Conditions Treated

Spider Veins

Spider veins occur when tiny veins dilate below the surface of the skin, causing red, blue or purple discolorations. They are most common on the thighs, ankles and calves, and are more common in women than men. Spider veins are also more common with age – by age 70, approximately 70% of the population will be affected. The cause isn’t completely understood in every case, but heredity plays a major role. Some cases are related to pregnancy, use of birth control pills or weight gain. People whose work requires them to stand for long periods of time are also at higher risk.
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Varicose veins are large, swollen, twisted veins, dark blue or purple in color, that often appear on the legs and feet. They occur when the valves in the veins do not work properly, so the blood does not flow effectively. In some cases it is only an aesthetic concern. However, many people experience painful symptoms such as swelling, throbbing, burning, itching, cramping, or a heavy, achy feeling in the legs or feet. In some cases, patients experiencing these symptoms may not have any visible varicose veins. The diseased veins can occur deep under the skin, invisible to the naked eye.
Varicose Veins

A venous ulcer is an open sore that occurs on the legs when blood is not being pushed back to the heart the way it should. Blood remains in the veins, resulting in pressure buildup inside. The liquid part of blood is pushed out of the vein causing edema (swelling) and poor tissue nutrition. When left untreated, the excess fluid causes the skin to break and an open sore forms. The ulcer often can become infected and require frequent visits to a doctor’s office. Ulcers are usually preceded by leg swelling and skin changes such as a redness and a thickening of the skin.
Venous Leg Ulcer

At Advanced Vein Center, we have expertise in treating veins on the face, hands, and other parts of the body. On the face, the two types of facial veins most often treated are smaller spider veins and larger reticular veins. Spider veins usually appear as fine irregular red lines on the nose, cheeks and the side of the face. The larger reticular veins appear greenish-blue in color and can be 2-3 mm in diameter. They are most often found along the cheekbone under the eye and at the temple areas. On the hands, veins are usually not diseased but can become more visible as the skin relaxes and thins with age. They can be easily injured as the skin becomes more fragile. We offer a number of highly effective treatments for these and other types of visible veins.
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What We Offer

Microphlebectomy, also known as stab avulsion or ambulatory phlebectomy, is a minimally invasive treatment to remove varicose veins through tiny incisions in the skin. The incisions are so small they do not require stitches and are performed with local anesthetic only. The entire procedure can be performed in the doctor’s office. Patients can drive themselves home and resume normal activities the next day. Dr. Hoyle pioneered the use of microphlebectomy in Southern California after receiving training in Switzerland 20 years ago.

More Info

A treatment in which a traditional sclerotherapy solution is rapidly mixed and aerated to create a foam that is injected into the veins. An ultrasound machine is used to visualize and gain access to the abnormal veins with a tiny needle through which the foam sclerosant is injected. The foam closes off and seals the varicose veins. Generally, this form of sclerotherapy works better for larger abnormal veins because the amount of foam can be altered based on the size of the vein.

More Info

Varithena™ is an injectable foam treatment for varicose veins. The microfoam medication fills the inside of the damaged vein, causing it to collapse and seal itself closed. Blood is then forced to flow through healthier veins. This is an effective treatment for several types of vein problems of all sizes, both above and below the knee. Varithena™ is also suitable to retreat veins that didn’t respond to other therapies, and it’s a suitable treatment for patients who have issues with the great saphenous vein.

More Info

Microneedling involves using fine needles to create hundreds of tiny, invisible puncture wounds in the top layer of skin. This minimally invasive treatment can be very effective. The micro-injuries stimulate the body’s natural wound healing processes, resulting in cell turnover and increased collagen and elastin production, therefore reversing as well as preventing signs of aging. In fact, according to a 2009 study, almost 100% of micro-needling participants reported a noticeable difference and vast improvement in the appearance of their acne scars after treatment.

More Info

Fillers Cosmetic is the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet and forehead lines look better in adults. It is a quick 10-minute treatment with minimal downtime and you may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Fillers deliver predictable, subtle results, so you look like you, only with less noticeable facial lines.

