top-varicose-vein-doctor-nycWelcome to Dr. Norman Chideckel’s Vein Center. Dr. Chideckel is a board certified vascular surgeon that specializes in the treatment of venous disease.

Dr. Chideckel is one of the leading experts in New York City for the treatment of Varicose Veins, Spider Veins, Reticular Veins, Deep Vein Thrombosis (DVT), Venous Insufficiency, Venous Ulcers, and all related venous disease.

He performs procedures for cosmetic and medical treatments including Endovenous Laser Ablation, Ambulatory Phlebectomy, Sclerotherapy, Venous Ultrasound, and the VeinGogh Procedure.

Call us today at 212-993-6133 to schedule an appointment!

What are Varicose Veins? by Varicose Vein Treatment Doctor NYC

What are Varicose Veins?

what-are-varicose-veins-info-top-nyc-dr-specialist-01what-are-varicose-veins-info-top-nyc-dr-specialist-01The appearance of Varicose veins can make people feel self-conscious about their bodies, especially during the summer, leg baring months. Varicose veins can draw unwanted attention because they stand out with their blue or purple color and often bulge from the surface of the skin. Their bulging appearance is usually larger in diameter than a pencil and look like ropes underneath the surface of your skin. When these veins become swollen or enlarged, some people with experience discomfort and pain in the area of the Varicose Vein.

Why Does This Happen?

best-nyc-surgeon-for-varicose-vein-info-treatment-02The main function of veins is to return blood from the rest of your body back to your heart to recirculate.  Though, when the blood returns to your heart, your veins have to work harder as they working against gravity. Valves, or openings, within the veins allow the blood to circulate through. However, when those valves begin to weaken the backwards flow of blood, back to the heart is stopped (in the effected vein) while the damaged vein collects that uncirculated blood. This process explains why your veins appear as highly visible, swollen, wavy, pathways on your skin.

How Common are Varicose Veins?

Well that is subjective. While they are twice as likely to be found in women, if you are male, you may still suffer from Varicose Veins. This is a common condition and is hereditary for some individuals. If you have signs of varicose veins, there’s a large chance your mother had them as well.  Around 25% of the Caucasian population is projected to have the occurrence of varicose veins. This rate is greater with female hormones and age.

How Serious is This?

stages-of-varicose-vein-development-increased-risks-03Besides being a cosmetic dilemma, there are uncomfortable symptoms of varicose veins. Some of these symptoms can include, a throbbing sensation in the area of the vein, legs feeling heavy or sore, cramping of muscles at night, swollen feet, and itchy skin on infected area. These unwelcome side effects may worsen by the end of the day, especially if you have a job or lifestyle that consist of standing much of the day.

Sometimes Only a Cosmetic Issue

When you suffer from the appearance of varicose veins, though do not have any of the painful side effects, there are still emotional effects to these little nuisances. They often cause people to be reluctant to wear what they want to wear, such as shorts to work out or a swimsuit to the beach. Knowing they are there can cause stress and anxiety when you go out in public or attend outdoor functions during the summer.

If you suffer from varicose veins and want more information, or are interested in treatment from an experienced vein doctor, contact us today to schedule an appointment with Dr. Norman Chideckel.


Spider Vein Treatment NYC

Causes of Spider Veins

Spider veins are a common condition among many adults. They are recognized as a cluster of tiny web-like structures close to the surface of the skin. Spider veins are caused by an unhealthy valve inside your veins that will not allow the blood to flow normally. The blood will then flow backwards instead of against gravity where it is supposed to be returning to the heart. This results in a vein that it clogged and no longer functional for the flow of blood.

How Does This Happen?

contributing-factors-spider-veins-02The exact cause of spider veins is difficult to pin on one culprit. We know that they are mainly caused by pressure in the veins, however the reason for the pressure has been uncertain from case to case. Many ideas are believed to be primary contributing factors to the condition of these visible veins.

