Hill Country Vein Center

Endovenous Radiofrequency Ablation, commonly known as RFA, is a minimally invasive procedure used to treat varicose veins and other symptoms of vein disease caused by poor circulation. This treatment uses gentle heat energy to close damaged veins, allowing blood to flow naturally through healthier ones. By addressing the root cause of venous insufficiency, RFA effectively relieves pain, swelling, and fatigue while improving the appearance and health of the legs. At Hill Country Vein in New Braunfels, TX, patients are treated by experienced, board-certified physicians who specialize in advanced vein care. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, one of the leading institutions in ultrasound technology and vascular diagnostics. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has been a trusted provider in New Braunfels for over 30 years. Together, they deliver precise, patient-centered care using the latest techniques in vein treatment. How Endovenous Radiofrequency Ablation Works Radiofrequency Ablation treats the underlying cause of varicose veins by closing the diseased vein that allows blood to pool in the legs. The procedure is guided by ultrasound imaging to ensure accuracy and safety. During the procedure, a thin catheter is inserted into the affected vein through a small incision. Controlled radiofrequency energy is then applied to the vein wall, causing it to heat and contract. As the vein closes, blood is naturally redirected to nearby healthy veins, improving circulation and reducing symptoms. The body eventually reabsorbs the closed vein over time. Because RFA is performed using local anesthesia, patients remain comfortable throughout the procedure. The treatment typically takes less than an hour, and most individuals can return to normal activities immediately afterward. Conditions Treated with Endovenous Radiofrequency Ablation RFA is one of the most effective treatments for venous insufficiency and its related symptoms. It can successfully address: Varicose veins that cause pain, swelling, or visible bulging Chronic Venous Insufficiency (CVI) that leads to heaviness or fatigue in the legs Leg pain and cramping associated with poor circulation Skin discoloration or inflammation caused by venous reflux Swelling (edema) and discomfort that worsen after long periods of standing RFA is often recommended when conservative treatments such as compression stockings or lifestyle adjustments are not enough to provide relief. It is also frequently combined with other therapies like sclerotherapy or endovenous laser treatment to achieve optimal results. The Benefits of Endovenous Radiofrequency Ablation Endovenous Radiofrequency Ablation provides significant benefits for both the appearance and health of the legs. Because it directly treats the source of vein disease, patients often experience noticeable improvement within days of the procedure. Key benefits include: Minimally invasive, with no need for general anesthesia Quick recovery and immediate return to daily activities Relief from leg pain, heaviness, and swelling Reduction in visible varicose veins and improved skin appearance Long-lasting results with a low risk of recurrence Enhanced circulation and overall leg comfort For most patients, RFA offers a permanent solution to the discomfort and cosmetic concerns caused by vein disease. Results continue to improve as circulation normalizes and the treated vein is absorbed by the body. Why Choose Hill Country Vein for Endovenous Radiofrequency Ablation Hill Country Vein provides a level of care defined by medical excellence, advanced technology, and personalized attention. Dr. Aaron Love’s extensive experience in diagnostic ultrasound and vascular medicine ensures each procedure is performed with precision and accuracy. His background in emergency medicine and clinical research reflects a lifelong dedication to improving patient outcomes. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has been treating patients in New Braunfels for more than 30 years. His expertise in vein management and aesthetics allows him to deliver comprehensive care that restores both health and confidence. Together, Dr. Love and Dr. Kneuper lead a team committed to making each patient’s experience comfortable, informative, and effective. Hill Country Vein’s mission is to provide lifelong vein and wellness care through innovation, integrity, and compassion. Every procedure is guided by a focus on safety, comfort, and lasting results, ensuring patients achieve the healthiest possible outcomes.

