VenaSeal

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1. What Is Venaseal? 
2. What Conditions Does The Venaseal Treat? 
3. Patient Stories To Legs Like New®
4. Who Is A Good Candidate For Venaseal? 
5. Why Venaseal Is A Strong Option For Veins Below The Knee
6. After The Procedure 
7. Our Spider Vein Treatment Options
8. Board-certified Specialists That Practice With Care
9. The Venaseal Procedure, What To Expect
10. Frequently Asked Questions About Venaseal
11. Expert insights
12. Venaseal Locations Across Michigan 
13. Schedule A Consultation 

For patients who want effective treatment for varicose veins or chronic venous insufficiency but have concerns about needles, heat, or post-procedure discomfort, VenaSeal offers something genuinely different. It is the leading vein closure treatment that uses a medical adhesive rather than heat energy, which means no tumescent anesthesia, no thermal energy near the skin, and a more comfortable experience from start to finish for many patients. 

At Miller Vein, our board-certified vein specialists offer VenaSeal as part of a comprehensive suite of minimally invasive treatment options. Whether VenaSeal is the right choice for your specific situation depends on your venous anatomy, your symptoms, and your goals, all of which are assessed during your evaluation. What we can tell you is that when it is the right fit, patients consistently appreciate how different it feels compared to what they expected vein treatment to be.

To see how this fits into a complete care plan, visit professional varicose vein care.

What Is VenaSeal? 

VenaSeal is a minimally invasive vein closure system that uses a specially formulated medical adhesive to seal diseased veins from the inside, permanently closing them and rerouting blood flow to healthy surrounding vessels. Once the treated vein is sealed, the body gradually reabsorbs it over the following weeks, and it disappears entirely. 

The VenaSeal procedure was developed as an alternative to thermal ablation techniques such as radiofrequency ablation and laser ablation. Rather than using heat to collapse the vein wall, VenaSeal delivers a precise amount of a cyanoacrylate-based adhesive directly inside the affected vein through a small catheter. The adhesive creates an immediate bond that closes the vein upon contact. 

What Conditions Does the VenaSeal Treat? 

VenaSeal is used to treat the same underlying venous reflux that drives several common vein-related conditions, including the following: 

It helps to understand the condition first — see varicose vein signs and symptoms for the full picture.

Chronic Venous Insufficiency (CVI) 

CVI occurs when the one-way valves inside the great saphenous vein, small saphenous vein, or other significant leg veins fail, allowing blood to flow backward and pool in the lower legs. This venous reflux elevates pressure throughout the lower leg, producing the aching, heaviness, swelling, fatigue, and skin changes characteristic of the condition. VenaSeal closes the refluxing vein at its source, eliminating the pressure and allowing symptoms to resolve. 

Varicose Veins 

Varicose veins are a direct and visible consequence of symptomatic venous reflux disease. When blood pools in the leg veins due to valve failure, the increased pressure stretches the vessel walls and produces the bulging, twisted veins visible beneath the skin. By sealing the saphenous vein driving the reflux, VenaSeal removes the pressure that has been causing varicose vein formation. Many associated varicose veins shrink and fade in the weeks following treatment as that pressure is relieved. 

Restless Leg Syndrome Related to Vein Disease 

For patients whose restless leg syndrome is caused or contributed to by venous insufficiency, treating the underlying vein disease offers meaningful symptom improvement. Research has shown that 87% of patients receiving endovenous treatment for venous reflux experience improvement in RLS symptoms. VenaSeal is an effective option for addressing the venous component of RLS in appropriate candidates.

Patient Stories to
Legs Like New®

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I was extremely happy with my results. I was treated with Sclerotherapy. Before and after pictures are incredible! I was very self-conscious about how my legs looked and always wore long capris in the summer to cover them. I wish I had done this sooner. The staff was very professional, friendly, and knowledgeable. They made me feel very comfortable.

— Diane D.

The front desk personnel were very professional and welcoming. I was seen by one of the most welcoming and patient ultrasound technicians. She was very pleasant and informative. She explained every step and made me feel comfortable throughout the exam. The doctor is the reason the office is so calm and welcoming. The doctor was informative as she explained the diagnosis and plan of care needed. I would definitely refer someone in need of their services.

— Brenda F.

Very friendly staff and very thorough. They explained everything as they went through the different steps during the appointment. I felt very at ease here. I am very happy I chose them.

— Angela H.

The staff is so friendly. They explain well before they do anything. Dr Miller is awesome. Explains treatment and plan of care in detail. Answers all questions thoroughly. Had a very good consultation.
Highly recommend.

— Barb F.

Who Is a Good Candidate for VenaSeal? 

