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  • 1-512-452-VEIN (8346)
  • Healthy. Beautiful. You.
    Cosmetic & Therapeutic Vein Care
    If unsightly veins in your legs make you feel less beautiful, we
    may have the answer for you. Our board-certified
    physicians can bring your legs back to beautiful health.

  • Healthy. Beautiful. You.
    Cosmetic & Therapeutic Vein Care
    If unsightly veins in your legs make you feel less beautiful, we
    may have the answer for you. Our board-certified
    physicians can bring your legs back to beautiful health.
  • Healthy. Beautiful. You.
    Cosmetic & Therapeutic Vein Care
    If unsightly veins in your legs make you feel less beautiful, we
    may have the answer for you. Our board-certified
    physicians can bring your legs back to beautiful health.

Welcome to VeinSolutions Austin

VeinSolutions Austin brings together a group of experienced and specialized board-certified cardiothoracic and vascular surgeons dedicated to using the latest technologies in the diagnosis and treatment of varicose and spider veins.

The concept is simple: to combine aesthetics and medicine in the comprehensive care of cosmetic and therapeutic vein problems. We have created a warm, comfortable environment with professional staff who are friendly, knowledgeable, and ready to answer all your questions.

The Austin VeinSolutions office was established in August 2003 by Cardiothoracic and Vascular Surgeons (CTVS), a leading physician group serving Central Texas for over 50 years.

Disorders

Spider Veins

Spider veins are a group of dilated veins that appear close to the surface of the skin and look like spider webs or tree branches. They are usually red or blue. Although they can develop anywhere, they are most common on the legs and face.

Spider veins are very common, especially in people over the age of 50. Often, these abnormal veins cause no symptoms, but they can sometimes trigger swelling, throbbing, and they may become painful.

VeinSolutions Austin has spider veins treatments that are safe and effective.

Reticular Veins

Reticular veins are dilated blue and green veins beneath the skin’s surface.

These veins are enlarged due to an increase in pressure and can be the underlying problem of spider veins.

They are usually considered a cosmetic problem since the medium size veins do not lead to substantial medical symptoms or complications.

Varicose Veins

What are varicose veins?
Varicose veins are abnormal superficial veins that develop in the soft tissue beneath the skin. These veins are painful and appear swollen and knotted. They can form anywhere on the body, but generally the veins in the legs and thighs have a higher tendency of becoming varicosed. These abnormal veins do not transport blood back to the heart efficiently; therefore, they can be removed without causing problems. In fact, removal can improve the venous circulation.

What causes varicose veins?
Valves within the veins prevent backflow of deoxygenated blood and keep it moving to the heart. While many theories exist as to why varicosities occur in veins, the consensus is that defective/damaged valves are to blame. When a person with poorly functioning valves stands up, the blood flow actually reverses and flows down the superficial veins when it should be flowing up toward the heart. The increased pressure put on the superficial veins by the backflow causes varicosities.

Varicose Veins FAQ

Click to expand

    • Prolonged standing
    • Obesity
    • Family history
    • Straining
    • Prior surgery or trauma to the leg
    • Age
    • Pregnancy – due to the increased blood volume associated with pregnancy, varicosities can occur. Additionally, added pressure on the veins in the legs by the weight of the growing uterus and the relaxation effects of estrogen and progesterone on the vein walls contribute to the development of varicose veins.
  • The development of varicose veins is usually gradual and progressive. They not only cause a cosmetic concern, but also approximately 50% of those with varicose leg veins are bothered by symptoms such as:

    • Feelings of leg fatigue, aches, burning and pains, especially after prolonged standing
    • Night cramps
    • Leg and ankle swelling
    • Increase in symptoms during the menstrual cycle
    • Elevate your legs when possible, keeping your feet positioned higher than heart level. Maintain your ideal body weight to reduce excess pressure on your legs.
    • Exercise daily. Walking, climbing stairs, cycling and swimming keep your calf muscles in motion to activate the calf muscle pump.
    • Move your legs frequently. Flexing your ankles periodically will pump the blood out of your legs (simulating walking). During periods of prolonged sitting or standing flex your ankles 10 times and repeat this every 10 minutes.
    • Avoid prolonged sitting and standing. On long car or plane trips activate your calf muscle pump by moving your feet up and down frequently as described above. You should also consider stopping for short walks every few hours.
    • Wear support compression hose.

Deep Veinous Disease

The disorders of the deep venous system include deep vein thrombosis and obstruction from scar tissue or compression. Deep venous disorders including blood clots can be very frightening and are often misunderstood. Most treatments now can be performed in the office or on an elective basis. Types of treatment include stenting of the iliac veins and vena cava, treatment of May-Thurner Syndrome, placement and removal of IVC filters and the treatment of pelvic congestion syndrome.

Treatments

Sclerotherapy is an injection treatment used to eliminate spider veins and small- to medium-sized varicose veins. The abnormal vein(s) are injected with a solution that is irritating to the vein wall. External compression is applied with pressure dressings and prescription-gradient compression hose. The body then breaks down the damaged abnormal vein and absorbs it, ultimately eliminating the problem vein. The needle used for the injection(s) is very tiny and causes minimal discomfort.