Compression Therapy and Conservative Care are essential components of vein and circulation management. These treatments help improve blood flow, reduce swelling, and relieve discomfort caused by venous insufficiency and other circulation-related conditions. For many patients, conservative measures are the first line of defense against vein disease, while for others, they play a key role in supporting recovery after minimally invasive vein procedures. At Hill Country Vein in New Braunfels, TX, patients receive personalized care from experienced, board-certified physicians dedicated to promoting lifelong vascular health. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, one of the pioneers in ultrasound technology and vascular imaging. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has provided exceptional care to patients in New Braunfels for more than 30 years. Together, they combine medical expertise, advanced technology, and compassionate care to help patients achieve long-term vein health and comfort. What Is Compression Therapy and Conservative Vein Care? Compression therapy involves the use of specialized medical-grade stockings or wraps that apply consistent pressure to the legs. This pressure helps the veins and muscles move blood more efficiently toward the heart, preventing fluid buildup and reducing the symptoms associated with poor circulation. Conservative care may also include exercise, leg elevation, lifestyle adjustments, and other non-invasive methods that promote healthy blood flow. These treatments are often recommended as a first step in managing: Varicose veins and spider veins Chronic Venous Insufficiency (CVI) Leg swelling (edema) and heaviness Fatigue or pain in the legs Post-procedure support following vein treatments By improving venous return, compression and conservative care help prevent symptoms from worsening and reduce the risk of complications such as skin changes, inflammation, or ulceration. How Compression Therapy Works Healthy veins contain one-way valves that keep blood flowing upward toward the heart. When these valves weaken, blood can pool in the legs, increasing pressure and causing discomfort. Compression garments work by gently squeezing the legs, promoting circulation and supporting proper vein function. There are several types of compression therapy available, including: Graduated Compression Stockings: Apply the greatest pressure at the ankle and gradually decrease toward the thigh, encouraging upward blood flow. Elastic Bandages or Wraps: Used for more targeted compression, often during the healing process following a procedure. Intermittent Pneumatic Compression Devices: Specialized systems that inflate and deflate to enhance circulation in patients with more advanced venous disease. Each method is tailored to the patient’s condition, comfort, and treatment goals. Compression therapy can be used alone or in combination with other vein treatments to improve results and maintain long-term vein health. Conservative Care for Vein Health In addition to compression, conservative care strategies play a vital role in managing vein conditions and promoting healthy circulation. These measures often include: Leg Elevation: Raising the legs above heart level several times a day to reduce swelling and improve blood flow. Regular Exercise: Walking, swimming, and cycling strengthen calf muscles, which act as a natural pump for the veins. Weight Management: Maintaining a healthy weight reduces pressure on the legs and veins. Avoiding Prolonged Standing or Sitting: Changing positions frequently helps prevent blood from pooling in the lower legs. Dietary Improvements: Staying hydrated and eating a balanced diet rich in antioxidants and fiber supports vascular health. These simple lifestyle adjustments can significantly improve circulation and relieve discomfort, particularly for patients with early-stage vein disease or those recovering from vein procedures. The Benefits of Compression Therapy and Conservative Care Compression therapy and conservative vein care offer a range of benefits that contribute to both immediate comfort and long-term wellness. These include: Relief from swelling, heaviness, and fatigue in the legs Improved circulation and venous return Reduced risk of complications related to vein disease Faster recovery following vein treatments Prevention of new varicose or spider veins Non-invasive, safe, and easy-to-use treatment options By addressing the symptoms of vein disease early and supporting ongoing vein health, patients can enjoy better comfort, mobility, and confidence in their daily lives.

