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Varicose Veins


Varicose veins treatment is offered at the Ashburn, VA office of Mountcastle Plastic Surgery. A simple procedure that can be completed in less than an hour, varicose vein treatment can drastically improve the appearance and health of the leg, eliminating such complications as swelling and discoloration.

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Dr. Timothy Mouncastle: “Varicose veins are a huge problem in the United States. They are not just cosmetic; they can also cause numerous issues with your legs, ankle, and feet. They can cause swelling, they can cause discoloration, they can cause restless leg syndrome, and they can even cause ulcerations, which are wound openings of your legs, ankle, and feet. They can be difficult to treat at this point, so they are much more easily treated if you treat them early. Treatment of varicose veins consists initially of doing an ultrasound. It’s not just your regular ultrasound, looking for deep vein clots, which is a routine ultrasound of your leg; it’s a complete vein exam done by a registered vascular technician who is a specialist of ultrasound of the veins. It takes around 45 minutes – they do a complete exam from waist to ankle of all the veins in your leg, to assess what the veins are doing. Is the blood flow heading in the correct direction? Is it going back to your heart? Is it staying in your leg? Is it something we call refluxing, which is basically the blood is traveling through the deep system, but then spilling over into the superficial system and causing this backflow and swelling in your legs. All the blood is staying in your legs, thus causing the swelling. And the discoloration in your ankles is actually caused by the blood just stagnating in your legs. The hemosiderin, the color component of the red blood cells, is staying in your ankles and then over time, will stain your ankles a dark color. The surgery itself takes around 15 to 30 minutes. I hesitate to call it a surgery – it’s more of a procedure – because basically it just takes getting an IV in. That’s the only part you’re going to really feel. Recovery time itself is very rapid; patients have the procedure, they basically walk right out of the office, and we actually encourage them to walk, ambulate, because patients who don’t can get blood clots. So we actually want them to get back to their normal activity as quickly as possible, and most patients are in the grocery store, doing their normal activity that same evening, right after the procedure is done. The procedure is very gratifying and they love it.”