Varicose veins and spider veins can be painful, unsightly and problematic. We understand that they can affect your confidence and how you feel about your body. That’s why Jessy Ayala, PA-C has been using state-of-the-art technology to successfully treat vein disease for years.

What causes vein disease?

Veins transport blood back to the heart using on-way valves. Varicose veins occur when those valves malfunction – due to pregnancy, genetic predisposition or simply aging.  Once this occurs, gravity causes blood to pool in the legs and the veins become distended from the pressure. These dilated veins can comprise the nutrition of the skin and lead to eczema, inflammation or even ulceration of the lower leg. They can bleed or become painful from normal activities. In less severe cases, varicose veins don’t develop. Instead, smaller surface veins called spider veins. These usually don’t cause serious health problems, but can sometimes create uncomfortable feelings in the legs like itching or burning.


Sclerotherapy is used to treat spider veins that are problematic. It’s a well-proven medical procedure that has been used since the 1930s and works well for most patients. It takes about 3-6 weeks to notice a difference in smaller veins.  In general, sclerotherapy is the most effective therapy for spider veins and has been shown to be much more effective than laser in clinical trials.

It works by injecting a solution directly into the blood vessel. The needles used are very fine, and should only provide minimal discomfort. The solution that is injected will irritate the lining of the vein, which causes the walls to swell and stick together, eventually turning into scar tissue. It then fades from view after some time, eliminating the appearance of the vessel altogether. Normal activities can resume the same day, and exercise within 1-2 days. Jessy can perform sclerotherapy at Bethany Medical Clinic and Metropolitan Vein & Aesthetic Center.


For very large, surface varicose veins that can’t be treated with sclerotherapy, microphlebectomy is the best option. This minimally invasive procedure removes these unsightly, painful leg veins. A special hook is used to remove the vein completely, eliminating the chance of the vein being able to come back. A tiny incision is made that doesn’t even require stitches and typically doesn’t leave scars. Then, a compression bandage is applied. A lot of the times, this procedure is even covered by insurance.

This procedure is performed at our partner’s office, Metropolitan Vein & Aesthetic Center in Yonkers. Jessy Ayala, PA-C assists Dr. Adam Goldman with the treatment.