Varicose Veins Specialist

Nelson Menezes Vascular Specialist PC

Nelson S. Menezes, MD

Vascular Specialist located in Brooklyn Heights, Brooklyn, NY

Varicose veins are a common problem that affect an estimated 23% of adults. Whether you want to eliminate varicose veins to improve your appearance or to relieve uncomfortable symptoms, you receive expert treatment with today’s most innovative therapies at Nelson Menezes Vascular Specialist PC. Dr. Menezes treats varicose veins at both offices in Brooklyn Heights and Fort Greene, Brooklyn. To schedule an appointment, use the online booking feature or call your nearest New York City office today.

Varicose Veins Q & A

What causes varicose veins?

The veins in your legs have the difficult task of carrying blood up your legs, going against gravity as they send blood back to your heart. They do the job using one-way valves that open to let blood flow up and then close to ensure it doesn’t flow backward.

When a valve weakens, blood refluxes down the vein until it’s stopped by the next healthy valve below the weak valve. As the backward-moving blood accumulates, the vein enlarges and varicose veins develop.

Over time, the accumulating blood and resulting reduced blood flow increases the pressure in the vein. As high venous pressure goes untreated, it can weaken other valves and lead to more varicose veins.

What symptoms develop due to varicose veins?

Many patients with varicose veins never develop symptoms. However, the enlarged veins can also be uncomfortable and cause symptoms such as:

  • Painful, achy legs
  • Heavy-feeling or tired legs
  • Swollen legs
  • Burning or itching near the veins
  • Discolored skin
  • Skin rashes

Whether or not you have symptoms, untreated varicose veins may cause complications such as blood clots or a venous stasis ulcer, a non-healing ulcer that usually appears near your ankle. In rare cases, varicose veins can rupture and bleed.

What varicose vein treatments are available?

Dr. Menezes safely eliminates your varicose veins using one of these in-office procedures:


Using a fine needle, Dr. Menezes injects medication that damages the vein, creating scar tissue that your body gradually absorbs. Before long, the veins disappear while blood flow is naturally rerouted through healthy veins.

Laser and radiofrequency treatment

Endovenous laser ablation uses a laser fiber to treat varicose veins, while endovenous radiofrequency ablation uses a catheter with a radiofrequency tip. Both procedures, however, are done following the same procedure.

Using ultrasound to see your veins, Dr. Menezes gently guides the laser fiber or radiofrequency catheter through the varicose veins. As the devices go through the vein, they send out pulses of laser or radiofrequency energy that gently warm the vein wall, making it collapse and sealing the vein shut.

Your body gradually absorbs the treated tissue and the varicose veins disappear. Meanwhile, the bloodstream is rerouted through a healthy vein, so normal flow through your legs is restored.