Welcome

Welcome to the Vascular Surgery and Vein Center, a comprehensive vascular practice providing state-of-the-art care to patients throughout the tri-state area. Under the direction of board-certified surgeon Dr. Norman Chideckel, we utilize our advanced skills and many years of experience to help patients achieve clear, beautiful and healthy legs.

With our office conveniently located in Manhattan, Dr. Chideckel offers patients a wide range of services to treat varicose and spider veins, deep vein thrombosis, and other vascular conditions, including:

Dedicated to helping patients achieve their desired results through the most effective and minimally invasive treatments available, Dr. Chideckel and his staff take the time to talk with each individual patient and address any concerns or questions they may have before undergoing treatment. Your comfort and satisfaction are among our top priorities.

To learn more about the services provided by Dr. Chideckel, please contact us to schedule an appointment. We always welcome new patients and look forward to meeting you.

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


See our main site at www.veinsdoc.com
Blog Posts are Below:


What are Spider Veins?

What are Spider Veins?

what-are-spider-veins-top-vascular-surgeon-nyc-01Spider veins are a milder variation of varicose veins though they are still visibly unattractive lines on exposed skin. They tend to by much smaller and less swollen under the skin. Most spider veins range in sizes from the diameter of a hair to the size of spaghetti. They can be seen anywhere on the body, however they are most commonly found on the face, legs, and feet. These unsightly veins appear as networks of thin, red or purple, web-like lines. These web-like features are links of blood vessels on the surface of the skin. Spider veins form when a small group of blood vessels expand close to the surface of the skin, making them visible.

You will usually find spider veins developing on the ankle, thigh, and feet region. Even though they are small in size, the degree of pain and fatigue they bring can be great.  Besides discomfort they do not usually cause medical problems and can be eliminated through procedures such as laser treatment and sclerotherapy.

How Common are Spider Veins?

detail-spider-veins-treatment-02Though men are still subject to get spider veins, they are slightly more common in women. Over 40 percent of women have had some form of vein condition in their life; including spider veins. The chances of incidence increase with age.

Are Spider Veins Dangerous to My Health?

On most occasions, spider veins pose no health risk, though like varicose veins, they may produce a discomfort in the legs after prolonged standing which could indicate more severe venous disease. Even though the possibility of discomfort from spider veins is small, some people feel self-conscious when wearing clothing that may reveal their spider veins in public. This can be an inconvenience. Aside from an unpleasant appearance, one may experience some slight discomfort.

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Still, many individuals choose to have their spider veins removed through one of the many options available. Removal can be done with several medical options to reduce the appearance of the visible web-like patterns on the skin.  Sometimes spider veins may cause aching or a throbbing sensation. These sensations are greater when the veins are located behind the knee.

If you would like more information on spider veins, contact us today to schedule an appointment with Dr. Norman Chideckel.

 

VeinGogh Procedure

VeinGogh Procedure

diagnosis-treatment-cure-leg-veins-new-york-specialist-03VeinGogh is a relatively new treatment for spider veins that uses a heating technology to eliminate the veins. This technique allows more accuracy and less risk to the tissue and vessels surrounding the targeted veins. The procedure uses heat to collapse the damaged veins so it gradually disappears.

When is it Done?

VeinGogh is a treatment option for veins that are too small to be repaired by sclerotherapy. Any adult in good health who wants to get rid of their spider veins is a good candidate. VeinGogh works best on smaller spider veins, up to 0.3 mm, and is not designed to treat larger vessels deep beneath the skins surface.

How Does the VeinGogh Procedure Work?

vein-gogh-treatment-varicose-veins-nyc-expert-surgeon-01

VeinGogh is a minimally invasive, outpatient procedure, performed in the doctor’s office. The procedure is usually pain-free and involves little or no downtime. VeinGogh is done with a small fiber, about the width or a single hair, to send heat into the affected vessel. When inserted, the heat from the fiber causes the walls of the vein to breakdown and fade away. You may feel a pinch when the fiber is inserted, similar to a hair being plucked, but ultimately the procedure is pain free.  As with other procedures to eliminate unsightly veins, the damaged vein is absorbed by surrounding tissue and the blood is rerouted to healthier veins.

