove varicose veins that are visible on the surface of the skin. It’s done through very small incisions, often under local anesthesia, and provides immediate cosmetic improvement. For deeper venous issues, endoscopic vein surgery might be considered. Each surgical method is chosen based on a careful balance of how invasive it is, the potential for scarring, and the expected recovery time, all tailored to your specific anatomy and desired outcomes.

Procedure	How It Works	Recovery Timeframe
EVLA	Seals the vein using laser energy	3–7 days of light activity
RFA	Collapses vein with heat	3–7 days of light activity
Sclerotherapy (foam/liquid)	Causes vein closure with a chemical solution	Minimal downtime
Ligation & Stripping	Surgically removes the vein	2–4 weeks
Ambulatory Phlebectomy	Removes vein through small incisions	1–2 weeks

How Should You Prepare for Your Varicose Vein Procedure or Minimally Invasive Treatment?

Proper preparation is key to a smooth treatment journey, ensuring your safety and helping you achieve the best possible results under Dr. Figueroa’s expert care.

What Happens During Your Initial Consultation and Diagnosis?

Your first visit involves a thorough review of your medical history, a physical examination, and a detailed duplex ultrasound. This imaging helps us map out the veins causing problems, assess the severity of your condition, identify any alternative circulation pathways, and plan the most effective treatment for you.

What Pre-Procedure Instructions Should Patients Follow?

It’s important to continue taking any prescribed medications unless advised otherwise, and to avoid blood thinners as directed by your doctor. If anesthesia is planned, you’ll need to fast beforehand. Staying hydrated, ensuring you have compression garments ready, and arranging for someone to assist you after the procedure can significantly ease your recovery. Quitting smoking is also highly recommended, as it greatly improves vein healing and reduces the risk of complications.

How Does Dr. Luis Figueroa Tailor Treatment Plans for Each Patient?

Dr. Figueroa creates a personalized treatment plan by carefully considering your specific symptoms, your lifestyle needs, and the results of your diagnostic imaging. He expertly combines minimally invasive techniques with surgical options to achieve optimal vein closure rates while prioritizing your comfort and a swift return to your daily activities.

What Can You Expect on the Day of Your Varicose Vein Procedure?

Understanding what happens on the day of your procedure can help ease any concerns and build your confidence in the care you’re receiving.

How Are Procedures Like EVLA, RFA, and Sclerotherapy Performed?

Using local anesthesia, a very small catheter or needle is carefully inserted into the target vein, guided by ultrasound imaging. For EVLA and RFA, energy is then delivered to seal the vein. In sclerotherapy, the solution is injected directly into the vein. Ultrasound guidance ensures precise treatment and complete closure of the vessel.

What Are the Typical Procedure Durations and Anesthesia Options?

Most minimally invasive treatments, such as EVLA, RFA, and sclerotherapy, take about 30 to 60 minutes to complete. These procedures are typically done under local anesthesia, sometimes with light sedation. Traditional vein stripping, a more involved surgical procedure, typically requires spinal or general anesthesia and can take 1 to 2 hours.

What Immediate Post-Procedure Care is Necessary?

Following your treatment, compression stockings will be applied. You’ll be monitored for a short period to ensure you’re stable. Gentle walking is encouraged immediately after, and elevating your legs along with applying ice packs can help manage any swelling and discomfort.

What is the Recovery Timeline and Aftercare Following Varicose Vein Surgery?

Your recovery experience will vary depending on the specific procedure, but generally, you’ll notice steady improvements in comfort and mobility.

How Long Does Recovery Typically Take for Minimally Invasive Procedures Like EVLA and RFA?

Most patients can return to desk-based work within 1 to 3 days. A full return to more strenuous activities is usually possible within 6 to 8 weeks. Walking gently on the day of your treatment is highly recommended as it helps improve circulation and speeds up the healing process.

Woman recovering from treatment

What is the Recovery Process After Traditional Ligation and Stripping Surgery?

Following open surgery, you’ll need a longer period of rest. Expect to reduce your activity levels for 1 to 2 weeks, gradually reintroducing exercise over the next 4 weeks. Effective pain management and proper wound care are crucial during this recovery phase.

How Do Compression Stockings Contribute to a Successful Recovery?

Compression stockings play a vital role by supporting healthy blood flow back to the heart, minimizing bruising, and reducing swelling for about 1 to 3 weeks after your procedure. Wearing them consistently as recommended is essential for optimal vein closure and healing.

What Activities Should Be Avoided, and Which Exercises Are Beneficial During Recovery?

For the first 1 to 2 weeks, it’s best to avoid heavy lifting, standing for long periods, and high-impact sports. Gentle exercises like calf raises, ankle pumps, and short walks are excellent for promoting circulation without putting undue stress on your healing veins.

When Should Patients Reach Out to Their Doctor During the Recovery Period?

It’s important to contact your doctor promptly if you experience severe pain, sudden swelling in your leg, a fever, chest discomfort, or any signs of wound drainage. These could be indicators of a complication and require immediate medical attention.

