Varicose Vein Treatment | Lakeshore Vein & Aesthetics Clinic

Varicose Vein Treatment

Varicose & spider vein experts

Lakeshore Vein & Aesthetics Clinic is an expertly staffed medical clinic devoted to delivering quality care for the medical and cosmetic treatment of varicose veins and skin problems.

Credentials & Qualifications: Phlebology is the area of medicine relating to vein health and treatment, and Dr. Janna Bentley is the President of the Canadian Society of Phlebology. So your vein assessment and treatment is delivered and/or overseen by one of Canada's top vein physicians and her team of well-trained, specialized vein nurses.

What Causes Varicose Veins? Brief Educational Video by Dr. Bentley

Kelowna Varicose Vein Treatment Doctors

Dr. Janna Bentley (Medical Director) and team treat all types and sizes of varicose veins and spider veins at their Kelowna, BC, vein clinic.

The vein treatments vary according to patient needs and include the following: injection treatments called sclerotherapy (either ultrasound-guided or under direct visualization), laser vein treatments for spider veins/telangiectasis (the small thread-like veins near the surface), endovenous laser treatment (EVLT) and the new VenaSeal. Either EVLT or VenaSeal can effectively replace surgical stripping and tying off (aka ligation) of severely varicosed veins.

With both EVLT (similar to ELVES) and VenaSeal, there is minimal down-time; both are performed under local anesthetic in the clinic (an accredited facility). Patients can resume their normal activities the very next day. Studies have shown that EVLT is much preferred over surgical stripping for numerous reasons (see more details in the EVLT tab above). Some studies also show an increased effectiveness for endovenous laser treatment (EVLT being 98% effective vs surgical vein stripping is only 85%).

Q & A with Dr. Bentley: "Can I get rid of my varicose veins with natural home remedies or lifestyle changes?"

Dr. Janna Bentley: "There is no research to support any claims for any home remedies, herbal/natural remedy OR DIY therapy that they can reduce or "erase" varicose veins, and this is supported by my years of experience in treating all types of varicose veins. Lifestyle changes can't prevent varicose veins (since it is largely genetics) but certainly can improve symptoms: healthy eating, good sleeping habits, stop smoking, regular exercise etc."  Read more Q&As by Dr. Bentley and more articles below regarding venous disease/treatment:

Diagram of Veins: Healthy vs. Varicose

For a safe and private assessment of your varicose veins, consult an expert medical doctor at Lakeshore Vein & Aesthetics Clinic.

Varicose veins are not an inevitable sign of aging

Varicose veins – those swollen, raised and often twisted bulging veins along the back or inside of the leg – afflict about half of all women and up to 15% of men. In addition to being unsightly, varicose veins can cause painful side effects including throbbing, cramping, itching and generalized pain. Over time, the condition can worsen and trigger serious side effects including leg swelling, skin ulcers and blood clots to the lungs.

Varicose veins - animation of laser vein treatment - EVLT - Kelowna BC

When other treatments like sclerotherapy are not enough

Fight back with EVLT: a highly satisfactory alternative to surgical stripping*

The answer for many lies in EndoVenous Laser Treatment, or EVLT (aka ELVES or Endovascular Laser Therapy /  ELT), an innovative new technology that makes it possible for doctors to eliminate varicose veins and get patients quickly back on their feet without surgery.

EVLT is a quick, minimally invasive laser process that leaves virtually no scars, has minimal postoperative pain and a quick recovery period, and provides almost immediate relief from symptoms. It is performed in our Accredited medical suite under local anesthesia, and works by using an ultrasound-led laser probe to precisely heat and shrink the walls of the vein so that blood can no longer flow through it. Healthy veins nearby take over the vascular duties.

EndoVenous Laser: EVLT considered one the best solutions by a large margin

Patients respond favourably to the one-hour EVLT treatment and are able to walk just ten minutes after it is completed. We recommend strenuous activity be avoided for 3–4 months, however patients can resume regular activities within just one day after the procedure is complete.

The procedure is so efficient it can be scheduled over your lunch break. Here's what to expect:

  • A doctor will map your veins using ultrasound.
  • Local anesthetic will be applied.
  • A thin laser fiber will be inserted through a tiny entry point near the knee.
  • Laser energy will be delivered to seal the faulty vein.
  • Normal activity resumes after a brief rest.

varicose vein clinic - EVLT laser therapy details - Kelowna BC
It’s really as straighforward as that.

With both EVLT (similar to ELVES) and VenaSeal, there is minimal down-time; both are performed under local anesthetic in the clinic (an accredited facility). Patients can resume their normal activities the very next day. Patients can resume their normal activities the very next day. Studies have shown that EVLT is much preferred over surgical stripping for numerous reasons (see research details in link immediately below). Some studies also show an increased effectiveness for endovenous laser treatment (EVLT being 98% effective vs surgical vein stripping is only 85%).

