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Vein Disease

Spider Veins

Spider veins are small, damaged veins that can appear on the surface of the legs or face. They are usually not painful or harmful, but some people may wish to treat them for cosmetic reasons.

Vein Problems

More than 80 million people in the United States have problems with their veins, the vessels that return blood to the heart once it has circulated through the body. Many people suffering from venous disorders come to vascular surgeons looking for treatment to either relieve pain or improve the visible appearance due to diseased veins.
Veins have one-way valves that help keep blood flowing in the proper direction. If these valves stop functioning the way they are supposed to, blood can flow backwards and pool in the vein branches, causing them to stretch and become varicose veins. This condition is known as venous insufficiency.
These enlarged blood vessels fall into two groups: spider veins and varicose veins. Spider veins are visible on the surface of the skin as red, blue or purple lines. Varicose veins are larger and deeper and often look like bluish bumps under the skin.

Vein Conditions

Facial Veins

Telangiectasia or broken capillaries can be commonly found on the face. Primarily they tend to be located on or around the nose, cheeks and chin. This is what causes the blue or reddish-pink vessels on the face. Facial Telangiectasia can be hereditary; however, there are multiple factors that can lead to these small spider veins on the face. There are inflammatory conditions (such as rosacea or acne), sun exposure, windburn, smoking or chronic excessive alcohol intake. The common treatments for pesky veins on the face are VeinWave (radio-frequency ablation) or laser. You can find more information about treatment in the vein treatments section.

Hand Veins

Prominent veins in the hands can make them look substantially older, which can age you. What happens is over time skin loses its elasticity and the back of the hands lose their soft tissue volume. The tendons and veins become more noticeable. Areas of skin which receive a lot of sun exposure, such as the hands, tend to show signs of sun damage and aging more quickly. These bulging veins near the surface of the skin can be treated with vein removal or Sclerotherapy. An additional option to improve the appearance of the hands is filler injections into the back(dorsum) of the hands. This restores the volume minimizing the appearance of hand tendons and veins. If your surface veins are cosmetically bothersome, it is safe and easy to treat them. This is done in the office setting with no down time.

Breast Veins

Breast veins tend to become more noticeable and prominent during pregnancy, while breast-feeding, when using oral contraceptives or after breast augmentation. Often after pregnancy or when breast feeding ceases, the breast veins will fade or lessen. In some cases, however, the veins remain enlarged and cosmetically displeasing. With sun damage or aging, the chest wall, breasts and upper abdomen can also develop spider veins, telangiectasias. The treatment for these different vein types is the same as in any other body area. We recommend treatment with Sclerotherapy, foam sclerotherapy or VeinWave depending on vein location and size of the veins.