More Info

Over-the-counter products only condition eyelashes. But in 2008, LATISSE® became the first prescription product FDA approved to actually grow eyelashes—fuller, longer, and darker—in patients with inadequate or not enough lashes.

More Info

Why Would I See Dr. Hoyle for a Second Opinion?
Patients who have been diagnosed with restless leg, diabetic neuropathy, or other conditions and are not showing improvement with treatment may want to seek a second opinion. With these and other venous conditions, the symptoms are often very similar and a misdiagnosis can extend the time that a patient suffers from a painful condition. If patients from Orange County or the greater Los Angeles area are concerned that their treatment is not as effective as it could be, they should make an appointment with Dr. Hoyle at the Advanced Vein Center. Dr. Hoyle is truly an expert in his field and one of the leading physicians treating venous conditions in the United States. He was the first doctor in Orange County to perform endovenous ablation. His training and expertise are extensive which has led Dr. Hoyle to become a highly credible source to both patients and doctors alike.

How Can Dr. Hoyle Help With a Second Opinion?
Many patients who have venous disease also have arthritis and back problems with sciatica. They may have varicose veins, however, their pain may be a result of the other conditions not associated with varicose veins. Dr. Hoyle was also boarded in sports medicine and is able to perform an orthopaedic assessment. Regularly, Dr. Hoyle sees patients that often associate their pain or discomfort with a venous disease. However, since Dr. Hoyle has a background in sports medicine he is able to distinguish an orthopaedic problem from a venous disease. Dr. Hoyle is one of the very few doctors within Southern California that is able to distinguish between the two and offers the correct treatment as necessary through diagnosis.

When Should I Be Concerned Regarding My Diagnosis?
If your vein doctor is suggesting multiple ablations or to receive treatment immediately, get a second opinion. Patients should NEVER feel bad about asking questions, inquiring about additional treatments, or feel pressed into making a quick decision. If a patient isn’t sure about his or her options it may cause him or her to forego alternative treatment. Second opinions give the patients the ability to make the best choice for their specific condition.

Get a Second Opinion IF:

  • Your vein doctor is seeking to perform treatment immediately.
  • Your vein doctor is recommending more than 2 endovenous ablations.
  • Your vein doctor is not willing to provide a copy of your ultrasound image (not just the report)
  • Your vein doctor’s ultrasound tech is incentivized to find abnormal vein problems.

More Info

Endovenous Laser Ablation (EVLA) is a minimally-invasive procedure commonly used to treat varicose veins resulting from chronic venous insufficiency. During the procedure the doctor creates a tiny cut in the skin to insert a laser fiber into the diseased vein. He numbs the area with local anesthetic then activates the laser. As he withdraws the laser the vein collapses and is sealed. The body is then able to re-direct blood flow through healthy veins.

More Info

A treatment in which a fine wire spins at 3,500 RPM to gently irritate the lining of the vein while a liquid sclerotherapy solution is injected inside. The combination of mild irritation and sclerosant liquid causes the diseased vein to collapse and seal shut. Blood flow is then naturally redirected to healthy veins. This non-thermal technology is ideal to treat veins that are close to the skin’s surface and nerve structures because it avoids the risk of heat damage.

More Info

VenaSeal™ is an injectable treatment for varicose veins. Unlike other treatments, VenaSeal™ doesn’t use heat or a foaming sclerosant medication to close damaged veins. Instead, it uses an adhesive substance to help varicose veins close and stay shut. During the procedure, Dr. Hoyle makes a small puncture in the leg and guides a catheter into the diseased vein. Then, while slowly withdrawing the catheter, he injects the adhesive substance into the varicose vein. Pressure is then applied to the vein to help it close and seal itself.

More Info

A vampire facial is a combination of microneedling and Platelet-Rich-Plasma. Platelet-Rich-Plasma is a concentrate of platelet-rich plasma protein derived from the whole blood after it has been processed by spinning in a centrifuge to remove the red cells. The Platelet-Rich-Plasma has a rich concentration of growth factors and other nutrients which help tissue heal and repair. The Platelet-Rich-Plasma injections can help stimulate collagen and combined with microneedling, the treatment can result in scar reduction, correction of sun damage, and minimizing fine lines and pores.