* MUST READ: in-depth Canadian research concludes Endovascular Laser Therapy (EVLT / ELT) is the best:


For other general information on venous disease:

EndoVenus Laser Treatment (EVLT) patient education video (pre- & post-treatment)

EVLT: Why choose Dr. Janna Bentley

Accredited Facility

Lakeshore Vein & Aesthetics Clinic is a facilitly accredited by the Non-Hospital Medical and Surgical Facilities Program (NHMSFP) administered by the College of Physicians & Surgeons of British Columbia (CPSBC). Details of those who have received accreditation can be found on the CPSBC website.  The NHMSFP Program has "the mandate to establish, monitor and ensure standards of practice in private medical and surgical services in BC." In other words, it helps ensure best practices in patient safety and care. Lakeshore Vein & Aesthetics Clinic is reviewed / inspected every year to ensure the highest levels of safety and sterilization, and has on staff a Laser Safety Office, Sterile Processing Technician and a Certified Occupational Health and Safety Officer.

Accredited and Experienced EVLT Physician

In addition to the facility accreditation, Dr. Janna Bentley is one of the few physicians in the interior of BC who is accredited – by the College of Physicians & Surgeons of British Columbia – to perform endovenous laser treatment (EVLT). Moreover, Dr. Janna Bentley is one of the most experienced at performing EVLTs in Western Canada.  (More on expert physicians/phlebologists...)

Credentials & Qualifications: Phlebology is the area of medicine relating to vein health and treatment, and Dr. Janna Bentley is the President of the Canadian Society of Phlebology. So your vein assessment and treatment is delivered and/or overseen by one of Canada's top vein physicians and her team of well-trained, specialized vein nurses.

For a safe and private assessment of your varicose veins, consult an expert medical vein doctor at Lakeshore Vein & Aesthetics Clinic today.

Another Quick Way to Healthy Legs… with VenaSeal™!

VenaSeal Kelowna effective varicose vein treatment

Lakeshore Vein & Aesthetics Clinic was the first medical practice in the Thompson/Okanagan/Kootenays area to offer the new VenaSeal Sapheon Closure System for the treatment of varicose veins. Dr. Janna Bentley and Lakeshore Vein & Aesthetics Clinic are accredited by the College of Physicians and Surgeons of BC to perform this procedure, which certifies that our surgical suite meets the highest Canadian medical standards.
 
VenaSeal uses a patient-friendly, safe-for-the-body medical glue to effectively close the diseased saphenous vein segment in the legs. The procedure is performed in our Accredited medical facility (also a comfortable spa-like setting) with no down time, and rapid relief of symptoms.
 

VenaSeal Video by Medtronics

Benefits

  • No tumescent anesthesia required
  • Immediately return to normal activities
  • No pre-/post-procedure sedative required
  • No risk of skin burns
  • Reduced need for Compression Stockings*
  • No serious adverse reaction (e.g. DVTs) in over 2,500 cases to date (March 2014)

*Compared to other treatments, like EVLT. For optimum results, and with sclerotherapy for smaller veins, most patients will benefit from at least some compression stocking use.

How VenaSeal Works

VenaSeal Procedure Diagram for vein treatment Kelowna

A. Ultrasound used throughout the treatment to guide the process. Catheter is inserted into the vein through a small access site in the leg.
B. Medical glue is carefully injected into the vein. The medical adhesive has been used safely for years in other areas of medicine.
C. The catheter is withdrawn, leaving a bead of glue. With mild compression on the exterior leg during the treatment, the glue adheres to the vein walls.
D. The diseased vein is continually glued shut. Over a period of time, the body will naturally clean up the old vein and assimilate it.

What to Expect Before the Procedure

  • No topical numbing cream
  • No pre-procedure sedatives or drugs
  • No pre-procedure wrapping of leg

During the Procedure

  • No multiple needle sticks of anesthesia injected along the vein segment
  • Catheter is inserted into the vein through a small access site in the leg
  • Mild compression on the exterior leg during the treatment
  • Ultrasound with gel used throughout the treatment
  • Total procedure time is approximately 30 minutes

After the Procedure

  • A Band-Aid is placed at the access site
  • Usually no post-procedure pain medication needed
  • Post-procedure compression stockings not absolutely needed*
  • Patient is free to leave the practice and return to normal activities immediately

*Many patients benefit from additional sclerotherapy and compression stockings – this is a typical treatment combination.

Summary from Resident Expert Vein Doctors

The VenaSeal Venous Closure System offers a patient-friendly solution for the treatment of varicose veins without tumescent anesthesia or post-procedure pain and bruising.

Dr. Janna Bentley: “This is a breakthrough technology that does not require the multiple needle sticks of anesthesia that other procedures do. Patients are not always required to wear post-procedure compression stockings and can immediately resume their normal activities."

