At Revive Hand and Foot Institute in Miami, patients with varicose veins receive the latest treatments. We improve their appearance and relieve discomfort through minimally invasive procedures. Our experienced providers, Dr. Askari and Dr. Oganesyan, diagnose and treat varicose veins at all levels. Each procedure is tailored to the patient’s unique needs and aesthetic goals. We always select the least invasive option to achieve the desired results with maximum safety and comfort. Our clinic aims to deliver exceptional outcomes so patients can enjoy long-lasting relief and confidence.


Varicose veins are enlarged blood vessels often visible under the skin’s surface. These abnormally swollen veins may look blue, dark purple, twisted, or bulging. They usually occur in the legs but can also form in other areas of the body. This condition is caused by weakened vein walls or valves that prevent blood from flowing properly back to the heart. When blood pools in the veins, they enlarge and become varicose.
As people age, their veins lose elasticity, and the valves weaken, leading to swelling. Varicose veins usually start appearing in the 40s and 50s and become more prominent with time.
Hormonal changes and increased blood volume/flow during pregnancy put extra pressure on the veins, making them larger.
Weak vein walls and valves can be inherited genetically. Patients are more likely to get varicose veins if their parents have the same issue.
Being overweight strains the vascular system, often leading to blood pooling. As a result, veins have to work harder.
Gravity causes blood to settle and accumulate in the veins of the legs when an individual stands for long periods. Therefore, changing posture and having enough movement is important to avoid stretching veins.
Injury to the leg or vein damage from surgery can impair the one-way valves, leading to improper drainage and causing blood pooling.

The treatment process begins with an initial consultation, where we determine which procedures are the most suitable for the patient. During the appointment, our provider performs an ultrasound examination to visualize the veins and assess the extent of reflux or venous insufficiency. He also reviews the patient’s symptoms and medical history. Additional testing, such as vein mapping, may be ordered to pinpoint the affected areas that will be treated.
The patient is advised to avoid certain blood-thinning medications 1-2 weeks before the procedure because they can increase bleeding risks. Compression stockings may also be provided for the patient to wear before the treatment to improve venous circulation. Clearance from the primary care doctor should be obtained for people with certain medical conditions. We recommend arriving with loose, comfortable clothing to provide easy access to the legs. With the necessary preparations and precautions completed beforehand, the patient is scheduled for the varicose veins treatment on the planned date.

Sclerotherapy is widely used to treat varicose veins. It involves injecting a chemical solution directly into the affected vessel. This medication causes the vein to scar and redirects blood through healthier routes. The patient lies on their back during the procedure while our provider injects the sclerosing agent into the abnormal veins using a very small needle. The number of treatments needed varies, depending on the extent of the problem. Over the next few weeks, the veins collapse and are reabsorbed by the body, fading from view as the blood flow is redirected to healthier veins.
EVLA is an innovative therapy for varicose veins that uses targeted laser energy to heat up and collapse damaged tissues. During the procedure, a thin laser fiber is inserted through a small incision in the skin and advanced through the vein. Pulses of laser light are then delivered, which generate heat and cause the vein to contract. Over time, the body reabsorbs the treated vein.
Most patients resume light activity 3-5 days after the surgery. They continue their incision wound care and may decrease their use of oral pain medication during this time. The bruising and inflammation should begin subsiding. By day 5, patients feel ready to return to sedentary desk work or school. However, they still need to avoid any strenuous physical activity.
Those with visibly bulging, twisted varicose veins may opt for treatment to reduce their appearance for cosmetic reasons. Treatment can make varicose veins less noticeable.
Individuals with venous insufficiency, a condition where blood pools in the veins of the leg, are good candidates for varicose vein therapy. Our treatments improve circulation and help patients avoid serious complications.
Women planning on having a baby may want to consider pre-pregnancy varicose vein treatment since childbearing can exacerbate this condition. Early intervention helps prevent the progression of this disease. At the same time, women may experience varicose veins after pregnancy due to changes in circulation and hormones. Our minimally invasive procedures can help them improve the appearance of their legs and prevent pain.
People who have persistent varicose vein symptoms despite trying conservative treatments, like compression stockings, exercise, and elevating the legs, are also good candidates. They often undergo more intense procedures to find relief.
People with painful, achy varicose veins that cause swelling, heaviness, cramping, restlessness, and throbbing in the legs are good candidates for our minimally invasive treatments. Getting the right procedure can help alleviate uncomfortable symptoms and improve quality of life.
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The cost of varicose veins treatment in Miami varies from $300 to $5,000. The price depends on the vascular surgeons’ credentials, the extent of the disease, and the types of procedures. Less invasive operations, such as sclerotherapy and surface laser therapy, tend to be on the lower end of the cost spectrum, while more complex surgical procedures are typically more expensive. The cost also rises if multiple areas require treatment.
Revive Hand and Foot Institute has a specialized center for foot and leg conditions. Our practice is led by experienced medical providers. Their unique combination of expertise allows them to provide the most sophisticated treatments for varicose veins. We take a comprehensive approach, addressing bone, skin, nerves, muscles, and tendons together while considering both function and aesthetics. Our providers extensive experience and specialized skills enable them to achieve impressive outcomes for all vascular conditions.

Yes, untreated varicose veins can progress to more serious conditions, including chronic venous insufficiency. Early diagnosis is important for preventing complications and maintaining a healthy life. Timely treatment helps protect your veins and reduces the risk of long-term problems.
One of the safest and most effective methods involves minimally invasive procedures using laser technology. In treatments like sclerotherapy, our doctor injects a solution directly into the affected veins, causing them to close and redirect blood flow to healthier veins. These approaches minimize downtime and discomfort.
Yes, it is often possible to treat both varicose veins and spider veins during the same session. For varicose veins, our specialists may use techniques involving a small incision, a catheter, or saline solution, while spider veins are treated with precise injections. Treating both at once can improve blood flow, reduce bulging, throbbing, and twisted veins, and prevent engorged veins from developing further. Care is taken to avoid scar tissue and to ensure the valve function in the veins is preserved, resulting in optimal results for both types of veins.
The cost of consultation is included in the treatment price for varicose veins. To ensure optimal results from varicose veins treatment, Miami residents can meet with our providers, discuss their concerns, and receive a personalized plan before committing to any procedure.