More Info

Bioidentical hormones have the exact chemical and molecular structure as the human body’s hormones. Bioidentical hormone replacement therapy is a way to replace the hormones men and women lose over the course of their lives in a way that is safe and effective. This treatment can be used to address symptoms of hormonal imbalance, resulting in potential benefits including reduced fatigue, reduced hot flashes, less dry skin, increased sex drive, improved sleep, Improved bone density, improvement in strength, reduced bloating, better thinking and memory.

More Info

LUMA is ideal for clients seeking dramatic improvement without the risk or recovery time of more aggressive treatments. If you would like to experience a remarkable difference in the quality of your skin – diminished sun spots, improved tightness and a healthier glow – LUMA may be right for you.

More Info

What We Offer

Microphlebectomy, also known as stab avulsion or ambulatory phlebectomy, is a minimally invasive treatment to remove varicose veins through tiny incisions in the skin. The incisions are so small they do not require stitches and are performed with local anesthetic only. The entire procedure can be performed in the doctor’s office. Patients can drive themselves home and resume normal activities the next day. Dr. Hoyle pioneered the use of microphlebectomy in Southern California after receiving training in Switzerland 20 years ago.

More Info

Endovenous Laser Ablation (EVLA) is a minimally-invasive procedure commonly used to treat varicose veins resulting from chronic venous insufficiency. During the procedure the doctor creates a tiny cut in the skin to insert a laser fiber into the diseased vein. He numbs the area with local anesthetic then activates the laser. As he withdraws the laser the vein collapses and is sealed. The body is then able to re-direct blood flow through healthy veins.

More Info

A treatment in which a traditional sclerotherapy solution is rapidly mixed and aerated to create a foam that is injected into the veins. An ultrasound machine is used to visualize and gain access to the abnormal veins with a tiny needle through which the foam sclerosant is injected. The foam closes off and seals the varicose veins. Generally, this form of sclerotherapy works better for larger abnormal veins because the amount of foam can be altered based on the size of the vein.

More Info

A treatment in which a fine wire spins at 3,500 RPM to gently irritate the lining of the vein while a liquid sclerotherapy solution is injected inside. The combination of mild irritation and sclerosant liquid causes the diseased vein to collapse and seal shut. Blood flow is then naturally redirected to healthy veins. This non-thermal technology is ideal to treat veins that are close to the skin’s surface and nerve structures because it avoids the risk of heat damage.

More Info

Varithena™ is an injectable foam treatment for varicose veins. The microfoam medication fills the inside of the damaged vein, causing it to collapse and seal itself closed. Blood is then forced to flow through healthier veins. This is an effective treatment for several types of vein problems of all sizes, both above and below the knee. Varithena™ is also suitable to retreat veins that didn’t respond to other therapies, and it’s a suitable treatment for patients who have issues with the great saphenous vein.

More Info

VenaSeal™ is an injectable treatment for varicose veins. Unlike other treatments, VenaSeal™ doesn’t use heat or a foaming sclerosant medication to close damaged veins. Instead, it uses an adhesive substance to help varicose veins close and stay shut. During the procedure, Dr. Hoyle makes a small puncture in the leg and guides a catheter into the diseased vein. Then, while slowly withdrawing the catheter, he injects the adhesive substance into the varicose vein. Pressure is then applied to the vein to help it close and seal itself.

More Info

Microneedling involves using fine needles to create hundreds of tiny, invisible puncture wounds in the top layer of skin. This minimally invasive treatment can be very effective. The micro-injuries stimulate the body’s natural wound healing processes, resulting in cell turnover and increased collagen and elastin production, therefore reversing as well as preventing signs of aging. In fact, according to a 2009 study, almost 100% of micro-needling participants reported a noticeable difference and vast improvement in the appearance of their acne scars after treatment.

More Info

A vampire facial is a combination of microneedling and Platelet-Rich-Plasma. Platelet-Rich-Plasma is a concentrate of platelet-rich plasma protein derived from the whole blood after it has been processed by spinning in a centrifuge to remove the red cells. The Platelet-Rich-Plasma has a rich concentration of growth factors and other nutrients which help tissue heal and repair. The Platelet-Rich-Plasma injections can help stimulate collagen and combined with microneedling, the treatment can result in scar reduction, correction of sun damage, and minimizing fine lines and pores.