“This represents a significant advancement in medical technology,” continues Doctor Bentley, “and my patients are thrilled to have an effective alternative for treating their varicose veins.”

Lakeshore Vein & Aesthetics Clinic is pleased to be at the forefront of this clinical advancement in severe varicose vein treatment.

More patient information on Venaseal: www.venaseal.com

Article from Endovascular Today Magazine: Strong Support of VenaSeal

Short article published July 2016 in Endo by two Vascular Surgeons/Specialists, Dr. Watson & Dr. Carr: http://evtoday.com/pdfs/et0716_FT_VenaSeal.pdf

FAQs 

Terminology

Clinical Description = Patient 'plain English' Description

  • Medical adhesive (Cyanoacrylate) = Safe-for-the-body medical glue
  • No tumescent anaesthesia = No multiple needle sticks along the diseased vein nor injections of anesthetic
  • Non-thermal procedure = No laser or heat or energy
  • Disruptive technology = Closes the diseased vein
  • Fibrosis = Healing together
  • Puncture site = Access site
  • Chronic Venous Insufficiency = Varicose Veins
  • Echogenic Catheter = Can be seen under ultrasound
  • Viscosity = Thickness
  • Phlebitis = Painful reaction to changes
  • Thrombus = Organized clot

What is the VenaSeal Sapheon Closure System?

The VenaSeal System is a minimally invasive treatment that uses a safe-for-the-body medical glue to quickly and effectively treat varicose veins.

How does the VenaSeal System work?

Using ultrasound, a doctor will guide a tiny catheter through a small access site in the skin and into the diseased area of the vein. Next, the VenaSeal dispenser delivers a small amount of medical glue to close the vein. Once the affected vein is closed, blood is immediately re-routed through other healthy veins in the leg.

Is the medical glue safe?

Yes. The medical glue is a patented formulation that is specifically designed for the treatment of varicose veins. This formulation is based on an adhesive that has been used safely in medicine for over 50 years.

How is VenaSeal different from other varicose vein treatments?

VenaSeal is the only treatment to use a medical glue to close the vein, which eliminates the need for multiple needle sticks of anaesthesia and pre-procedure drugs. Unlike other varicose vein treatments, there is virtually no down-time and little to no discomfort.

Is the VenaSeal procedure painful?

Most patients say they feel very mild to no pain, both during and after the VenaSeal procedure.

Does VenaSeal require anesthesia?

No. The VenaSeal procedure requires no anesthesia to be injected into the leg; only a small amount of numbing medicine at the access site is used.

Is there any scarring, bruising, or swelling after the procedure?

Patients have reported minimal to no scarring, bruising, or swelling following the VenaSeal procedure.

What kind of results can I expect?

Results depend on the degree and extent of your varicose veins. However, patients have reported immediate relief from their uncomfortable symptoms and improvement in the appearance of their legs following the procedure.

What risks, if any, are associated with the procedure?

As with any medical treatment there are potential risks and complications that exist with the VenaSeal procedure. Your doctor will be able to review potential complications of the procedure during your first visit.

What can I expect afterwards?

After the procedure, a small bandage will be placed over the access site and you should be able to return to your normal activities.

What about "vein stripping surgery" if sclerotherapy is not viable?

* MUST READ: in-depth Canadian research concludes that vein stripping is not favoured by most patients for several reasons:

For more information on venous disease:

Credentials & Qualifications: Phlebology is the area of medicine relating to vein health and treatment, and Dr. Janna Bentley is the President of the Canadian Society of Phlebology. So your vein assessment and treatment is delivered and/or overseen by one of Canada's top vein physicians and her team of well-trained, specialized vein nurses.

For a safe and private assessment of your varicose veins, consult an expert medical doctor at Lakeshore Vein & Aesthetics Clinic.

Sclerotherapy: Common & Effective Varicose Vein Treatment

Sclerotherapy (aka sclero for short) is often the first line of treatment and the most common. Historically, it dates back to the 1600s, and was made popular in European medical communities in the 1960s. Sclero, a Greek word, means hard, which is essentially what happens to a treated vein before it is reabsorbed by the body: it hardens.

Process: Sclerotherapy involves injecting the diseased vein with a medication that causes an irritation or inflammation inside that vein. Sclerotherapy treatment does not require an incision, sedation or general anesthesia. 

foam sclerotherapy vein treatment - Kelowna varicose vein doctor BentleyImages on right: (top) ultrasound guided sclerotherapy;
(middle) sclerosing agent injected in vein;
(bottom) vein immediately reacts and begins to appear better.

The ultimate response of the body is to shut that vein down so that it no longer functions. Your body continually makes new veins as needed; immediately following sclertherapy, your body routes blood flow through healthier, surrounding veins.