VenaSeal is a versatile treatment option and is appropriate for a broad range of patients with confirmed saphenous reflux. It is particularly well-suited for: 

• Patients with needle sensitivity or anxiety about the tumescent injection process associated with thermal treatments 
• Patients who have had prior thermal ablation and found the anesthesia process difficult 
• Patients with diseased veins below the knee, such as the small saphenous vein or the lower great saphenous vein, where VenaSeal’s delivery mechanism is the preferred approach 
• Patients who want to minimize post-procedure compression requirements 
• Patients looking for the most comfortable possible procedure experience without compromising on effectiveness 

VenaSeal is not appropriate for everyone. Patients with a known allergy to cyanoacrylate adhesives are not candidates for the procedure. Certain vein anatomies or clinical situations may make thermal ablation or another approach more appropriate. Your specialist will review your ultrasound findings and medical history to determine the best treatment option for your specific circumstances.

Why VenaSeal Is a Strong Option for Veins Below the Knee

VenaSeal is often an excellent choice for treating diseased veins below the knee. In the lower leg, the great saphenous vein runs close to the saphenous nerve, and the small saphenous vein runs alongside the sural nerve in the back of the calf. Because VenaSeal closes the vein with a medical adhesive instead of heat, it helps minimize the risk of irritating these nearby nerves.

Heat-based treatments like radiofrequency and laser ablation use thermal energy to close the vein. Where a nerve sits right next to the vein, that heat can sometimes irritate it, causing numbness, tingling, or a burning feeling in the lower leg, ankle, or foot. These symptoms are usually temporary, but a non-thermal approach helps avoid them. VenaSeal uses no heat and no tumescent injections along the vein, so it’s well suited for:

• The great saphenous vein below the knee
• The small saphenous vein in the back of the calf
• Patients who had nerve-related discomfort after a previous thermal treatment

Not every below-the-knee vein needs VenaSeal. At your consultation, a Miller Vein specialist reviews your duplex ultrasound to see where your veins run in relation to nearby nerves, then recommends the safest approach for your anatomy. Give us a call to schedule.

After the Procedure 

Once the catheter is removed, a light dressing is applied at the access site. Because VenaSeal does not require tumescent anesthesia, patients typically do not experience the temporary leg heaviness or numbness that can follow thermal ablation procedures. Most patients notice very little difference in how their leg feels immediately after the procedure and are able to walk out of the clinic and resume normal light activities right away. 

Compression stockings following VenaSeal are typically less intensive than after thermal ablation, though your specialist will advise on the appropriate approach based on your individual circumstances.

Board-Certified Specialists That Practice with Care

Our Dedicated Team

Dr. Rana Burek, DO

Jeffrey H. Miller, MD

Jennifer Malicke, DO

Krista M. Bannon, MD

Madeline Paquette, DNP

Michael E. Lulenski, MD

Robin Doak, CLT

Steven K. Wang, MD

The VenaSeal Procedure, What to Expect

One of the most reassuring things about VenaSeal is how straightforward it is for most patients. Here is a clear, honest walkthrough of what the procedure involves from start to finish. 

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• Pre-Procedure Preparation
  Your procedure begins with a review of your treatment plan and an opportunity to ask any final questions. The leg is positioned, and the skin at the access site is cleaned and prepared. Duplex ultrasound is used throughout the procedure to guide catheter placement and ensure accurate adhesive delivery.
• Local Anesthesia
  Unlike thermal ablation procedures, VenaSeal does not require tumescent anesthesia. Only a small amount of local anesthetic is needed at the single skin entry point where the catheter is introduced. This is a meaningful distinction for patients who are sensitive to needles or who have found the tumescent injection process uncomfortable during prior procedures. The reduction in required injections is one of the most consistently appreciated aspects of the VenaSeal experience.
• Catheter Insertion and Adhesive Delivery
  A small access point is made in the skin, and the VenaSeal catheter is introduced into the affected vein. Under continuous ultrasound guidance, the catheter is advanced to the starting position at the far end of the segment to be treated. The physician then delivers precise, measured deposits of the medical adhesive into the vein at controlled intervals as the catheter is slowly withdrawn. At each deposit point, gentle external compression is applied over the vein for a brief moment to ensure contact between the adhesive and the vein wall, promoting secure, consistent closure. The entire treatment segment is completed in a single pass. The procedure is performed entirely in the office and takes approximately thirty to forty-five minutes for most patients.

Frequently Asked Questions About VenaSeal

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VenaSeal Locations Across Michigan 

Miller Vein offers VenaSeal vein closure at eight convenient locations throughout Michigan. We see patients at: 

• Auburn Hills 
• Dearborn 
• Grand Rapids 
• Holland 
• Macomb 
• Novi 
• St. Clair Shores 
• Troy 

Our clinics are open Monday through Friday, 7:00 AM to 5:30 PM. 

Schedule a Consultation 

If concerns about the injection process have been keeping you from seeking vein care, VenaSeal may be exactly what you have been waiting for. Schedule your consultation at Miller Vein today and find out whether VenaSeal is the right fit for your vein health.