Trusted by Patients

The entire experience was pleasant and informative. In addition to making me feel comfortable, Dr. Dietzek ensured that I understood his findings. He also gave his opinion on the next steps I should take. Having personally experienced Vein & Vascular Institute, I would recommend it to others.
Everyone was very nice, didn't have to wait long and I got an answer for my problem.
I see Dr. Fakhoury on a weekly basis, for the past year...his knowledge is amazing as is his bedside manner. The staff, from the front desk, to the nurses and doctors, to the people behind the scenes...more like family to me.
Excellent staff! Highly recommended!
Pleasant professional experience with Erika. Staff was very nice. Highly recommend this practice.
A very enjoyable experience. Very pleasant & thorough staff!
Erika Dietzek, APN and staff were extremely professional, personable, and caring during the sclerotherapy procedure.Highly recommended V&VI for medical and cosmetic services!
Another excellent procedure with Dr. Fakhoury and his staff is friendly and professional.
Everyone was very knowledgeable, professional, and extremely friendly. I felt comfortable every step of the way and will definitely recommend them to others
My experience was great. I had been to Dr. Dietzek almost 10 years ago. I would highly recommend him to clear up any unsightly veins.
The staff is very friendly and helpful.
A quick professional visit with time spent explaining details ,a good experience!!
Very friendly, professional and great office staff. 5 stars for sure. So happy how my procedures are going. I had some tough veins I’ve let go for over 30 yrs. I highly recommend them. Erika is awesome made me feel so comfortable. Can’t wait to see my final results when I’m finished with this process. 💕
Erica and Dr Dietzek explain everything really well. Very polite and professional!
I enjoy coming to this place. It's very calming and easy to get to.
Competent staff, answered all my questions, and very professional.
They are friendly, and explained my worries very clear.
Extremely helpful, professional, and as for Dr Dietzak, they don't make them any better then him
Staff very friendly and professional. Dr. Dietzek very caring, knowledgeable, best at what he does.
This has to be the best experience I’ve ever had at a doctors office. You really are cared for and not just another patient.
Everyone was so nice and very informative. All of my questions were answered. Dr. Fakhoury made me feel comfortable & took the extra time and steps to ensure the procedure I need done could be completed safely.
Very thorough and explained everything fully.
Nurse practitioner was thorough and informative. She explained what was going on with my legs and I have a better understanding of what to do next.
I was very impressed with the Vein and Vascular Institute. Everyone was very professional and knowledgeable, even when confronted with the quirky little problem that I presented with. Looking forward to having all my vein issues addressed here!
First time I was there as a patient, all the staff from customer service to the Doctor were so nice which made my visit pleasant and painless.
Great work. Very professional and made it as easy as possible.
Great place! People are so nice! And my legs look great!
Everyone is so nice and very knowledgeable everything they told me went as planned procedure came out incredibly well can not tell i had a procedure done
Erika was very good with explaining the expectations of the procedure. Staff and friendly and took their time to answer questions.
Staff and Doctors were very helpful and kind!
Great experience! Staff is welcoming and very thorough!
Everyone was very helpful, kind and friendly
Appointment was made promptly everyone I spoke to on the phone and in their office were wonderful and very helpful.
I was examined by Dr. Elias Fakhoury, who performed a GSV Clarivein Venous Closure procedure on my right lower leg last year due to Venous Insufficiency. Dr. Fakhoury will perform a Venous Closure procedure on my left lower leg in the very near future. During this visit a thorough Ultrasound of both legs was performed. A detailed medical history was performed by Alyssia, and Dr. Fakhoury examined both of my legs, as well as to explain the Venous Closure procedure he will perform on my left leg. Everyone, from the front office staff to the Ultrasound specialist, to Alyssia, to Dr. Fakhoury were extremely pleasant, helpful, and knowledgeable about my leg condition. I look forward to another successful Venous Closure performed by Dr. Fakhoury.
The staff was kind and professional. The only part I say I had a problem with is not being informed I should have purchased compression stockings instead I was recommended to purchase them at an additional $60. Which I could have purchased from Amazon for a fraction of the price. I actually believe they should be incorporated in the amount of procedure. Other than that The NPC was fantastic.. 🤞🏼 I’m hoping I will heal great..
Staff is very friendly, helpful and willing to answer questions. Appointments move quickly with little wait/downtime. Would strongly encourage family and friends to see them.
Dr. Dietzek is very knowledgeable and courteous and professional. His staff is also excellent.
Exceptional service. Made me feel like I mattered.
My experience was pleasant. I felt relaxed. Every detail was explained to me. I definitely recommend the Vein & Vascular Institute.
Dr. Dietzek is easy to talk to and explains everything in a way that I can understand. The entire office staff is friendly and welcoming. I was really nervous when I got there (I'm always nervous at the doctor's) but I feel better going back for future appointments.
Quick in and out. Very professional, clearly explaining. Would recommend.
Very informative consultation. I feel very positive moving forward with my vein treatment plan.
The staff was really nice and the doctor we're very sympathetic to my recent loss of my son. There wasn't too long of a wait which was nice
This place is the best I highly recommend this place the Doctors and staff are very friendly and very knowledgeable so I felt very comfortable in allowing them to the treatments on me.
I have been a patient of Dr. Dietzeck since 2009. I was ASTOUNDED how my spider veins disappeared after my treatment. I go back every couple years to maintain my result because of my occupation as a hair stylist I am on my feet for long periods. The staff is very informative and patient explaining your at home instructions. I have recommended him to many of my clients and friends and they all were very pleased. Dr. Dietzeck’s office is unique and professional you can feel the difference as soon as you walk in!
The staff is very personable and professional. I highly recommend Erika for the sclerotherapy procedure!
Excellent customer service , staff is very friendly . Physicians are very knowledgeable, highly recommended
Had a very pleasant experience here. Everyone was very friendly and professional. My appointment was late in the day on a Friday which is odd for any doctor’s office and none of the staff acted frustrated or anxious to leave. It was amazing. Very thorough and explained everything to me. Very pleased.


