Dr. Rafael Lugo is a general surgeon that treats varicose veins using several modalities and among then are

The RF system by Medtronics (Closure Fast), VENASEAL by Medtronics also and finally Varithena, a foam, by Boston Scientific that also occludes and treats varicose veins. Please learn below what are varicose veins. Call us for questions. You can also email us.


Varicose veins are the main external and visible changes we are all familiar with when talking about vein disease of the lower extremities

Veins are the conduit of blood away from the legs and they depend on muscle contractions to push the blood away from the legs towards the heart. 

Veins also have valves to prevent the blood from pooling in the legs. There is a deep system and a superficial system. The most important is the deep system and that is where we hear people get deadly clots that are dangerous. 

The superficial system is the one we treat when it goes bad and the valves reflux causing blood to pool in the legs. This, in turn, can and will cause varicose veins. These are visible, but not everyone gets these initially. 

The biggest problem is the disease that is hard to detect and that causes subtle symptoms as restless leg, itchy legs, swollen legs, aching legs and sometimes skin brownish discoloration. 

We can determine the state of your veins with a simple test called venous ultrasound. 

This test can tell us if there is disease significant enough to treat and then we can offer different modalities. 

We can recommend anything from compression/support stockings to radiofrequency ablation with a device that can be done at the office through a 2-3 mm incision and minimal discomfort. this is usually covered by insurance and helps prevent and/or minimize visible varicose veins and a more serious problem called venous stasis ulceration. See below

Disease progression