A few of the sources known to have a tendency to contribute include: genetics, stress, age, sun damage, pregnancy, birth control pills, and hormone replacement.  Inactivity can cause visible veins due to the lack of muscle movement.  Your muscles help the veins to push the blood back up toward the heart and when your muscles are motionless, this process places more pressure on your veins. It is also common for individuals who have jobs that required standing for long periods of time to have an increased amount of pressure on the veins in their legs. Some professions that contribute to spider veins include teachers, factory workers, nurses, and hairstylist. Women have a higher likelihood of acquiring spider veins than men do. This is suggested to be related to hormones women possess.

Extra weight can also put pressure on the veins. Too much fat tissue around your organs or under the skin causes more pressure on the vessels in your legs. This increase in pressure dilates the veins, making it difficult for blood to see it’s way through.

Other Contributors?

spider-veins-cure-top-nyc-doctor-03Lifestyle is another contributor of unsightly veins. Individuals who are not active may have a greater chance of obtaining spider veins. Exercise is said to reduce the chances of appearance. Obesity can increase your chances of acquiring visible web-like veins as you have more pressure on your veins. Smoking restricts blood from flowing easily through your body by reducing circulatory function.

If you would like to learn more about how your condition, contact us today to schedule an appointment with Dr. Norman Chideckel for the treatment of spider veins today.

Microphlebectomy Procedure for Varicose Veins NYC


microphlebectomy-procedure-information-specialist-new-york-01Varicose veins are not only unappealing and embarrassing; they can also be painful and uncomfortable. Many patients choose Microphlebectomy for the removal of these large varicose veins. This is definitely an effective treatment that doesn’t require any major surgical procedure. While the smaller veins can be eliminated with procedures like sclerotherapy or injections, microphlebectomies are reserved for those veins that are too large to be effected by these other procedures.

Is This Procedure for Me?

The microphlebectomy is generally the chosen procedure for patients who want to eliminate pain cause by their varicose veins and improve their cosmetic appearance.  When the veins are removed, it is a permanent meaning the vein cannot return. Microphlebectomy is an easy procedure where patients quickly see positive result.  The entire procedure generally lasts less than thirty minutes.

Other veins may still develop in or around the same location but those that were removed are permanently gone. New veins can easily be eliminated through outpatient sclerotherapy injections.

How it’s Done

microphlebectomy-picture-top-varicose-doctor-nyc-02After a cosmetically acceptable incision is made in the leg, the vein is actually removed through the incision. Because the incision is so small, the doctor usually closes the opening with a small piece of surgical tape rather that applying stitches to close it.

After the doctor removes the vein from your leg, there is no negative result on the circulation or blood flow in the leg.  Blood that was supported by the removed vein is simply redirected to a healthier vein in the leg. Circulation of blood will continue better than before, just without the unsightly bulge in the leg.

What to Prepare for

Before performing a microphlebectomy, it is important to make certain that the other large veins in the leg have healthy function. An ultrasound examination is used to make sure there is not a faulty valve causing the larger veins to bulge.  If there are problems with valves or other veins, those problems will need to be addressed first to lower the chances of varicose veins returning.

Is a Microphelbectomy Safe?

best-microphlebectomy-varicose-veins-treatment-nyc-03Microphlebectomy is performed safely in a normal office setting using anesthesia to numb the area. After numbing occurs the small incision is made and the vein is carefully removed.  After removal you can usually continue normal activity immediately. You will see cosmetic improvements within minutes of the procedure. Within a week or two the minor bruising from the procedure will disappear. There is minimal pain from the actual procedure due to anesthesia, and the pain caused by the varicose vein is relieved upon the removal.

Microphlebectomies are not emergency procedures, so you want to be certain your experience is as risk free as possible. Choosing an experienced physician is a step in the right direction.

Contact us today to schedule an appointment with Dr. Norman Chideckel for a microphlebectomy consultation.

