Frequently Asked Questions

1. What kinds of problems does Vein & Cosmetic Solutions treat?

Varicose veins, spider veins, phlebitis and venous stasis ulcers. We are happy to evaluate any kind of vein problem.

2. What kinds of treatments are offered?

We do a comprehensive evaluation, which includes an examination by Jeff Widmeyer M.D., a board certified vascular surgeon, and an ultrasound examination of the veins. Treatments may include laser and injection therapy for smaller veins. For larger veins, laser closure and surgical removal of the veins may be recommended.

3. Do you do vein stripping?

Dr. Widmeyer does occasionally surgically remove some veins, which has been known as "stripping," but the method used is much different than many people's idea of vein stripping. The laser closure procedure replaces vein stripping in most people and is done under local anesthesia at the Vein & Cosmetic Solutions. Most patients are able to go back to work in two days. Dr. Widmeyer customizes each person's treatment to offer the best long-term and cosmetic results.

4. What about just injecting the veins? I've heard of other places that just do injections.

That method alone has a higher chance of the varicose veins coming back. We do use injection sclerotherapy for very small veins. As a vascular surgeon, Dr. Widmeyer can offer the best treatment for each person's vein problem, which sometimes does require minor surgery to get the best long-term result.

5. What is Endovenous Laser Ablation?

This is an exciting new procedure that replaces old-fashioned vein stripping in about 80-90% of patients. Rather than large incisions in the leg, a small needle puncture in the lower thigh is used to thread a thin laser filament through the saphenous vein. Using ultrasound to precisely place the laser and local anesthesia (numbing medicine), the laser is activated as it is withdrawn, damaging and sealing the vein. By sealing this incompetent vein, it can no longer transmit the pressure to the lower veins to cause varicose veins. Dr. Widmeyer was one of the first physicians in the state to perform this procedure. Since founding the Virginia Vein Center (now Vein & Cosmetic Solutions) in 2001, he has treated hundreds of patients—with excellent results.

6. What happens to the vein?

It scars down and is absorbed by the body.

7. Doesn't that affect the circulation in the leg?

Varicose veins don't work properly, meaning that they are letting blood travel back down the leg instead of up toward the heart. Therefore, removing them is usually helpful.

8. What if I need a vein for heart bypass someday?

Varicose veins are stretched out and are not usable for bypass.

9. What about spider veins?

Dr. Widmeyer uses the laser and injection sclerotherapy to treat spider veins. This is effective on the legs, face, chest and most areas of the body.

10. Will my insurance pay for treatments?

In many cases, yes. Some types of vein problems are considered cosmetic by insurance companies. Your veins will be evaluated by duplex ultrasound and digital photography. Along with Dr. Widmeyer's evaluation, these will be sent to your insurance provider for determination of payment prior to any procedures being done. If your provider denies coverage, we can help you appeal it, or you can decide to pay the cost yourself. We are happy to arrange payment plans with you.

11. What can I expect during my first visit?

Bring a loose fitting pair of shorts. You will be evaluated by Dr. Widmeyer and, in some cases, have an ultrasound study done. You will also be fitted for compression stockings during this visit (if needed). We provide these at the office at a very reasonable price. We like to complete your evaluation and develop a treatment plan all on your first visit. We will then schedule treatments for a future date.

12. Why did Virginia Vein Center change its name?

We opted to change the name of the practice in order to reflect our expanded scope of services (particularly those relating to cosmetic procedures). The staff is still the same—as is the commitment to providing an outstanding level of patient care.