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 Varicose Veins?

varicose-veins-general-medical-information-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?

The 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?

treatment-options-varicose-veins-nyc-top-vein-surgeon-02Well 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?

Besides 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

surgery-varicose-veins-best-nyc-vein-surgeon-03When 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.

Varicose Veins in Pregnancy

varicose-vein-treatment-while-pregnant-01Many women go their life without a trace of visibly unattractive veins; then they are surprised to find varicose veins in pregnancy. Pregnancy can contribute to varicose veins in several different ways. As your uterus grows, this creates more pressure in your abdomen area; in turn, squeezing your veins. Hormone changes can affect your veins by making them stretched out or dilated. This weakens the vein, making it difficult for a normal blood flow.

Pregnancy also increases your blood volume but contradictorily decreases the flow of blood from your legs to your heart. This change in circulatory design is specifically for a healthy growing fetus. So even though this change will help your child grow, it has some side effects for the mother, including larger veins in the legs.

How can I prevent varicose veins in pregnancy?

pregnant-vein-problems-nyc-vascular-specialist-02You may be able to minimize your varicose veins, or prevent future veins, while you’re pregnant if you add a few habits to your day. If you have a high risk pregnancy you will want to consult your doctor before making any drastic changes. A few suggestions for pregnant women with varicose veins include:

Exercise daily
You don’t have to go for a 5 mile jog; a simple walk around your block every day can improve the circulation throughout your body. Poor circulation can help create varicose veins.

Move around
Speaking of circulation, don’t sit for long periods of time; or stand for that matter. Get up every hour to move around when watching TV or working at your desk. Keep circulation healthy.

surgeon-for-varicose-vein-treatment-for-pregnant-woman-03

Watch your weight
Most likely your OBGYN gave you a healthy weight range to stay within during your pregnancy. This is important for the health of your baby as well as yourself.  Not gaining enough weight or gaining too much can add to the pressure around our veins.

Put your legs up
Elevating your feet to, level with your heart or higher, will help the blood flow back to your heart from your veins. Your veins work extra hard to send blood upstream.

Here’s the Good News

Varicose veins usually improve after you give birth, especially if they weren’t there before pregnancy. If they don’t disappear, there are several minimally invasive procedures available today that can get rid of visible vein.

If the veins do not disappear after giving birth and you need help making a decision on the best vein treatment for you, contact us today to schedule an appointment with Dr. Norman Chideckel for the treatment of varicose veins.

Treatment of Varicose Veins

treatment-varicose-veins-nyc-top-specialist-dr-chideckel-01Fortunately, treatment of varicose veins doesn’t include a hospital stay or a long, painful recovery. There are many routines you can add to your day that will help reduce the appearance of varicose veins and prevent new veins from surfacing. For those veins that are beyond your control or may be causing pain or restless legs, there are safe ways to eliminate these veins safely. There are several minimally invasive procedures for varicose veins that can be treated on a routine doctor’s visit.

A Few Things You Can Do On Your Own

Practice healthier behavior by adding exercise to your week. Movement will help your muscles do their job in contracting to assist your veins in blood flow. Exercise helps improve circulation and breaks the cycle of standing or sitting for long periods of time. If you are a smoker, you may want to consider quitting. Smoking has negative effects of your blood circulation. This could help to prevent future veins popping up.

how-to-get-rid-varicose-veins-treatment-options-nyc-vascular-surgeon-02Avoid tight fitted clothing that hinders your movement. If your jeans are too tight, they may actually be adding to harmful pressure on your veins, causing varicose veins. While some tight clothing can make veins worse, compression stockings are options to improve the look of your legs. Wearing compression stockings all day is usually the first treatment method to try before moving on to other options. They progressively squeeze your legs just enough to help the veins transport your blood more efficiently.

Medical Treatments

If your body is not responding to the self-care methods, or your condition is more severe, you have several options of varicose vein treatment that can be done in the doctor’s office.  These are all common and safe procedures to choose from when wanting to get rid of your visible unattractive veins.

Sclerotherapy is a procedure in less than an hour in your doctor’s office.  It is a common and safe procedure that does not require anesthesia. The vein doctor injects a solution into the smaller varicose veins, just under the surface of the skin. That injected solution scars the vein and it closes. The vein will not be functional for blood flow since it is sealed shut, though your blood will be rerouted to healthier veins.  You will see results from Sclerotherapy within weeks as the vein fades from visibility.

nyc-vascular-surgeon-varicose-veins-03Doctors use laser treatments to close off smaller varicose veins and spider veins. Endovenous laser treatment is an outpatient procedure that uses light energy to zap your vein closed. Your doctor inserts a thin fiber with a laser into the vein and the heat from the laser then destroys the vein. Results will be seen within a few weeks as the vein is absorbed by surrounding tissue.

Ambulatory phlebectomy is when your doctor removes the smaller varicose veins through a sequence of tiny skin punctures. The parts of your leg that will be receiving these tiny punctures will be numbed in this outpatient procedure. Scarring is usually minimal.

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

Treatment of spider veins

spider-veins-treatment-specialist-nyc-01Those small webs of blue or purple lines on legs can cause some women to lock themselves inside their house during the warm months. Spider veins can make you feel self-conscious and to some women they cause pain and discomfort. You will eventually ask yourself, how does one go about the treatment of spider veins? Luckily, there are many effective and safe methods available today that reduce or eliminate the appearance of spider veins. There are many preventive approaches you can try at home to prevent future veins appearing. But if you are ready to see these veins disappear, there are now several minimally invasive procedures that will bring your confidence back right along with your beautiful legs.

What Causes Spider Veins?

what-are-spider-veins-general-info-treatment-options-02A number of different factors have been known to contribute to the appearance of spider veins. Some of these include hormone imbalanced, inherited, Weight change (losing or gaining), smoking, inactivity, pregnancy, and standing or sitting for prolonged periods of time.

Is Spider Vein Treatment A Good Option For Me?

If your spider veins keep you from enjoying life or make you uncomfortable to do normal outdoor activities with your family, you may want to consider treatment for your spider veins. If your veins are causing you discomfort, pain, restless legs, and keep you from sleeping or resting, you may also want to seek treatment.

Saying Goodbye is Safe and Easy

There are several ways to get rid of those unsightly veins.  Three minimally invasive procedures that come highly recommended include:

  1. sclerotherapy-for-spider-veins-top-nyc-expert-chideckel-03Sclerotherapy: Conducted right in the doctor’s office in less than an hour, this is the most popular option for removing spider veins. The doctor will inject a solution directly into the vein, causing it to disappear gradually over the next few weeks. You will most likely be able to continue regular activity the same day.
  2. VeinGogh: This procedure is done as an outpatient procedure right in your 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 vein. When inserted, the heat from the fiber causes the walls of the vein to breakdown. The vein eventually disappears.
  3. Endovenous Laser Treatment: This procedure is similar to the VeinGogh procedure, and may be used depending on the size of your affected vein. During this procedure, your doctor will 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. This is an outpatient procedure which uses anesthesia.

If you think you are ready to see vein free legs when you look in the mirror, or ready to get rid of the discomfort you are probably a good candidate for vein treatment. Contact us today to schedule an appointment with Dr. Norman Chideckel for the treatment of spider veins. 

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.

spider-vein-information-faq-treatment-03

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.