The VenaSeal procedure in New Braunfels, TX represents the newest advancement in the treatment of venous disease. This innovative, minimally invasive solution replaces traditional vein-stripping surgery with a gentler, more efficient approach. By using a medical-grade adhesive to close veins with malfunctioning valves, the VenaSeal procedure improves circulation and reduces uncomfortable symptoms caused by poor blood flow. The result is a quick, comfortable, and effective treatment that restores both health and confidence. At Hill Country Vein, patients are treated by board-certified physicians who bring decades of experience and precision to every procedure. Dr. Aaron Love, a board-certified physician with more than 20 years of experience, trained at Lehigh Valley Hospital, one of the nation’s leading institutions in ultrasound technology and vascular diagnostics. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has provided trusted care to the New Braunfels community for over 30 years. Together, they deliver compassionate, results-driven vein care using the latest medical innovations, including VenaSeal. Understanding Venous Circulation and Reflux Disease Healthy veins carry blood back to the heart through a system of valves that open and close to promote upward flow. Your legs contain two primary vein systems: The Deep System within the muscles, which relies on muscle contractions to pump blood back toward the heart. The Superficial System, located near the surface of the skin, which connects to the deep veins through perforating veins. When these valves become weak or damaged, they fail to close properly, causing blood to pool in the legs. This condition, known as Venous Reflux Disease, leads to symptoms such as swelling, heaviness, fatigue, and visible varicose veins. Because valves cannot be repaired, treatment focuses on closing or re-routing blood flow through healthier veins. How the VenaSeal Procedure Works Traditionally, vein treatment involved surgically removing the diseased vein. The VenaSeal procedure provides a far less invasive alternative by using an FDA-approved medical adhesive to “seal” the problem vein closed instead. Once closed, blood automatically reroutes through healthy veins, restoring normal circulation and reducing symptoms. The procedure is performed on an outpatient basis and typically takes about 30 minutes. It requires only a small amount of local anesthesia, and patients remain comfortable throughout. Because VenaSeal does not use heat, there is no risk of thermal injury to surrounding tissue. The VenaSeal Procedure Process Step 1: Ultrasound Guidance Using ultrasound imaging, your physician positions a slender catheter into the diseased vein through a small opening in the skin. This step ensures precise placement for optimal results. Step 2: Glue the Vein Wall The catheter delivers the medical adhesive directly to the targeted area. Gentle pressure is applied to help the vein walls adhere together. The adhesive begins working immediately, securing the vein within 30 seconds and fully curing within a few minutes. Step 3: Re-Route Blood Flow Once the treated vein is sealed, blood flow is naturally redirected to healthy veins. A small bandage is placed at the insertion site. Compression stockings may be used to reduce minor inflammation but are not required. Step 4: Positive Cosmetic Results The VenaSeal procedure leaves little to no scarring or bruising and provides excellent cosmetic results. Most patients return to their normal activities within a day. Areas It Treats Poor blood flow in the superficial leg veins Venous reflux disease causing swelling, pain, or heaviness Visible varicose veins related to faulty vein valves The Benefits of the VenaSeal Procedure The VenaSeal procedure offers several advantages over traditional vein treatments. Because it does not use heat or require large incisions, patients experience less discomfort and faster recovery. Additional benefits include: Outpatient procedure completed in about 30 minutes No need for general anesthesia or extensive recovery Minimal bruising, scarring, or swelling Long-lasting symptom relief and improved circulation Excellent cosmetic results with minimal downtime By restoring healthy blood flow, VenaSeal not only improves leg comfort but also enhances overall vascular health and appearance.

Ultrasound-Guided Foam Sclerotherapy is an advanced, minimally invasive treatment designed to close and eliminate diseased veins that contribute to varicose veins and venous reflux disease. This procedure uses ultrasound imaging to accurately guide a specialized foam solution into the affected veins, allowing for precise treatment and improved circulation. It is an excellent option for patients seeking a safe and effective alternative to surgery for the relief of leg pain, swelling, and visible vein concerns. At Hill Country Vein in New Braunfels, TX, this treatment is performed by board-certified physicians with decades of experience in vascular medicine and minimally invasive vein procedures. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, one of the pioneers in ultrasound technology and vascular imaging. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has cared for patients in New Braunfels for over 30 years. Their combined expertise ensures patients receive the most advanced and comfortable vein treatments available. What Is Ultrasound-Guided Foam Sclerotherapy? Foam Sclerotherapy is a technique that uses a specially formulated foam sclerosant to close problem veins and redirect blood flow to healthy veins. Unlike traditional liquid sclerotherapy, the foam mixture expands to fill the vein more completely, making it highly effective for treating larger or deeper veins that cannot be seen at the skin’s surface. Ultrasound imaging is used to visualize the targeted vein and guide the precise placement of the foam. Once injected, the foam displaces blood within the vein and causes the vein walls to seal together. Over time, the treated vein is absorbed by the body, leaving behind healthier circulation and smoother skin. This procedure is performed in-office, requires only local anesthesia, and is completed in less than an hour. Conditions Treated with Ultrasound-Guided Foam Sclerotherapy This treatment is ideal for patients with symptomatic or cosmetically concerning vein conditions, including: Varicose veins and reticular veins Chronic Venous Insufficiency (CVI) Venous reflux disease Residual veins following prior vein treatments Leg pain, swelling, or fatigue related to vein dysfunction By targeting diseased veins under ultrasound guidance, the procedure allows for precision and safety in areas that may be difficult to treat using other methods. The Procedure Process The process begins with a detailed ultrasound examination to identify the veins that need treatment. The area is cleaned and numbed with a small amount of local anesthesia. Using real-time ultrasound imaging, your physician carefully inserts a fine needle into the affected vein. The sclerosant foam is then injected into the vein, filling the targeted area and closing it from within. Patients may feel mild pressure or tingling as the foam is administered, but the procedure is generally well tolerated. Once the injection is complete, gentle pressure or compression may be applied to help the vein close completely. A small bandage is placed over the entry point, and patients are able to walk immediately after the procedure. Recovery and Aftercare Recovery from Ultrasound-Guided Foam Sclerotherapy is quick and convenient. Patients can return to normal daily activities the same day, though strenuous exercise should be avoided for 24 to 48 hours. Mild side effects such as temporary redness, tenderness, or slight swelling at the injection site are common and typically resolve within a few days. Compression stockings may be recommended to support optimal healing and improve circulation. Most patients notice significant improvement in symptoms and appearance within a few weeks, with continued results over several months as the treated veins fade. The Benefits of Ultrasound-Guided Foam Sclerotherapy Ultrasound-Guided Foam Sclerotherapy offers numerous advantages for patients seeking a precise, minimally invasive solution to vein disease. Key benefits include: Outpatient procedure with no need for general anesthesia Minimal discomfort and little to no downtime Safe and effective for larger or deeper veins Improved circulation and symptom relief Noticeable cosmetic enhancement of treated areas Long-lasting results with a low risk of recurrence Because the treatment directly addresses the cause of vein disease, it not only improves the appearance of the legs but also enhances overall leg health and comfort.

Accurate diagnosis is the foundation of effective vein treatment. At Hill Country Vein in New Braunfels, TX, advanced diagnostic imaging allows for precise identification of vein disorders, ensuring that every patient receives personalized and effective care. Using state-of-the-art technology such as Duplex Ultrasound and Vein Mapping/Reflux Studies, our physicians can detect circulation issues early and design treatment plans that address both symptoms and their underlying causes. Our diagnostic program is led by board-certified physicians with extensive experience in vascular imaging and minimally invasive vein care. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, one of the nation’s pioneers in ultrasound use and vascular diagnostics. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has provided trusted surgical and vein care to the New Braunfels community for over 30 years. Together, they ensure every patient receives the most accurate diagnosis and individualized treatment available. The Importance of Vein Diagnostics Vein disease often develops gradually, and its symptoms—such as leg pain, swelling, or visible veins—can be caused by several different underlying conditions. Advanced imaging helps identify exactly where and why circulation is impaired. Diagnostic imaging plays a vital role in: Detecting venous reflux (backward blood flow due to valve damage) Identifying blockages or clots in deep and superficial veins Evaluating the severity and location of varicose veins Assessing overall vein structure and function Guiding precise treatment planning for minimally invasive procedures By combining technology and expertise, Hill Country Vein provides detailed insight into each patient’s vascular health, leading to more effective, targeted treatment outcomes. Duplex Ultrasound Duplex Ultrasound is the primary diagnostic tool used to evaluate the veins in the legs. This non-invasive test uses sound waves to create detailed images of blood vessels and measure the direction and speed of blood flow. It combines two forms of ultrasound technology: B-Mode Imaging: Creates a two-dimensional picture of the vein’s structure. Doppler Imaging: Measures how blood moves through the veins, identifying areas of reflux or obstruction. During the test, a water-based gel is applied to the skin, and a handheld probe called a transducer is moved over the area being examined. The procedure is painless, takes about 30 to 45 minutes, and provides immediate results. Duplex Ultrasound is used to diagnose: Chronic Venous Insufficiency (CVI) Varicose and spider veins Deep Vein Thrombosis (DVT) Venous reflux or valve malfunction Blood clots and blockages This test provides a complete view of both vein anatomy and blood flow, allowing for accurate identification of venous disease and optimal treatment planning. Vein Mapping and Reflux Studies Vein Mapping and Reflux Studies are specialized imaging procedures that provide a detailed map of your venous system. This helps identify which veins are healthy and which are contributing to symptoms