The **Microwave Ablation System** is a novel energy-based treatment for varicose veins. Under ultrasound guidance, a "microwave catheter" delivers energy to treat the affected veins. Unlike traditional high-temperature laser catheters, the microwave catheter operates at approximately 70-80°C, enabling more uniform and effective energy transfer. Clinical studies report that this lower temperature reduces thermal damage, minimizes pain, and significantly decreases bruising and nerve-related complications. Additionally, since microwave energy penetrates the entire vein wall, it lowers recurrence rates and enhances therapeutic outcomes, making it particularly suitable for patients with severe and large varicose veins.
Microwave treatment is relatively new in Taiwan, with limited practitioners skilled in its application. In Singapore, many premium private hospitals have adopted it as a replacement for traditional laser treatment for over five years. Dr. C.C. Yang is one of the earliest adopters of low-temperature microwave ablation in Taiwan and among the most experienced practitioners. Having engaged directly with manufacturers and experts in Singapore, he has refined the technique to be performed under local anesthesia, allowing patients to resume normal activities immediately after the procedure and return home the same day. This method is especially advantageous for elderly patients.
The **VenaSeal™ closure system** is a non-thermal treatment for varicose veins that has received FDA approval. By injecting a bio-adhesive into the vein, the system effectively seals damaged varicose veins, a method also known as "adhesion surgery." Its key advantage is the absence of thermal energy, which reduces the need for local anesthesia and eliminates the post-operative requirement to wear compression stockings. It is particularly suitable for the following groups of patients:
However, it is important to note that since the adhesive remains permanently in the body, patients with allergies, highly prominent or tortuous varicose veins, or thin subcutaneous tissue in the legs should consult their physician for thorough evaluation before treatment.
Good-Leg Clinic offers FDA-approved VenaSeal Closure Systems, which have been certified since 2015 as one of the most stable materials for varicose vein adhesion treatments. Dr. C.C. Yang is one of the most experienced VenaSeal practitioners in Taiwan, frequently serving as a workshop leader and speaker at medical conferences. If you are interested in minimally invasive varicose vein adhesion surgery, we highly recommend scheduling a consultation with us.
Foam sclerotherapy involves injecting a specialized solution into varicose veins through a fine needle. The solution reacts with the vein walls, causing the vein to shrink and eventually disappear. This method is particularly effective for treating superficial spider veins and reticular veins.
Foam sclerotherapy has four main advantages: it is simple, effective, does not require anesthesia, and has minimal side effects. Additionally, it can be repeated if necessary. However, precise injection of the appropriate concentration is critical. If a large amount of the solution leaks into surrounding tissues, it could result in skin necrosis or permanent scarring, which would negate the benefits of the treatment.
The Mini-Phlebectomy technique targets varicose veins with diameters of 3-5mm or more. Through a small incision of about 2mm in the skin, the affected veins are removed with a hook. This procedure is often combined with minimally invasive treatments for the main saphenous vein or performed in stages. For patients with prominent "worm-like" varicose veins, addressing only the main saphenous vein is insufficient. Thorough removal of varicose veins ensures both aesthetic improvement and therapeutic effectiveness.
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