More Info

Bioidentical hormones have the exact chemical and molecular structure as the human body’s hormones. Bioidentical hormone replacement therapy is a way to replace the hormones men and women lose over the course of their lives in a way that is safe and effective. This treatment can be used to address symptoms of hormonal imbalance, resulting in potential benefits including reduced fatigue, reduced hot flashes, less dry skin, increased sex drive, improved sleep, Improved bone density, improvement in strength, reduced bloating, better thinking and

More Info

Fillers Cosmetic is the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet and forehead lines look better in adults. It is a quick 10-minute treatment with minimal downtime and you may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Fillers deliver predictable, subtle results, so you look like you, only with less noticeable facial lines.

More Info

Over-the-counter products only condition eyelashes. But in 2008, LATISSE® became the first prescription product FDA approved to actually grow eyelashes—fuller, longer, and darker—in patients with inadequate or not enough lashes.

More Info

LUMA is ideal for clients seeking dramatic improvement without the risk or recovery time of more aggressive treatments. If you would like to experience a remarkable difference in the quality of your skin – diminished sun spots, improved tightness and a healthier glow – LUMA may be right for you.

More Info

Why Would I See Dr. Hoyle for a Second Opinion?
Patients who have been diagnosed with restless leg, diabetic neuropathy, or other conditions and are not showing improvement with treatment may want to seek a second opinion. With these and other venous conditions, the symptoms are often very similar and a misdiagnosis can extend the time that a patient suffers from a painful condition. If patients from Orange County or the greater Los Angeles area are concerned that their treatment is not as effective as it could be, they should make an appointment with Dr. Hoyle at the Advanced Vein Center. Dr. Hoyle is truly an expert in his field and one of the leading physicians treating venous conditions in the United States. He was the first doctor in Orange County to perform endovenous ablation. His training and expertise are extensive which has led Dr. Hoyle to become a highly credible source to both patients and doctors alike.

How Can Dr. Hoyle Help With a Second Opinion?
Many patients who have venous disease also have arthritis and back problems with sciatica. They may have varicose veins, however, their pain may be a result of the other conditions not associated with varicose veins. Dr. Hoyle was also boarded in sports medicine and is able to perform an orthopaedic assessment. Regularly, Dr. Hoyle sees patients that often associate their pain or discomfort with a venous disease. However, since Dr. Hoyle has a background in sports medicine he is able to distinguish an orthopaedic problem from a venous disease. Dr. Hoyle is one of the very few doctors within Southern California that is able to distinguish between the two and offers the correct treatment as necessary through diagnosis.

When Should I Be Concerned Regarding My Diagnosis?
If your vein doctor is suggesting multiple ablations or to receive treatment immediately, get a second opinion. Patients should NEVER feel bad about asking questions, inquiring about additional treatments, or feel pressed into making a quick decision. If a patient isn’t sure about his or her options it may cause him or her to forego alternative treatment. Second opinions give the patients the ability to make the best choice for their specific condition.

Get a Second Opinion IF:

  • Your vein doctor is seeking to perform treatment immediately.
  • Your vein doctor is recommending more than 2 endovenous ablations.
  • Your vein doctor is not willing to provide a copy of your ultrasound image (not just the report)
  • Your vein doctor’s ultrasound tech is incentivized to find abnormal vein problems.

More Info

drsl

Bruce Hoyle, M.D.

Vein Specialist located in Orange, CA

Dr. Hoyle is one of California’s leading experts and pioneers in the field of Phlebology (the specialty of vein disorders). With over two decades of experience, he was the first physician in Orange County to perform endovenous laser ablation and has been sought as an expert for government agencies, university lectures, textbooks and television shows. Advanced Vein Center is a renowned vein treatment center in Southern California specializing exclusively in the diagnosis and treatment of venous disorders including spider veins and varicose veins.

READ MORE

doc

Bruce Hoyle, M.D.