such as swelling, pain, or heaviness. Vein Mapping involves using ultrasound to trace the path of both superficial and deep veins in the legs. The resulting “map” provides a comprehensive view of the venous network and helps guide procedures such as endovenous ablation, sclerotherapy, or surgery. Reflux Studies assess how well the valves inside the veins are functioning. When these valves fail, blood flows backward (a condition known as reflux), leading to increased pressure, swelling, and varicose veins. Identifying reflux is crucial for selecting the right treatment to restore proper circulation. These diagnostic techniques are: Non-invasive and painless Performed in-office by experienced ultrasound technologists Completed within 30 to 60 minutes Essential for accurate treatment planning and long-term success The Benefits of Advanced Vein Diagnostics and Imaging Accurate diagnostics are the key to effective, lasting vein treatment. The imaging services at Hill Country Vein offer several important benefits: Early detection of vein disease before symptoms progress Clear visualization of vein structure and function Guidance for precise, minimally invasive treatment Enhanced patient understanding of their condition Improved treatment outcomes and long-term circulation health With advanced imaging, our physicians can tailor every treatment plan to the patient’s unique anatomy and needs, ensuring both medical and cosmetic improvements.

Vein Mapping and Reflux Studies are advanced diagnostic imaging techniques used to evaluate the structure and function of the veins in the legs. These studies allow physicians to pinpoint areas of poor circulation, weakened valves, or blockages that may be contributing to symptoms such as pain, swelling, or visible varicose veins. By understanding how blood flows through both the deep and superficial vein systems, physicians can develop precise, personalized treatment plans that target the root cause of vein disease. At Hill Country Vein in New Braunfels, TX, these imaging studies are performed by board-certified physicians with decades of experience in vascular diagnostics and treatment. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, a national leader in ultrasound and vascular imaging. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has cared for patients in New Braunfels for more than 30 years. Their combined expertise ensures each diagnostic study is conducted with precision, accuracy, and patient comfort in mind. What Are Vein Mapping and Reflux Studies Vein Mapping and Reflux Studies use ultrasound imaging to assess both the anatomy and performance of the veins in the legs. While Vein Mapping focuses on creating a visual map of the venous network, Reflux Studies measure how well the vein valves are functioning. Healthy veins contain one-way valves that prevent blood from flowing backward. When these valves weaken or fail, blood can pool in the legs, leading to symptoms of venous reflux disease, including pain, swelling, and varicose veins. Reflux Studies detect this backward flow, helping physicians identify exactly where the problem exists. Vein Mapping, on the other hand, traces the course of both deep and superficial veins, showing which veins are healthy and which are damaged or dilated. The detailed map created during this process guides procedures such as ablation, sclerotherapy, and microphlebectomy, ensuring accurate and effective treatment. When Vein Mapping and Reflux Studies Are Needed Your physician may recommend these studies if you experience symptoms or visible signs of vein disease, such as: Varicose or spider veins Leg swelling or heaviness Chronic aching or fatigue in the legs Skin discoloration or thickening around the ankles Non-healing wounds or ulcers Prior history of blood clots or venous procedures These tests are also performed before most vein treatments to confirm which veins are affected and to plan the most effective approach for long-term results. How Vein Mapping and Reflux Studies Work Both tests are performed using ultrasound imaging, a painless and non-invasive technique that uses sound waves to create real-time images of the veins. Step 1: Preparation The patient is positioned comfortably, often standing or reclining, to allow veins to fill with blood and be clearly visualized. A gel is applied to the skin to improve sound wave transmission. Step 2: Vein Mapping Using a handheld probe called a transducer, the technologist or physician traces the course of the veins, documenting their size, depth, and connections. This information forms a visual “map” of the venous system that guides treatment planning. Step 3: Reflux Testing The Doppler function of the ultrasound measures the direction and speed of blood flow. Gentle pressure or movement may be applied to assess whether valves are closing properly. Any backward flow, or reflux, is recorded and used to diagnose valve dysfunction. Step 4: Evaluation Once complete, the results are reviewed by Dr. Love or Dr. Kneuper. They use this data to determine the best treatment strategy, whether it involves conservative management or a minimally invasive procedure such as ablation or sclerotherapy. The entire process takes about 30 to 60 minutes and requires no recovery time. The Benefits of Vein Mapping and Reflux Studies Vein Mapping and Reflux Studies provide the foundation for precise diagnosis and successful vein treatment. Their benefits include: Non-invasive, painless testing performed in-office Detailed visualization of both deep and superficial veins Early detection of venous reflux and valve dysfunction Accurate treatment planning tailored to individual anatomy Reduced risk of complications during procedures Improved long-term results and patient satisfaction By clearly identifying where vein disease begins and how it progresses, these diagnostic studies ensure that treatment is focused, effective, and lasting.

