Varicose veins are more than just a cosmetic concern–they can cause pain, discomfort, and even lead to more serious circulatory issues if left untreated. Affecting over 25 million Americans, varicose veins are a widespread vascular condition that commonly impacts individuals with a family history, prolonged standing jobs, and pregnancy-related vein changes. Nearly 50% of people over 50 years old experience some form of this disorder, with symptoms ranging from aching and throbbing to swelling and skin changes.
At Vascular Surgery Associates, we specialize in state-of-the-art varicose vein treatments, offering advanced, minimally invasive procedures to eliminate unsightly, painful veins and restore healthy circulation. Our expert vascular specialists in Los Angeles and Santa Monica utilize cutting-edge vein closure techniques to seal malfunctioning veins, alleviate symptoms, and improve both the look and feel of your legs.
Why Do Varicose Veins Develop?
Varicose veins occur when the valves in the superficial leg veins fail, causing blood to flow backward instead of returning efficiently to the heart. This pooling of blood leads to vein enlargement, resulting in bulging, twisted veins that are visible under the skin. While genetics play a major role, other risk factors include:
Genetics
A family history of varicose veins significantly increases the risk
Prolonged Standing or Sitting
Jobs requiring long hours on your feet, such as healthcare, retail, or teaching, put stress on leg veins
Pregnancy & Hormonal Changes
Increased blood volume and hormonal shifts during pregnancy contribute to vein dilation
Aging
Veins lose elasticity over time, leading to weakened valves
Obesity
Extra weight places added pressure on veins, worsening venous reflux
Sedentary Lifestyle
Lack of movement decreases circulation and weakens vein function
Recognizing the Symptoms of Varicose Veins
While some people experience varicose veins as a purely cosmetic concern, others suffer from pain and discomfort that affect daily activities. Common symptoms include:
- Aching, burning, or throbbing in the legs
- Swelling, especially around the ankles and lower legs
- Heaviness or fatigue in the legs after standing for long periods
- Itching or irritated skin over the veins
- Skin discoloration, hardening, or ulcer formation in severe cases
Without treatment, varicose veins can lead to more serious conditions, including chronic venous insufficiency, leg ulcers, and deep vein thrombosis (DVT).
Advanced Diagnostic Imaging for Precise Treatment Planning
At Vascular Surgery Associates, we use non-invasive ultrasound imaging to evaluate vein function and determine the precise source of venous reflux. This allows our specialists to create a customized treatment plan, targeting only the affected veins while preserving healthy circulation.
Minimally Invasive Treatments for Varicose Veins
Advancements in catheter-based vein treatments allow for highly effective varicose vein removal without the need for traditional vein stripping surgery. At Vascular Surgery Associates, we offer the latest, FDA-approved techniques to provide fast recovery, minimal discomfort, and long-lasting results.
Endovenous Laser Therapy (EVLT) – Cutting-Edge Vein Closure
EVLT is a revolutionary laser treatment that seals diseased veins using heat energy, allowing the body to naturally absorb and reroute blood flow.
- Minimally invasive, no large incisions needed
- Performed under local anesthesia in-office
- Patients can return to normal activities within days
Radiofrequency Ablation (RFA) – Thermal Vein Treatment
RFA uses radiofrequency energy to close malfunctioning veins, providing immediate relief from pain and swelling.
- Fast, outpatient procedure with minimal downtime
- Clinically proven to be over 95% effective
- No need for general anesthesia
Sclerotherapy – Targeted Vein Elimination
For smaller varicose veins and spider veins, sclerotherapy is an effective option. This technique injects a medical solution into the vein, causing it to collapse and fade over time.
- Best for small, residual veins after laser treatment
- Quick, in-office procedure
- Minimal discomfort with no downtime
The VNUS Closure® System – Proven Success in Varicose Vein Treatment
At Vascular Surgery Associates, we have achieved a 100% effectiveness rate using the VNUS Closure® system, a leading-edge catheter-based treatment that seals varicose veins with thermal energy. This technique offers:
- High success rates with minimal discomfort
- Faster recovery compared to traditional vein stripping
- Lasting results with improved circulation
What to Expect After Treatment
Varicose vein procedures are performed in an outpatient setting under local or general anesthesia, taking approximately one to two hours. After treatment, patients are:
- Encouraged to walk immediately to promote circulation
- Required to wear compression stockings for two to three days
- Able to resume normal activities quickly with little to no pain
Most patients experience significant symptom relief within weeks, along with a visible improvement in vein appearance.
Frequently Asked Questions About Varicose Veins
No, varicose veins do not resolve without treatment. Over time, they can worsen and lead to complications.
Most modern treatments are minimally invasive, requiring only local anesthesia. Patients experience mild discomfort but little to no pain.
Many patients notice immediate symptom relief, while cosmetic improvements become visible within a few weeks.
Once treated, the affected vein is permanently closed. However, new varicose veins can develop over time, so ongoing vascular health management is important.
Most insurance plans cover varicose vein treatments if they cause pain, swelling, or circulation issues. We provide insurance verification and coverage assistance

Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Expert Varicose Vein Care in Los Angeles & Santa Monica – Restore Healthy, Beautiful Legs
Varicose veins are not just a cosmetic issue–they can impact daily comfort and overall circulation. At Vascular Surgery Associates, our top vascular specialists in Los Angeles and Santa Monica provide the most advanced, minimally invasive treatments to help patients eliminate painful, unsightly veins and restore healthy blood flow.
Contact us today to schedule a consultation and take the first step toward comfortable, vein-free legs.