This is a very quick procedure, lasting less than 20 minutes. You will notice results immediately after a VeinGogh treatment, and improvement continues over the next few days and weeks. The amount of time it takes for complete results simply depends on the time it takes your vein to seal and collapse.

Many people see desired results with only one treatment session with VeinGogh. However, depending on the severity of the condition, some patients may require a series of treatments to obtain preferred results. If more treatments are desired, more than two or three sessions usually completely eliminate spider veins that did not vanish with the initial treatment.

What is the recovery like?

fix-varicose-spider-veins-with-vein-gogh-treatment-dr-chideckel-nyc-specialist-02When the procedure is complete, patients can generally continue regular activities immediately. Some VeinGogh patients experience slight redness around the treatment site, which usually disappears within hours. Your doctor may recommend the use of certain moisturizers to assist in reducing redness and speeding up the healing process. There is a rare risk of scarring after the VeinGogh treatment, leaving the area beautiful and smooth.

To schedule your VeinGogh procedure or learn more about this and other treatments, contact us today to schedule an appointment with Dr. Norman Chideckel today.

 

Sclerotherapy for Spider Veins

Sclerotherapy for Spider Veins

sclerotherapy-for-spider-veins-top-nyc-specialisy-surgeon-01Sclerotherapy is often considered the treatment of choice in treating spider veins.  It is a fairly safe procedure with rare complications. This procedure can help improve the appearance of your spider veins and the uncomfortable effects that come with having them. Many patients choose to treat their spider veins to rid themselves of their sleep disturbance from the night cramps, aching, burning sensation that can be a byproduct of spider veins. Others simply want to get rid of the unappealing look of the veins on their skin

How is Sclerotherapy Done?

The procedure involves injecting a solution, by needle, into the shallow vein. The injected solution will force the vein to scar, not being able to hold the blood that is visible from the outside. When this happens the blood is forces to move and detour through healthier veins.

What Happens to the Vein Afterward?

sclerotherapy-faqs-info-vascular-surgeon-best-nyc-02When the vein scars after the procedure, its original purpose is no longer there. The vein will be reabsorbed by local tissue and will disappear over time.  This process of fading usually takes a few weeks though occasionally may take a month or more to see complete results from the Sclerotherapy. In some cases, more than one treatment may need necessary for best results.

Are There Side Effects From Sclerotherapy?

Like with most procedures, there are temporary side effects that may occur after your Sclerotherapy.  The injection site may result in small red sores from the actual injection; similar to those you would have after receiving a flu shot as the needle will break the skin in order to touch the vein just under the surface. Other temporary side effects that may occur at the injection site include: bruising, darkened skin in the form of lines or spots, multiple tiny red blood vessels.

Patients heal at a different pace depending on how your body restores itself. In most cases the side effects usually disappear within a few days or weeks. Some side effects can take months or even years to disappear completely.

How to Prepare for Sclerotherapy

types-of-varicose-veins-spider-veins-surgeon-03Before your procedure, your doctor will gather medical history and perform a routine physical examination of your veins. The doctor will want to be made aware of any medications you currently take, any recent illness, or existing conditions. He will need to be made aware of conditions such as history of blood clotting or a heart condition.  Your physician will then evaluate the veins involved in your desired treatment and check underlying blood vessels for disease.  If you are currently taking blood thinning medication or aspirin, be prepared for your doctor to instruct you how to stop taking this medicine for a certain amount of time before your procedure. Taking these medications could increase your chances of bleeding during the procedure.

What to Expect on the Day of Your Procedure

Sclerotherapy is an outpatient procedure that is typically done in your doctor’s office. The procedure doesn’t require anesthesia and normally takes less than an hour to complete.

Veins that responded to treatment generally do not return, but it is possible for new veins to appear.  Generally your doctor will schedule a follow-up visit to evaluate the procedure’s success and decide whether further sessions are needed.

If you would like more information on Sclerotherapy or are ready for a consult, contact us today to schedule an appointment with Dr. Norman Chideckel for the treatment of your spider veins.

Endovenous Laser Treatment for Spider Veins

Endovenous Laser Treatment for Spider Veins

Endovenous-Laser-Treatment-expert-spider-vein-treatment-01One of the newer treatments for vein disappearance, without needing surgical procedure, is the Endovenous Laser Treatment. This is another way doctors are able to destroy these unappealing veins. Endovenous Laser treatment is best used on the smaller vein problems, like spider veins, instead of the larger varicose veins.