Vein Specialist located in Orange, CA

Dr. Hoyle is one of California’s leading experts and pioneers in the field of Phlebology (the specialty of vein disorders). With over two decades of experience, he was the first physician in Orange County to perform endovenous laser ablation and has been sought as an expert for government agencies, university lectures, textbooks and television shows. Advanced Vein Center is a renowned vein treatment center in Southern California specializing exclusively in the diagnosis and treatment of venous disorders including spider veins and varicose veins.

READ MORE

What Makes Us Different

Experience ♦ Ethics ♦ Results

When you trust your care to the Advanced Vein Center you can feel comfortable in the confidence that your treatment is being performed by the most experienced vein surgeon in Southern California. Dr. Hoyle pioneered the use of Endovenous Laser Ablation and Microphlebectomy in Orange County and was one of the first 300 doctors in the country to be certified by the American Board of Venous and Lymphatic Medicine. All of our procedures are done in our office on an outpatient basis with the use of local anesthetic and mild sedative if needed. This saves our patients thousands of dollars on expensive hospital bills. The patient is awake throughout the procedure and able to resume normal activity almost immediately.

Advanced Technology and Techniques

Advanced Ultrasound Techniques


Explicit Diagnosis
We perform diagnostic ultrasound exams in our office using a state of the art ultrasound equipment dedicated explicitly to vein evaluations. We do not refer our patients to an outside imaging center or hospital for ultrasound evaluation. We have found too often that outside sonographers are not properly trained in evaluating the superficial veins. Dr. Hoyle personally performs or supervises all ultrasound evaluations.

Diagnostic Ultrasound is now considered the standard of care for evaluating vein disorders in the lower legs. Treatment failures for spiders and bulging veins are often due to overlooking problems with deeper veins in the legs. Only ultrasound can see these problems. If the test is ordered and performed at a hospital or outpatient diagnostic center, it is often done by a technologist who has had minimal or no training in evaluating the superficial veins

Veinlite’s cutting edge technology facilitates better visualization of deeper and feeder veins. By targeting the veins that feed spider veins, we can dramatically improve the results of treatment. The larger area of illumination also speeds up vein location allowing us to treat more veins in a shorter period of time.

The Syris V600 is state-of-the art device that amplifies the appearance of veins underneath the skin. Using cross polarization technology, it allows the physician to literally see venous structure through the superficial skin layers. This yields improved accuracy and and the best results possible from treatment.

Endovenous laser treatment has continued to evolve over the last decade. The original lasers were in the 800 to 100 nm wavelength and targeted hemoglobin part of blood. The newest lasers are in the 1400 nm range and target the water part of blood. This allows treatment with 1/3 of the energy previously needed and results in none to minimal bruising and discomfort. Dr. Hoyle had the first Thermalite 1470 laser in California.

Pro-Nox allows patients full control in managing their pain and anxiety during a procedure. This self-administered system delivers a 50/50 blend of oxygen nitrous oxide that takes effect in seconds and is cleared from the body in minutes. It has been proven safe & effective over decades of use in various clinical settings.

Advanced Technology and Techninques


Explicit Diagnosis
We perform diagnostic ultrasound exams in our office using a state of the art ultrasound equipment dedicated explicitly to vein evaluations. We do not refer our patients to an outside imaging center or hospital for ultrasound evaluation. We have found too often that outside sonographers are not properly trained in evaluating the superficial veins. Dr. Hoyle personally performs or supervises all ultrasound evaluations.

Diagnostic Ultrasound is now considered the standard of care for evaluating vein disorders in the lower legs. Treatment failures for spiders and bulging veins are often due to overlooking problems with deeper veins in the legs. Only ultrasound can see these problems. If the test is ordered and performed at a hospital or outpatient diagnostic center, it is often done by a technologist who has had minimal or no training in evaluating the superficial veins

Veinlite’s cutting edge technology facilitates better visualization of deeper and feeder veins. By targeting the veins that feed spider veins, we can dramatically improve the results of treatment. The larger area of illumination also speeds up vein location allowing us to treat more veins in a shorter period of time.