What Are the Costs of Varicose Vein Treatments, and What Does OHIP Cover in Ontario?

Understanding the financial aspects of your treatment is important for clear planning and to avoid unexpected expenses.

What Factors Influence the Overall Cost of Varicose Vein Surgery and Treatments?

The total cost can vary based on the type of procedure, the extent of your vein condition, the anesthesia used, and the clinic’s operational costs. Minimally invasive treatments might be priced per treated vein segment, while open surgery typically involves a fixed surgical fee.

Which Treatments Are Covered by OHIP, and What Are the Eligibility Requirements?

OHIP generally covers traditional vein ligation and stripping when your symptoms, such as pain, skin ulcers, or thrombophlebitis, meet specific medical criteria. Treatments primarily for cosmetic reasons, as well as newer techniques like ultrasound-guided sclerotherapy, often require private payment or coverage through extended health insurance.

How Can Patients Manage Private Insurance Claims and Out-of-Pocket Expenses?

Your private insurance plan may offer partial coverage for treatments like energy-based ablation or sclerotherapy. To streamline the claims process, be sure to obtain detailed invoices and seek pre-approval from your insurer when possible. Payment plans are also available to help manage out-of-pocket costs over several months.

What Are the Typical Fees for Consultations and Follow-Up Appointments?

Initial consultations are typically covered by OHIP and do not incur a direct cost to you. Subsequent follow-up visits or additional ultrasound assessments may involve modest clinic fees, which can differ depending on the provider and the complexity of the services provided.

Why Choose Dr. Luis Figueroa and Ontario Vascular for Your Varicose Vein Treatment?

At Ontario Vascular, we combine cutting-edge technology with compassionate care, all under the expert leadership of Dr. Figueroa, to ensure your journey to healthier veins is a smooth and positive one.

What Are Dr. Figueroa’s Qualifications and Extensive Experience in Vascular Surgery?

Dr. Figueroa is a board-certified Vascular Surgeon who completed his advanced training at McMaster University and the University of Toronto. With over a decade of dedicated practice and contributions to international medical discussions, he is recognized for his commitment to pioneering advancements in vein care.

How Does Ontario Vascular Emphasize a Patient-Centred and Minimally Invasive Approach?

Our clinic is dedicated to prioritizing ultrasound-guided therapies, offering prompt consultations, and providing support in both English and French. We focus on creating customized treatment plans that favour the least invasive options first, ensuring your comfort and minimizing your recovery time.

What Do Patient Testimonials and Success Stories Highlight?

Our patients frequently share stories of significant relief from leg pain, a marked improvement in the appearance of their veins, and a renewed sense of confidence. Our before-and-after case studies consistently show vein closure rates exceeding 95% for EVLA and RFA treatments, demonstrating long-lasting results.

How Does Dr. Figueroa Contribute to Advancements in Vascular Surgery Education and Innovation?

As a faculty member for national phlebology workshops and an author of numerous peer-reviewed scientific papers, Dr. Figueroa actively contributes to establishing best practices in vein treatment. He also mentors aspiring specialists, ensuring that Ontario Vascular remains at the forefront of varicose vein care.

What Are the Most Common Questions Patients Have About Varicose Vein Surgery?

We understand you have questions, and we aim to provide clear, concise answers to help you make informed decisions about your vein treatment journey.

What is Considered the Best Surgical Option for Varicose Veins?

The ideal procedure is one that effectively relieves your symptoms while allowing for a smooth recovery. For most patients, EVLA and RFA are excellent choices. Sclerotherapy is best suited for smaller veins, and traditional stripping remains an option for more severe cases of venous reflux.

What is the Least Invasive Surgical Option for Varicose Veins?

Endovenous techniques, such as EVLA and RFA, are considered the least invasive. They require only local anesthesia, involve minimal incisions, and allow for a rapid return to your normal daily activities.

How Long is the Typical Recovery Time After Varicose Vein Surgery?

With minimally invasive treatments, you can usually resume light activities within 3 to 7 days and be fully recovered within 6 to 8 weeks. Traditional vein stripping typically requires 2 to 4 weeks before you can return to regular exercise routines.

Is Varicose Vein Surgery Covered by OHIP in Ontario?

OHIP coverage is available for traditional ligation and stripping procedures when specific medical criteria are met. However, most laser, radiofrequency, and purely cosmetic vein treatments are not covered and will require private payment or coverage through your extended health insurance.

What is the Success Rate for Varicose Vein Surgery?

Modern energy-based ablation techniques like EVLA and RFA boast closure rates of 95–100%. Sclerotherapy typically achieves around 80% success, while open surgery has success rates of approximately 90%. These figures generally translate to long-term relief from symptoms.

This comprehensive guide provides you with the knowledge to confidently approach your varicose vein treatment. Dr. Figueroa and the entire team at Ontario Vascular are here to support you every step of the way, from your initial diagnosis through to your complete recovery, offering expert care and genuine compassion.