Treatment will not worsen your circulation. In fact, sclerotherapy actually improves circulation because the ineffective, varicosed veins are no longer used – allowing the healthy, efficient veins to take over. Important to know is that you have thousands of veins in your legs, and injecting the varicosed ones is generally very safe.

What to Expect after Varicose Vein Treatment

A treated vein becomes hard and sore to the touch over the weeks following sclerotherapy. As the body starts using alternative routes for blood flow, you should experience a lessening of aching or tiredness that you felt as a result of varicose vein disease. The veins' cosmetic appearance, however, takes longer to improve. The treated vein will become a thin strand of scar tissue over time. Be patient. Typically, people who receive treatment in the fall will see noticeable results by the following summer.

With a proper vein assessment your doctor will have determined if there are any veins invisible to the naked eye that are causing the appearance of the veins on the surface. The great saphenous vein (GSV) – extending from your groin, down the inside of your leg to your ankle – is often the culprit. Similarly, the short saphenous vein (SSV), which runs from behind your knee down your calf muscle, can cause trouble. If either of these two larger veins has malfunctioning valves, they need to be treated first. If they are not, the more shallow spider and varicose veins that are connected to these two veins will remain under high pressure and be forced open again from the backflow of blood, even with sclerotherapy. Treatment is not effective unless the underlying cause is dealt with first.

If the GSV or the SSV are contributing to the visible spider or varicose veins, they can be treated using sclerotherapy as well. This time, the duplex scanner is needed to guide the injection of the medication. Once these two veins have been dealt with, your doctor can proceed to treat the visible veins.

Varithena® (polidocanol injectable foam): New Option for Treating Serious Varicose Veins

 
Varithena® (polidocanol injectable foam; 1%)  is used for the treatment of problems with the great saphenous vein and other saphenous veins and varicose veins of the great saphenous vein system. It is for the treatment of veins above and below the knee. It is only for use in adults with significant venous reflux that was diagnosed by a duplex ultrasound.

During the treatment procedure, Varithena® is injected directly into the failed veins and varicose veins. It pushes the blood out of the vein and the active ingredient (polidocanol) irritates the lining of the vein. This causes the vein to go into spasm destroying the lining of the vein, which is then closed. Over several months the vein is slowly resorbed by the body and eventually turns into a thin string of scar tissue. The blood is naturally redirected to healthy veins.

In clinical trials, Varithena® reduced patients’ varicose vein symptoms including heaviness, achiness, swelling, throbbing, and itching (HASTI™ symptoms). Varithena® also improved vein appearance in assessments by both patients and doctors.

Credentials & Qualifications: Phlebology is the area of medicine relating to vein health and treatment, and Dr. Janna Bentley is the President of the Canadian Society of Phlebology. So your vein assessment and treatment is delivered and/or overseen by one of Canada's top vein physicians and her team of well-trained, specialized vein nurses.

For a safe and private consult regarding your varicose veins, consult the experts at Lakeshore Vein & Aesthetics Clinic.

An individual consultation defines a patient's most effective treatment. Expected results are discussed and realistic treatment outcomes are established. Cost and treatment quantity is determined during your personal consultation. Customized packages are created for each patient to meet your needs based on areas/amount/severity of varicose veins. We provide an expert recommendation – and you choose the right treatment plan for you.

Actual price is based on a consultation – every patient is unique. That said, typical price ranges (and typical number of treatments) are as follows:

  • Sclerotherapy for telangiectasia: varies widely; quote based on consult.
  • Sclerotherapy for legs: medical vein treatment is partially covered by BC's Medical Services Plan, up to 6 treatments per 12 months. Consult required as a prerequisite to treatment plan. Private pay is required for sclero medication of $65 / treatment. Occasionally duplex ultrasound assessment is required at $150.
  • Varithena: All pricing based on personal consult, but typically treatment starts at $1,995 per leg, $3,795 for both legs. Includes ultrasound assessment, stockings, follow up appointment & 3 sclerotherapy touchups per leg treated.
  • EVLT: All pricing based on personal consult, but typically is $2,975 for one leg, $4,975 for both legs. Includes ultrasound assessment, stockings, follow up appointment & 3 sclerotherapy touchups per leg.
  • VenaSeal: All pricing based on personal consult, but typically is $4,475 for one leg, $6,975 for both legs. Includes ultrasound assessment, loaner stocking, follow up appointment & 3 sclerotherapy touchups per leg.

Medical compression stockings are a typically required investment, ranging from $60 for one leg to $160 for pair, which are offered in our clinic in a variety of sizes and colours based on a custom fitting. 

Taxes not included.

You are unique – and so is your treatment – come in for an expert consultation to reduce or eliminate your varicose veins!

*Results may vary – specific results cannot be guaranteed – everybody is unique.

Request an Appointment

Please use the form below to book a consult with one of our experts. Or, phone us 250-860-9919. Or email care@veinskin.com!

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