Varicose Veins

Conveniently located to serve the areas of Westlake, OH

Varicose Veins

An estimated 20% of all people develop varicose veins due to valve weakening in their leg vessels. At Premier Vein Clinic in Westlake, Ohio, board-certified vascular surgeon David Naar, MD, treats varicose veins using nonsurgical techniques and minor procedures. To explore effective treatments for your varicose veins, contact Premier Vein Clinic.

Before and After Photos

What are Varicose Veins?

Varicose veins are engorged and often twisted or lumpy-looking veins that appear on your skin’s surface, typically on your legs. Not everyone develops varicose veins, but they can become an inconvenience that’s beyond a cosmetic issue. They’re usually blue or purple, making them especially hard to ignore.

In some cases, varicose veins cause very little or no discomfort. However, they can also cause symptoms like:

  • Touch sensitivity and tenderness
  • Leg aching and pain
  • Itching
  • Nearby skin discoloration and darkening
  • Superficial blood clots, inflammation (phlebitis)
  • Leg tiredness, fatigue, weakness and heaviness
  • Night cramps, restless legs, and “Charlie Horses”

At Premier Vein Clinic, Dr. Naar treats varicose veins to ease discomfort, improve your skin’s appearance, and prevent complications like blood clots or venous ulcers. 

How did I Get Varicose Veins?

The primary cause of varicose veins is faulty valves within the veins in your legs. In healthy leg veins, the valves open and close to push blood upward toward your heart and prevent it from falling backward. When these valves become weak or less effective with time, your blood cannot effectively travel upward. Instead, it pools in place.

When the blood pools, it expands the walls of your veins and causes them to become much larger. Veins near the skin’s surface can expand to the point that they’re no longer flush against the surface, eventually becoming engorged and twisted.

However, other factors that influence the development of varicose veins include:

  • A sedentary lifestyle
  • Obesity or weight gain
  • Pregnancy
  • Menopause
  • Ages over 50
  • Birth Control pills
  • Smoking

Genetics can also play a role in the development of varicose veins. If you have family members with varicose veins, you’re more likely to get them too.  

Which Treatments are Available for Varicose Veins?

At Premier Vein Clinic, Dr. Naar examines your varicose veins and reviews your medical history to help you decide which of several varicose vein treatments are right for you. Your treatment might involve:

Endovenous Ablation Thermal or Chemical Foam Ablations

To explore your treatment options for spider veins, contact Premier Vein Clinic.

Dr. Naar recommends the thermal ablations ablation to patients who have saphenous junction reflux. This is back-flow or reverse flow. Like a waterfall effect. The heat from the thermal ablations cause the saphenous vein to close and eventually disappear.  Spider veins might eventually disappear or need further treatment like sclerotherapy.

Endovenous thermal ablation is a procedure that uses heat from radiofrequency or laser energy to make your varicose vein collapse, eventually causing it to disappear. 


Sclerotherapy is an effective treatment for both varicose veins and spider veins. During this procedure, Dr. Naar cleans your skin before injecting a chemical solution called a sclerosant directly into the vein in question. The solution causes the vein to constrict, close, and eventually disappear.


Microphlebectomy is a minor in-office procedure to remove varicose veins. Dr. Naar makes a tiny incision before inserting a hook-like instrument to grab onto the vein’s wall. He then removes the vein through the incision. 

If you have new or worsening varicose veins, contact Premier Vein Clinic.