Vein Treatment Gig Harbor

Am I A Candidate for Vein Treatment?

If you have been suffering with the discomfort and embarrassment of painful and unsightly varicose veins and spider veins, you will be happy to learn that a number of minimally invasive procedures have been developed in recent years to help you get rid of varicose veins and spider veins without painful and invasive vein surgery. Northwest Vein & Aesthetic Center, a leading Tacoma area vein treatment center, offers a wide variety of treatments that offer excellent results with minimal down time.

Laser Ablation - CTEV/EVLT

Laser ablation is an excellent alternative to painful and invasive vein surgery. Dr. Nordestgaard offers EVLT services which are performed under local anesthesia in the convenience of our Tacoma area vein treatment center. During laser ablation, a small catheter is inserted into the vein. A laser is then inserted through the catheter, and the heat of the laser seals the vein, which is then reabsorbed by the body. Our EVLT procedure usually takes less than an hour and patients resume routine activities shortly afterwards.

There are several endovenous lasers being used in the treatment of varicose veins. At Northwest Vein and Aesthetic Center we currently have two different laser systems to choose between, allowing us to select the best options for your individual needs.

Frequently the laser ablation procedure is combined with the mini-phlebectomy. Afterwards a compression bandage is applied to the leg and you will be up and walking immediately following the procedure and ready to resume normal activities.

VNUS Closure® (Radio Frequency Occlusion)

VNUS Closure® is another minimally invasive and effective way to get rid of varicose veins without the need for traditional vein surgery. Like most of the procedures performed at our Tacoma area vein treatment facility, it requires only local anesthesia. During radio frequency occlusion, a small catheter, guided by an ultrasound, is inserted into the varicose vein. When the catheter is withdrawn, it emits radiofrequency energy, which causes the surrounding collagen to shrink and the vein to close.

Ambulatory Phlebectomy 

Performed under local anesthesia at our Tacoma area vein treatment center, ambulatory phlebectomy is used to get rid of varicose veins that appear on the surface of the skin. During this procedure, a tiny incision, so small that no stitches are required afterwards, is made in the surface of the skin. The vein is then removed through the opening. Patients are usually able to return to regular activities within 24 hours after the procedure. Dr. Nordestgaard will prescribe compression stockings to help patients heal after ambulatory phlebectomy.

Mini Phlebectomy 

Mini phlebectomy is a method of removing varicose veins on the surface of the legs. It is done in the office under local anesthesia. This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required. Even though the varicose veins may look large when patients are standing, they are very collapsible making it possible to remove them through small incisions. The patient is able to walk immediately following the procedure. After treatment, a compression bandage and/or a compression stocking are worn for up to 2 weeks.

Ligation and Stripping

This surgery is now rarely performed, but when required, the most modern form of ligation and stripping procedures is performed in the hospital or surgery center. The surgery is usually performed under general anesthesia and takes less than one hour. Patients return home approximately two hours later and to normal activities within a few days to a week.


Sclerotherapy is widely recognized as the gold standard for the treatment of spider veins, and involves inserting a small tube into the vein and injecting it with a fluid called a sclerosing agent. This irritates the vein, causing it to shut down and become reabsorbed by the body. Sclerotherapy is performed at our Tacoma area vein treatment facility under local anesthesia. Most patients resume regular activities less than 24 hours of sclerotherapy. Several treatment sessions may be required for best results. The Northwest Vein & Aesthetic Center also offers foam sclerotherapy to get rid of varicose veins. Dr. Nordestgaard and his staff will explain your options and help you determine which procedure is best for you.

Ultrasound-Guided Foam Sclerotherapy

This type of sclerotherapy is used to get rid of varicose veins that might not be evident on the surface but which can still cause medical problems. The veins are injected with a foaming sclerosing solution, for better coverage, and an ultrasound is used for improved accuracy.

Laser Treatment of Spider Veins

This treatment is ideal for smaller spider veins or broken capillaries which may appear unsightly on the surface of the skin. During the laser treatment, a laser, which emits a specific wavelength of light, is applied to the affected area. Upon contact with the skin, the light is converted to heat which breaks down the vein wall. Within a few weeks, the area heals and the spider veins disappear.

Duplex Ultrasound / Vascular Laboratory

The first step in your treatment plan often involves the performance of a diagnostic ultrasound examination. This non-invasive, painless test will allow the clinicians to map the course of your veins as well as see how well blood is flowing through them. The results will be used to determine the extent of any vascular disease as well as map out a proposed treatment plan. We have, in our facility, a state of the art vascular lab – Northwest Vascular Diagnostic – that is staffed by registered vascular technologists (RVTs) who can perform a variety of vascular and cardiovascular screening examinations.

Follow-up Care

You will return to the office in 3-4 days following the laser/ VNUS Closure® procedure for an ultrasound exam. At this time, the compression wrap will be removed. You will continue to wear your compression stocking usually for a total of 2 weeks following the procedure. In 4 weeks you will return to the office and if required, some follow up injections will be performed. If there are deeper veins involved, these will be treated with ultrasound guided injections.