The Syris V600 is state-of-the art device that amplifies the appearance of veins underneath the skin. Using cross polarization technology, it allows the physician to literally see venous structure through the superficial skin layers. This yields improved accuracy and and the best results possible from treatment.

Endovenous laser treatment has continued to evolve over the last decade. The original lasers were in the 800 to 100 nm wavelength and targeted hemoglobin part of blood. The newest lasers are in the 1400 nm range and target the water part of blood. This allows treatment with 1/3 of the energy previously needed and results in none to minimal bruising and discomfort. Dr. Hoyle had the first Thermalite 1470 laser in California.

Pro-Nox allows patients full control in managing their pain and anxiety during a procedure. This self-administered system delivers a 50/50 blend of oxygen nitrous oxide that takes effect in seconds and is cleared from the body in minutes. It has been proven safe & effective over decades of use in various clinical settings.

Advanced Vein Center is pleased to offer patients and clients flexible payment options including:

  • Most PPO insurances accepted
  • Medicare
  • Care Credit Financing Program Available
  • Credit Cards Accepted: Visa, Master Card and Discover
  • Please contact the office for complete coverage details and questions
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Words From Our Patients

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“My mother began seeking treatment from Dr. Hoyle and has been very happy with her results!”

CAMILA R. | YELP

ratess

“I went to Dr. Hoyle for a second opinion after going to West Coast Medical where they wanted to perform 4 separate surgery’s where I would be put under and would not be able to drive myself home after. Dr. Hoyle performed my procedure in 30 minutes in the office and I was able to drive myself home. Dr. Hoyle is excellent in his field.”

KARENA J. | YELP

ratess

“I have had varicose veins since I was 13 and in my 40s finally got them taken care of. Dr. Hoyle did a wonderful job. I can now hike pain free. I saw another Dr. prior and he was horrible. Dr. Hoyle was professional and fixed my veins. The office staff is nice and I never had to wait for my appointments. Very good experience and I recommend the happy pill pack prior to procedures. I did one procedure without and then with and I felt much better with. I am a wimp when it comes to medical procedures.”

GRETCHEN F. | YELP

ratess

“Dr. Hoyle is a great doctor! He is very thorough and made sure he resolved all my concerns. I highly recommend Dr. Hoyle!”

Michael O. | YELP

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“Dr Hoyle is professional and informative, I was impressed with all the personal attention I received.”

Lynda C. | YELP

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“I have never had vein problem until about 6 months ago so once I did find out, I immediately asked various doctor friends of mine for recommendations. In each care without exception, Advanced Vein Center and Doctor Bruce Hoyle was the recommendation. Doctor Hoyle was amazing and I cannot give his and his office enough praise. The work done on my two legs was fast, done in the office and totally pain free”

Stan H. | YELP

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“I am very happy with the treatment I’ve received at Advanced Vein Center. The staff is super friendly and helpful, and Dr. Hoyle couldn’t be more skilled at identifying the various vein issues that I’ve had. When I came to this office I was having some pain, large bulging varicose veins that were becoming more numerous as years were going on. Dr. Hoyle has helped to close veins on both legs, using a couple of different techniques. His procedures have reduced the pain and the entire look of my legs. Additionally, he is helping to remove the spider veins and dark spots. My legs are no longer bumpy and with dark spots. I feel very fortunate to have found such a wonderful facility. I will continue to return as the need arises.”

Amy G. | YELP

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“Dr. Hoyle and his staff are very knowledgeable about venous insufficiency and have helped me tremendously in my treatment. I’ve been suffering for a few years now searching for the right Doctor who knew how to help me. So happy I found Advanced Vein Center and Dr. Hoyle, in fact I’ve referred a couple of family members with the same issues and they’re just as satisfied with their results as I am, thank you again Dr. Hoyle, you’re the best!”

Tomasi A. | YELP

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“Punctual, thorough, great doctor”

Nishra R. | YELP

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“I give the highest praises, and heart-felt recommendation, to Dr. Hoyle and his staff. I give them 5 out of 5 stars for: professionalism, kindness, expertise, and pain-free and effective treatment of the veins in my legs.”

Donna B. | YELP