How Does it Work?

First a thin fiber is inserted into the damaged vein like a tiny needle.  A laser from the fiber emits a beam of light through the vein with just the right amount of energy. The targeted vein responds to the light energy by closing and sealing shut. Once sealed off, it is no longer a functional vein. This is not a concern as the blood will automatically reroute to another healthier vein nearby.

The Endovenous Laser Treatment is done with great accuracy, so that the surrounding tissue is not affected. Even though the word laser can be intimidating, lasers have proven to be safe and effective through many types of medical procedures from eye surgery to dermatology. This method has far less risk or complications that an invasive surgery.

What to Expect

Endovenous-Laser-Treatment-best-nyc-vascular-surgeon-spider-veins-02You will first receive anesthesia to numb the area being treated. Your doctor will make a small incision over the numbed area, so you shouldn’t feel pain, maybe only pressure. He will then insert a laser fiber into your targeted vein. Once the fibrous laser is activated it will heat up the vein, forcing it to collapse and close tightly like shrink wrap. The heat will not harm the surrounding area and the vein will fade. Your doctor might have you wear compression stockings after treatment to improve and speed up the healing process. You will be observed for a short time (30 minutes) then sent on your way. Don’t be surprised if your doctor tells you to return to work or other activities the same day or the next. Some patients experience a temporary soreness on the area and slight swelling. These possible side effects can be treated efficiently with over-the-counter pain relievers.

Recovery Time

With Endovenous Laser Treatment, it may take about 1 year for the treated vein to disappear completely. Consider if you have received the treatment a year ago, the vein would be gone by now. For best results, you may need more than one treatment. The old vein will be nonfunctional and should disappear though you may still have new veins appearing.

If you are interested in learning more, contact us today to schedule an appointment with Dr. Norman Chideckel for the treatment of varicose veins.

Causes of Varicose Veins

Causes of Varicose Veins

causes-of-varicose-veins-top-nyc-specialist-surgeon-01Varicose veins can draw unwanted attention by their swollen ropey appearance at the surface of the skin. Our healthy veins are supposed to return blood to the heart from other parts of the body, for it to be recirculated. If there is extra pressure on the veins or weakened valves, it is more difficult for the blood to flow upwards against gravity. Instead the blood backs up and the vein is clogged. The flow of blood will redirect itself to a healthy vein, though the blocked vein will become very unsightly. This is when varicose veins are created.

What Causes This Pressure?

causes-symptoms-treatment-varicose-veins-new-york-02There are many suggested contributing factors to the pressure around veins, leading to varicose veins. Here are a few things that could be contributing to your visible veins.

  • Your age: As we age, out veins lose elasticity, causing them to stretch or slouch, like our skin. Our valves become weak, causing blood to move in the wrong direction, causing backup in the veins. When this blood gathers in our veins with nowhere to go, the vein enlarges and becomes visible and bulging through the surface of the skin.
  • Hormones: As rumored, it is true that more women acquire varicose veins than men. Hormones are only one factor that contributes though with hormonal changes, pre-menstration, menopause, and birth control hormones all cause the relaxation of the vein walls.  The likelihood of obtaining these large veins increases after pregnancy because of the increased pressure on the abdominal region and the extra blood volume.
  • Obesity or Extra Weight: Any extra pressure on your veins adds to a greater chance of getting varicose veins. Too much fat tissue around your organs or veins causes more pressure on the vessels in your legs. This increase in pressure dilates the veins, making it difficult for blood to see its way through.
  • Lack of Movement: Staying in one position for long periods of time keeps your blood from flowing  as well as if you were moving around. Your muscles contract, acting as pumps, to help your veins push the blood through their path to the heart. When you are inactive the muscles do not assist, putting more pressure on the veins. Many individuals acquire spider veins when they have a job that requires them to stand or sit for long periods at a time.

Other factors that are known to contribute to varicose veins include a family history of these veins, smoking, too much alcohol, and poor diet.

Varicose veins can be removed through safe procedures in an office setting. If you have visible veins that you have considered having removed, contact us today to schedule an appointment with Dr. Norman Chideckel for the treatment of varicose veins.

 

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

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.