Spider veins are small, thin veins that appear close to the surface of the skin, often forming web-like patterns of red, blue, or purple lines. While they are typically not medically dangerous, they can cause cosmetic concern and, in some cases, mild discomfort or itching. Visual Sclerotherapy is a safe, effective, and minimally invasive treatment that targets these surface veins, closing them to restore smoother, clearer-looking skin. At Hill Country Vein in New Braunfels, TX, spider vein treatment is performed by board-certified physicians with decades of experience in advanced vein care. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, one of the nation’s pioneers in ultrasound technology and vascular imaging. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has served the New Braunfels community for over 30 years. Together, they offer precise, patient-focused care using modern sclerotherapy techniques that deliver beautiful, lasting results. What Is Visual Sclerotherapy? Visual Sclerotherapy is a non-surgical procedure designed to treat spider veins and small varicose veins visible on the skin’s surface. During the procedure, a fine needle is used to inject a sclerosing solution directly into the affected vein. This solution irritates the vein’s inner lining, causing it to collapse and seal shut. Over time, the body naturally absorbs the closed vein, leaving behind clearer, more even-toned skin. Unlike ultrasound-guided sclerotherapy, which targets deeper veins, visual sclerotherapy is performed using direct visualization of surface veins. The treatment is highly effective for cosmetic improvement and symptom relief in the legs, ankles, and occasionally other areas such as the face or hands. Conditions Treated with Visual Sclerotherapy Visual Sclerotherapy is most often used to treat: Spider veins (telangiectasias) Small superficial varicose veins Residual veins following other vein treatments This treatment is ideal for patients who are bothered by the appearance of visible surface veins or who experience minor burning, itching, or heaviness in the treated areas. The Visual Sclerotherapy Process The procedure is performed in-office and typically takes 30 to 45 minutes, depending on the number of veins being treated. Step 1: Preparation The treatment area is cleaned and examined to identify all visible veins requiring treatment. No anesthesia is necessary, though patients may feel a mild stinging sensation during the injections. Step 2: Injection Using a very fine needle, the physician injects a sclerosing solution directly into the targeted veins. The solution irritates the vein lining, causing it to close. Step 3: Compression and Healing After the injections, gentle compression is applied to help the treated veins seal properly and promote healthy circulation. Compression stockings may be recommended for a few days to maximize results. Step 4: Gradual Improvement The treated veins fade gradually over several weeks as the body reabsorbs them. Multiple sessions may be needed for optimal cosmetic results, depending on the size and number of veins treated. The Benefits of Visual Sclerotherapy Visual Sclerotherapy offers a range of benefits for both cosmetic and comfort improvement: Minimally invasive, in-office procedure No anesthesia or incisions required Quick recovery with little to no downtime Effective removal of spider veins and small surface veins Noticeable cosmetic enhancement and smoother skin Long-lasting results when combined with healthy vein care habits For many patients, sclerotherapy provides renewed confidence and comfort, improving both the look and feel of their legs. Why Choose Hill Country Vein for Visual Sclerotherapy Hill Country Vein combines expert medical knowledge, advanced technology, and a compassionate approach to deliver superior results in vein care. Dr. Aaron Love brings over two decades of experience in diagnostic ultrasound and vascular medicine, ensuring that every procedure is performed with accuracy and safety. His training in vascular imaging and minimally invasive techniques allows for precise, effective treatment of even the most delicate veins.