Most insurance plans typically cover varicose vein treatments, including Medicare and Medicaid.


Equipped with the latest cutting-edge vein treatments, that are minimally invasive and pain free!

Super Fast Recovery

You’ll be surprised how most of our patients return to their normal day-to-day activities post-venous treatments!

15-45 Minutes

Now you can enjoy a varicose-vein-free journey with treatments that only take 15-45 minutes to complete.

Treatments for Spider Veins

An exciting new technology which was developed in Europe has just become available in the USA – Veinwave! The Vein & Vascular Institute is excited to be able to offer the revolutionary Veinwave for the treatment of small spider veins and telangiectasia. As seen on “The Doctors”, Veinwave is the new FDA approved procedure for immediate results with minimal side effects. The Vein & Vascular Institute is one of the first practices in the tristate area to offer Veinwave treatments.

Veinwave utilizes radiofrequency energy, (the latest rage in medical devices), creating heat similar to laser therapy without its adverse effects on the skin. The desktop device delivers this energy through a pencil like holder device. The veins are traced and there is thermo-coagulation of the spider veins. The vein walls stick together and collapse. The effect of treatment is ‘instant’ – you see the veins disappearing immediately.

The sensation to most is similar to a very fine pin prick, others relate it to a minor sting which does not linger – often it depends upon the location of the treatment. Either way, any discomfort is said to be incomparable to the pain of some laser based treatments and is undoubtedly more effective.

There is:

  • No compression stockings needed post treatment
  • No hiding from the sun
  • No hyper or hypopigmentation
  • No downtime

In a few days after treatment, very small micro-crusts can develop which look like a cat scratch. These can appear where Veinwave has been applied. This is normal and no special care is needed. These will disappear on their own.

The Veinwave is excellent for treating those stubborn facial vessels or for those small threadlike spider veins on the legs, ankles and feet. The Veinwave can be used on men and women of all skin types. Each treatment takes about 15-20 minutes, less time than a manicure. One could potentially do it during ones lunchtime and be back to work, minus the spider veins.

No more waiting till after the summer to remove those unsightly veins. So what are you waiting for. Schedule your appointment today!

Laser technology allows us to treat spider veins on the face and legs. It is especially good for spider veins on the face and areas of very small and matted spider veins on the legs. The unsightly veins on the face tend to be red skinny lines on the nose and cheeks which respond nicely to lasers. The laser beam can easily be aimed at these tiny spots and achieve good results.

Spider veins are caused by a variety of factors, including heredity, pregnancy and weight gain, and are estimated to affect nearly half of all adult women in the US. Some people experience painful symptoms such as aching, burning, swelling and cramping from spider veins, while others are bothered by their appearance.

Treatment for spider veins can be done through traditional sclerotherapy or through more advanced and minimally invasive laser procedures.

There are several different types of laser treatment available, including endovenous laser treatment (EVLT), which treats large veins by passing a laser fiber through a catheter directly into the vein. Veins just under the surface of the skin can be treated with a simpler laser procedure over the course of several treatment sessions. Your doctor will decide which procedure is best for you after performing a physical examination and going over your medical history and general health.