Ambulatory Phlebectomy Procedure NYC for Varicose Veins

Ambulatory Phlebectomy

best-ambulatory-phlebectomy-doctor-specialist-nyc-01While some patients seek treatment of varicose veins for cosmetic purposes, others are more concerned about the risks of their damaged veins. Ambulatory phlebectomy is used to relieve both cosmetic and medical concerns during in one simple procedure.  The ambulatory phlebectomy treatment is a safe outpatient procedure and usually takes under an hour to perform. Ambulatory Phlebectomy involves fewer risks than the traditional surgical procedures and much less pain.

Is This Procedure For Me?

Veins that have gone untreated can become painful, discolored, and swollen. When the vein weakens, it can affect the blood flow from the legs back to the heart to be recirculated. An ambulatory phlebectomy is best for swollen, varicose veins that are closer to the surface of the skin.

How is an Ambulatory Phlebectomy Done?

ambulatory-phlebectomy-varicose-info-02During this procedure your doctor will remove superficial veins through tiny, slit-like incisions through the skin of the affected area. Because the damaged vein is removed completely during this procedure, all of the symptoms you currently had from the vein are eliminated instantly.

To insure the health of the surrounding tissue and veins, your doctor will first identify the specific veins that need to be treated. Anesthetic will be injected into the skin to numb the area before the procedure. The numbing effect also reduces any discomfort that would be experienced during the procedure. A tiny incision is made in the area of the targeted vein and the vein is removed with a surgical instrument. Because our veins are very collapsible, even the larger veins can be effortlessly removed using this technique. The incision is so tiny that patients rarely have to have stitches to close the area. After the vein is removed and the incision most likely closed with a small piece of adhesive surgical tape, the doctor may want you to wear compression bandages for a little while after surgery to minimize discomfort or swelling from the surgery.

What Happens After the Vein is Removed?

best-ambulatory-phlebectomy-recovery-info-nyc-03After the damaged veins have been removed the blood is redirected to other healthy veins to restart a regular blood flow.  Losing the damaged veins will not harm blood flow because the veins were blocked from healthy flow.

Some bruising and swelling is normal after an ambulatory phlebectomy. These temporary symptoms can be reduced with compression stockings and over-the-counter, non-aspirin, medications.  Immediately after the procedure is completed, you will be able to proceed with normal activities. Patients usually return to work the following day.

The incisions point will heal on its own and be barely visible after 6 – 12 months. Ambulatory phlebectomy results are permanent for most patients, though it is always possible for new varicose veins to progress, especially if they are hereditary.

If you are interested in learning more about ambulatory phlebectomy or any of your other treatment options, contact us today to schedule an appointment with Dr. Norman Chideckel for treatment of your varicose veins.

Why Do My Varicose Veins Keep Coming Back?

Varicose Veins If you have had treatment but your varicose veins have come back, there could be three main reasons. If you have only been using creams or stockings, these will not treat the source of the varicose veins, as they are under the skin and you will need extra treatment alongside the creams.

The Wrong Treatment Was Given

Varicose Veins If you have been treated and the veins seem to have come back, the treatment given may have been wrong or not medically proven to work. Lots of clinics may offer a quick fix at a good price, but do you know exactly what you are getting? Some treatments, such as stripping, which remove the varicose veins in surgery, may not work. Veins are made to repair and replace, unlike organs, so if an affected vein is removed from the body, the body will try to replace this vein. This could cause a new vein to form. When a new vein forms in the body, it doesn’t have valves, meaning it will automatically be varicose.

The Wrong Vein Was Treated

No two varicose veins are alike and different veins will be affected in each individual person. An ultrasound is needed to ensure the correct veins are treated. If a vein is missed, the varicose veins will come back as the source has not been treated. If you have been treating outer varicose veins with creams or stockings, this will not get rid of the root cause of your varicose veins, meaning they will reappear. These are only temporary solutions.

