1. TREATMENT FOR SPIDER VEINS VARICOSE “SPIDER” VEINS Treatment for Spider Veins: Many people are affected with unsightly and painful varicose or “spider” veins. This condition not only has physiological, but it can also have emotional effects on a patient’s well-being. It is important to understand that having varicose veins may be more than a cosmetic issue. Individuals at a higher risk for venous disease include females, pregnant women, obese men and women, those with “standing” occupations. Family genetics can also be a cause for spider veins. In most cases there exists an underlying venous disorder in which the varicosities are the result of a circulation abnormality. Healthy veins carry blood from the legs back to the heart by the use of tiny valves with-in their walls. In contrast, varicose veins arise from a malfunction of these valves, where they become damaged or stretched, causing blood to pool in the legs and feet, resulting in an increase in venous hypertension. This event causes varicose veins to form, become enlarged and even bleed. This hyperdynamic process can lead to inflammation, phlebitis, blood clots and open sores. By superficially treating varicosities without checking for an underlying venous condition, treatments will most likely fail. Venous specialists can use multiple non-invasive diagnostic studies to identify and treat any underlying venous disease in addition to treating varicosities. If you are having trouble with your veins, it is best to confer with a board-certified vascular specialist for a consultation. Vascular Surgery Associates has the board-certified vascular specialists who perform many non-invasive and minimally invasive techniques to treat not only an underlying venous condition but the superficial varicosities as well. Vascular Surgery Associates (VSA) was originally founded over 30 years ago by Drs. William Long & Thomas Lawhorn; the first fellowship trained Vascular Vascular Surgery Associates 2631 Centennial Blvd #100, Tallahassee, FL 32308 850-877-8539

2. Surgeons from Emory University in Atlanta, Georgia. In 1992, our practice added a third board certified vascular surgeon, Dr. Lawrence Kaelin, a fellowship graduate from the University of Florida. In 2000, VSA then added the services of Dr. Charles Bianco, a board certified Vascular Interventional Radiologist who performed pioneering primary endovascular interventions at Tallahassee Memorial Hospital. Our tradition of expanding our practice with physicians that are specifically fellowship trained in treating the full spectrum of vascular disease has been a cornerstone of our philosophy. VSA has always strived to be ahead of the growing vascular needs of the Tallahassee community. Due to the needs of our growing population and the retirements of our founding surgeons, our practice was joined by Dr. Robert Hoyne and Dr. Robert Brumberg, both board certified vascular surgeons from the University of South Florida Vascular Program. Most recently we added our fourth board certified vascular physician, Dr. Mitchell Massie, a graduate of the University of Massachusetts fellowship program. We have a large patient community and in this regard, VSA also has four nurse practitioners who are all well trained in vascular medicine. In 2006, Amy Fraser joined the group with specific training in Vascular Diagnosis and Treatment. Cassie Davis joined us in 2009, with a background in Aesthetic & Primary Care Medicine. In 2013, Cory Collins joined VSA, bringing a significant amount of hospital and office-based patient care expertise. In 2015, Candice VanDerSchaaf came on board to assist with hospital-based patient care, such as Rounds, Consults, Open surgical procedures and Interventions. At VSA, we firmly believe we have the required expertise in all areas of vascular care, from simple medical therapy and minimally invasive procedures to performing complex operations when necessary. Our practice utilizes leading technology and treatment options, and we have a track record of outcomes that consistently exceeds the national standards. VSA physicians and nurse practitioners treat all ranges of peripheral arterial and venous disease, including carotid stenosis, aortic and peripheral aneurysms, upper and lower extremity vascular disease, kidney and gastrointestinal vascular disease, vasculitis, hemodialysis management, venous insufficiency and varicose veins. Vascular Surgery Associates 2631 Centennial Blvd #100, Tallahassee, FL 32308 850-877-8539