Ambulatory Microphlebectomy is a highly effective, minimally invasive procedure used to remove persistent superficial varicose veins. These veins often remain after the main vein trunks, such as the greater or short saphenous veins, have been successfully treated. The procedure relieves discomfort, improves circulation, and enhances the appearance of the legs by directly removing the enlarged surface veins through tiny punctures in the skin. At Hill Country Vein in New Braunfels, TX, patients are treated by experienced, board-certified physicians who specialize in advanced, minimally invasive vein procedures. Dr. Aaron Love, a board-certified physician with more than 20 years of clinical experience, trained at Lehigh Valley Hospital, a leader in ultrasound technology and vascular imaging. Dr. Mark Kneuper, a board-certified General Surgeon and Fellow of the American College of Surgeons, has provided expert surgical and vein care to the New Braunfels community for over 30 years. Together, they bring precision, safety, and compassion to every procedure. What Ambulatory Microphlebectomy Treats Ambulatory Microphlebectomy is ideal for treating: Large superficial varicose veins that persist after treating the main venous trunks Rare cases of varicose veins in patients without significant venous insufficiency in the main venous trunks This procedure is often recommended when veins remain visible or symptomatic despite prior treatments such as ablation or sclerotherapy. Because it removes the affected veins directly, it provides immediate and lasting improvement in both function and appearance. How the Procedure Works Ambulatory Microphlebectomy is an improvement on older vein removal techniques. Instead of long incisions and sutures, this method uses a small semicircular incision and a specialized instrument, similar to a crochet hook, to gently remove the affected vein. No stitches are required, and the tiny incisions typically heal with minimal scarring. The procedure takes about 30 to 60 minutes, depending on how many veins are being treated. It is performed in-office using local anesthesia, and most patients can return to normal activities the following day. The Treatment Process Preparation The treatment begins with marking the veins to be removed. This is done while the patient is standing so that the varicose veins are clearly visible. Once the veins are mapped, the patient lies down and the treatment area is cleansed and prepped. Local anesthesia is applied to ensure comfort during the procedure. Apply the Anesthetic A dilute anesthetic, known as tumescence anesthesia, is injected around the treatment area to numb the tissue. A tiny curved incision is made next to the targeted vein. Through this incision, a small, modified hook is inserted to gently lift and remove the vein from the surrounding tissue. Remove the Vein Additional small incisions are made about one inch apart along the vein’s course. The vein is then removed in segments or as a continuous strand, depending on its size and structure. The process is repeated until all targeted veins have been addressed. A Better Look for Your Veins Because the incisions are so small, no sutures are necessary. The curved shape of the incision helps achieve an improved cosmetic outcome with minimal to no visible scarring. Pain Management and Anesthetic Options Most patients tolerate Ambulatory Microphlebectomy very well with local anesthesia. The injection of the anesthetic can cause brief discomfort, but the area becomes numb quickly, and there is typically little post-procedure pain. For patients who are anxious about needles or sensitive to discomfort, Hill Country Vein offers ProNox, an optional nitrous oxide inhalation system. ProNox combines oxygen and nitrous oxide in a safe 50:50 ratio, allowing patients to self-administer it for relaxation and pain relief. The effects wear off within minutes, allowing patients to drive themselves home safely after a short observation period. This optional service is not covered by insurance but is available for a small fee upon request. Recovery Time and Side Effects Recovery from Ambulatory Microphlebectomy is minimal. Most patients drive themselves home after the procedure and return to work or regular activities the next day. Compression stockings must be worn for one week to support healing and reduce swelling. Mild discomfort or tenderness may occur but typically resolves within a few days. Bruising is minimal and fades as the veins heal. Because the incisions are very small, there is little to no risk of visible scarring.