Sclerotherapy is the standard treatment for small varicose and spider veins. A sclerosing solution is injected into the vein. The vein becomes irritated, collapses and is gradually absorbed by the body. It is very common for the vein to appear darker and more visible immediately after the injection session. Compression hose-Prescription-strength compression stockings will enhance the results of treatment and reduce potential side effects. This process causes a gradual fading of the treated vessel over a period of several weeks to several months. The legs, ankles, feet, breast and hand small varicose veins and spider veins are usual treatment locations.

The needles used for the injections are as fine as your hair and typically not painful. Most patients agree that sclerotherapy is less painful then laser treatment. Since a solution is injected along the length of the vein, a large treatment area can be performed during one session. In the past, the pain associated with this therapy was not the injections but rather due to the solutions utilized. With today’s newer medications there is no pain from the solutions. Certain medications can be foamed to increase their effectiveness.

The most important reason why sclerotherapy is still the gold standard for leg vein treatment is that you can treat the entire vein and the underlying skin veins known as reticulars, which feed the spider veins on your legs. This is analogous to removing the branches on a tree rather than just the leaves. This results in more durable results and a longer time before recurrence. To see the underlying veins a high power painless fiberoptic light is used to help guide the injections.

These underlying reticular veins often cannot be seen by the naked eye and therefore a laser beam, resulting in inadequate results with laser. By the end of the treatment program, the veins are not visible on the skin surface. Sclerotherapy is most effective on smaller surface veins, less than 1-2mm in diameter.

Click here to read an in-depth article on Sclerotherapy authored by Dr. Dietzek.

Prominent veins can make your hands look substantially older. Over the years, the skin loses some of its elasticity and volume. This can result in a more noticeable appearance of lumpy, unattractive veins at the skin’s surface. Areas that receive a lot of sun exposure, such as the hands, tend to show these signs of damage even more quickly. These bulging veins that we can see near the surface of the skin are not even necessary to the circulatory system. There are veins deeper within the hand that sufficiently transport blood to and from the area. Therefore, if surface hand veins are cosmetically bothersome, it is quite safe to treat them and rid the hands of their presence.
Sclerotherapy Treatment for Hand Veins

One of the most effective forms of treatment for hand veins is sclerotherapy. This medical procedure involves the injection of a sclerosant solution into the prominent veins, which causes irritation and their eventual collapse. The treated veins are ultimately absorbed into the body and the blood is redirected naturally to flow through other, healthier veins. Performed in your doctor’s office, sclerotherapy procedures typically take about 30 minutes.

Some patients will only need one session of sclerotherapy to completely resolve their hand veins, while others may require multiple sessions. Anesthesia is not necessary and most patients report experiencing little to no pain, other than perhaps just a mild burning sensation. After the skin is cleaned with an antiseptic solution, the sclerosant is injected into the affected veins with a very fine needle.

The number of injections per session varies based on the number and length of the damaged veins. After the sclerotherapy procedure, cotton balls and compression tape are applied to the injection site. After sclerotherapy, most patients can return to work and other normal activities the same day. Compression gloves and support bandages may need to be worn for several days after the procedure.

Some patients may experience mild bruising and pigmentation following sclerotherapy. These side effects usually subside within a few days. The long-lasting results of sclerotherapy begin to show up immediately, and are usually fully visible after three to six weeks.

Meet Dr. Dietzek

Dr. Charles L. Dietzek

Charles L. Dietzek, D.O., FACOS

Dr. Charles L. Dietzek is a board certified Vascular Surgeon practicing since 1989. He was a faculty member and the Chief of Vascular Surgery at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine (UMDNJ-SOM) until July 2005. In August 2005, he founded the Vein & Vascular Institute. He remains a Clinical Assistant Professor of Surgery volunteer faculty at RowanSOM.
Dr. Dietzek has been named numerous times a “Top Doc” in both South Jersey Magazine and SJ Magazine. He has also been a “Top physician for Women” repeatedly. He has been featured on health segments on ABC6, NBC10 and national news programs. Total Vein Care, a national physician training course, was Co–Directed by Dr. Dietzek where he has . . .

Dr. Dietzek Has Been Featured On

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