With more than two decades of experience, Peter Mann is San Diego’s leading expert in the treatment of venous diseases.  As a fellowship trained vascular surgeon, he is uniquely qualified to provide his patients with the most technologically advanced vein care available anywhere.  Today’s varicose vein treatment options are simple, safe, minimally invasive and virtually pain-free.  Best of all there’s no down-time and many of the procedures are covered by medical insurance plans. Done in the office in less than an hour patients can walk out and be symptom free almost immediately. 


                                                                        Before and After

 Preparing Sclerotherapy Foam Solution

In sclerotherapy, a state-of-the-art foam material is injected with a tiny needle into the vein that causes inflammation and the vein walls to collapse.  Compression stockings are then used to make sure that the vein walls stay collapsed. The vein gradually dissolves over several weeks and ultimately disappears.

Sclerotherapy is the “gold standard” and is preferred over laser for eliminating large spider veins (telangiectasia) and smaller varicose leg veins. Unlike a laser, the sclerosing  solution additionally closes the “feeder veins” under the skin that are causing the spider veins to form, thereby making a recurrence of the spider veins in the treated area less likely.                       

Some patients experience a slight to moderate burning sensation immediately after the injection but this disappears within a few seconds.  Bruising around the treated area can result, which eventually disappears.  A clot sometimes develops at the site of the injection and may cause a tender hard lump, which may need to be drained. Sclerotherapy is sometimes associated with a brown discoloration of the vein that may take up months to disappear. It rarely can cause skin ulcers and as with all medications, some patients may have an allergy to the solution. Most patients need a few treatments (3-5) to obtain the best results. Treatments are generally done at about 6-8 week intervals. Compression stockings are worn for 1 week and aerobic exercises are avoided for 1 week also.





Ultrasound-guided Sclerotherapy is an alternative to treat veins that are too small or too tortuous to treat with a laser or R.F.Closure. In addition it is a new treatment for patients with previous vein stripping or recurrent disease. This advanced vain treatment uses ultrasound technology to guide injections of a solution that closes the vein at the precise source of the disease. Besides it is an extremely effective treatment for perforator veins (the veins connecting the deep veins to the saphenous veins). 

We are providers for Medicare, Tri Care and most PPO insurances, including Blue Cross, Blue Shield, Aetna, Cigna, United Health Care, and HealthNet.

Click The Links Below To Learn More 

|Understanding Vein Disease |Varicose Veins |Spider Veins | Laser Treatment (EVLT) |

|Sclerotherapy Treatment | Veinwave and Varilite | Ambulatory Phlebectomy |