New Varicose Veins Have Formed

Varicose Veins Unfortunately, if you have had varicose veins and they have been treated, this doesn’t guarantee that another vein will not become varicose, although it is rare. The best way to ensure this doesn’t happen is by reducing the risks of varicose veins. You can do this by having a healthy diet, regular exercise, and ensure you are not sitting or standing for long periods of time every day. If they reoccur, this does not mean they were not treated the first time; it just means another vein has been affected.

If you have had a treatment and believe it has not worked, contact us today to schedule an appointment with the best varicose vein doctor in NYC, who can talk you through an effective treatment plan to ensure this doesn’t happen again.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

What Does Varicose Veins Surgery Involve?

Varicose Veins SurgeryIf you are suffering from varicose veins or know somebody who is, you may look into surgery as a treatment. Surgery does not fix the affected vein (as once they are varicose they cannot be cured) but it does remove them. This does not affect the blood flow in the leg as other veins will take over the job of the varicose vein.

Am I Eligible For Surgery?

Varicose Veins Surgery

You will be assessed to see if you are eligible for surgery and it will depend on two things. One being the kind of varicose veins you are suffering from, whether this is where the veins have caused breakthrough bleeding to the skin, ulceration, or phlebitis (inflammation of the veins and the underlying skin). The second thing that will be done are some pre-operative tests to ensure you are safe for surgery. If you have had a reaction to anesthetic or you have high blood pressure, you may not be able to have surgery at this time.

What Happens During Surgery?

Varicose Veins SurgeryEach surgery depends on the severity of the varicose veins and where they are on the body. The varicose veins that can be seen in the skin are removed from the

leg using tiny incisions for minimal scarring. The vein which is causing varicose veins is called the long saphenous vein. This will be tied at the top to prevent blood flow then a thin wire will be placed through the vein. At the bottom of the vein, a cut will be made and using the wire, the vein will be stripped out. Removing the long saphenous vein means the cause of the varicose veins should be dealt and a recurrence is unlikely.

What Happens After Surgery?

If you are fit and well you will be able to go home a few hours after surgery, so long as a family member or friend can take you home. Bandages will be worn for a few days afterward. The leg may bleed slightly, as the stitches from the larger incisions heal. You can use painkillers for the pain and shouldn’t drive for 48 hours after surgery. It will be sore but the discomfort will get better over time and the surgery should mean that your varicose veins are completely removed.

If you want more information on varicose vein surgery, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

What are the Treatment Options for Varicose Veins?

Varicose veins Varicose veins cause no problems in many cases and may not need treatment, but some people may find them extremely painful or want them treated for cosmetic purposes. There are a few treatments that may be offered for varicose veins, which all have pros and cons.

Lifestyle Changes

There are many lifestyle changes that can prevent varicose veins from worsening and these are normally recommended if they are not causing any symptoms and are not seen as dangerous. These will not get rid of varicose veins. Therefore, they may not be the right treatment if you want rid of your varicose veins due to cosmetic reasons. Doing regular exercise, losing weight, and stopping smoking may all be recommended, depending on your circumstances. If you are getting another treatment, these lifestyle changes will usually be recommended alongside the main treatment.


Varicose veinsInjections can be used to close the vein using a special chemical. Results are normally seen after a few weeks and symptoms can be relieved. You may need a few injections for the treatment to work properly, and as with all treatments, it may cause side effects such as staining on the skin, headaches, or fainting. If you have a phobia of needles, this may not be the treatment for you.

Laser Treatment

Varicose veinsEndovenous laser treatment may be used to treat your varicose veins. This is a minimally invasive treatment that involves using an ultrasound to guide the laser. A small laser will be used to heat the varicose vein from the inside, which causes it to close. It may cause tightness in the legs as well as some bruising or pain. This treatment only needs small incisions and can relieve symptoms. Unlike surgery, you would not need to stay in the hospital overnight.

Suction Removal

As stated in the name, this involves removing the affected veins through small incisions using a suction device. This can give immediate results and minimal scarring, but it can cause bruising. It also relieves the symptoms of varicose veins.
There are other treatments available and this is not an extensive list. Depending on the procedure, you may be given general or local anesthetic to make it as painless as possible for you.

If you want a varicose vein treatment or wish to explore your choices, contact us as soon as possible to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

What Causes Varicose Veins During Pregnancy?

varicose veinPregnancy is one of the main risk factors associated with varicose veins. This is something we cannot avoid if we want children and isn’t something we should be worried about as long as we know the signs of varicose veins and get treated accordingly. Many women may find that once pregnancy is over, these veins disappear without help. But, what causes varicose veins whilst pregnant? Read on to find out.

The Uterus

varicose veinsAs the uterus grows during pregnancy, as does the skin around it to ensure your baby has the room it needs to thrive and grow. This causes increased pressure on an important vein called the inferior vena cava. This is the large vein that all the smaller veins from the lower body arrive at, which then goes back into the heart. When this is put under extra pressure, it exerts extra pressure on the veins in the legs, which can cause varicose veins.

Increased Blood Flow

When you are pregnant, your baby needs blood as well as you, meaning more blood needs to be pushed around the body in order to give both your body and your baby what you both need to be healthy and thrive. The veins in the legs are already working against gravity to push the blood back to the heart. Therefore, with the extra blood flow from pregnancy comes extra pressure on these veins, which can cause varicose veins.

Hormone Levels

varicose veinsWhilst pregnant, the female body releases more of a hormone called progesterone. Progesterone is produced by a woman during their menstrual cycle and during pregnancy. If an egg is fertilized, progesterone stimulates the growth of blood vessels surrounding the lining of the womb, meaning they become more relaxed. This can cause the valves to become weaker as the walls of the blood vessels relax, so they need to work harder to maintain blood flow in one direction. This can also cause varicose veins. Progesterone levels slowly increase during pregnancy, so the further on in pregnancy you are, the more progesterone your body produces.

Luckily, many women who suffer from varicose veins during pregnancy are just suffering due to something that happens to the body whilst pregnant. If you find the varicose veins aren’t healing after birth or you had them before you became pregnant, then contact us to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

Varicose Vein Myths You Probably Believed

There are many things you may have been told about varicose veins, but what is true and what isn’t? There is no one thing that can cause varicose veins, although there are risk factors that could increase your chance or make varicose veins worse if you already have them.

Crossing Your Legs

varicose veinsYou cannot get varicose veins just from crossing your legs. Although crossing your legs can cause extra pressure on the veins, it is not the main reason why a vein becomes varicose. However, if you already have varicose veins, it can exacerbate them through the extra pressure caused.

Hot Baths

varicose veinsIf you love a hot bath, there is no need to worry, this will not cause veins to become varicose. The veins aid the body in regulating its temperature, therefore, when the skin is subject to heat, the veins, capillaries, and arteries work together to enable blood to flow closer or further from the skin, depending if they want to retain or lose heat. This will cause the skin to go red, but it has nothing to do with varicose veins and is a normal bodily reaction to heat. However, long exposure to heat is not recommended if you do have varicose veins, as it can cause blood pooling, but hot baths will not cause varicose veins.

Poor Circulation

Varicose veins are not a sign of poor circulation; it is a sign that a particular vein is damaged. It does not affect circulation as other veins will make up for the work of the affected vein. Veins are not the main blood vessel that aid in circulation. Veins take blood flow to the heart at a relatively low pressure. Arteries are mostly responsible for blood circulating around the body, pumping it through at a high pressure.

Standing for Long Periods

varicose veinsThis also does not cause varicose veins. It is a risk factor and can make the valves relatively weak in the veins, as gravity is working against the veins for long periods of time. It can make the problem worse if you are already a sufferer from varicose veins. If you have varicose veins and do have a job where you stand for long periods, you may be advised to wear compression stockings.



If you are suffering from varicose veins, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

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