The treatment is performed in the physician’s office and there is no pre-treatment preparation. Post-treatment, normal daily activities can be resumed, but prolonged sitting and standing should be avoided for three days, and heavy exercise (weight lifting, running, and high impact aerobics) is discouraged for two weeks. Walking is encouraged.

Prescription gradient compression hose are worn for approximately seven to ten days after each treatment. Several treatment sessions are usually required depending on each person’s individual problem. This form of treatment is typically considered cosmetic.

The endovenous ablation procedure is a non-surgical, minimally-invasive treatment option for varicose veins. It may be done in the office using local anesthesia. A small catheter is inserted into the problem vein via a puncture near the knee.

Using the catheter, a fiber is threaded to the upper end of the vein. As the fiber is withdrawn, it emits radiofrequency energy or heat to the vein wall. As the thermal energy is delivered, the vein wall shrinks and the vein is sealed closed. Once the diseased vein is closed, blood is re-routed to other healthy veins. The procedure is clinically-proven to treat varicose veins and their underlying cause, venous reflux, with little or no pain. Compression therapy is used for several days after the procedure and most patients can resume normal activities the next day.

Excellent long-term results, with only one treatment, can make the endovenous ablation treatment an attractive choice for the treatment of your varicose veins.

Light therapy is the latest technology in the treatment of spider veins and vascular birthmarks. VeinSolutions has tested a number of different lasers and light sources and currently utilizes light therapy technology.

Intense light creates heat energy and is selectively absorbed by the abnormal vein or vascular lesion. The blood vessel then is destroyed and absorbed by the body. The physician can customize the treatment specifically for a person’s skin and lesion type without damaging the surrounding skin. The treatment is performed in the physician’s office and involves no needles, injections or incisions and is tolerated by most people with minimal discomfort.

Preparation requires the area being treated to be without sun exposure for four weeks before and after each treatment. A person can resume their routine activities immediately after a treatment. For treatment of leg veins the physician may require prescription-gradient compression hose to be worn for 48 hours.

The number of treatments required varies on the size and type of lesion and the person’s individual response. Side effects are typically short term. They may include localized redness or swelling which usually resolves in a few days. Moderate to significant swelling and redness may occur, but should be resolved within seven to 10 days. Bruising, if it occurs, usually disappears within one to two weeks depending on the degree of bruising. This form of treatment is typically considered cosmetic.

Surgery may be the treatment of choice for larger varicose veins. The surgeon’s goal is to remove varicosities to achieve the best cosmetic results with minimal scarring and to relieve symptoms of pain or swelling that often occur.

While surgery is not indicated for the treatment of small varicose or spider veins, it may be indicated to treat an underlying problem before proceeding with sclerotherapy or light therapy. Today, with the combination of the technology of venous duplex imaging and the meticulous surgical techniques of our vascular surgeons, patients are able to achieve optimal cosmetic and therapeutic results.

Surgery is typically performed in a hospital setting on an outpatient basis with average recovery time of one to two weeks. Surgery is generally considered both medically necessary and cosmetic.

Duplex scanning of veins utilizes ultrasound to visualize a vein in order to determine the exact anatomy, direction of blood flow within a vein and to assess abnormal valves.

With this improved ultrasound technology, the physician is better able to diagnosis underlying problems and prescribe a treatment plan tailored to a patient’s individual needs. This is important to achieve the best long-term cosmetic and therapeutic results.

VeinSolutions utilizes the on-site Vascular Lab. The test is non-invasive, no preparation is needed and it takes approximately 30 to 60 minutes to complete. Venous duplex scanning is a diagnostic test and is typically a covered expense by most insurance companies.

Meet Our Doctors

Emery W. Dilling
M.D.

Dr. Dilling is originally from Fletcher, Oklahoma. He received his medical degree from the University of Oklahoma where he also completed an internship and two residencies. He completed a fellowship at the Veterans’ Administration Hospital followed by general surgery and thoracic surgery residencies at the University of Oklahoma Health Sciences Center where he served as chief resident of surgery.

He has practiced with Cardiothoracic and Vascular Surgeons since 1980. He is a Fellow of the American Heart Association and a Diplomate of the American Board of Thoracic Surgery. Dr. Dilling previously specialized in adult Cardiothoracic Surgery including heart transplantation, coronary bypass surgery, valve repair and replacement, minimally invasive surgery and off-pump coronary bypass surgery.

He now practices full-time with VeinSolutions. Dr. Dilling has been appointed to various leadership positions including past President of the local chapter of the American Heart Association. He is also an active member of the Texas Medical Association, Travis County Medical Society, and the American Venous Forum. Dr. Dilling has participated in numerous research studies and has authored many research articles in his specialty.

Jeffrey M. Apple
M.D., F.A.C.S.

Dr. Jeff Apple is originally from Dallas, TX. He completed medical school at the University of Texas Health Science Center in San Antonio and his General Surgery residency at the University of Texas Southwestern Medical Center.

Dr. Apple then served four years in the United States Navy where he served as a staff surgeon at the Naval Medical Center San Diego. During his time in the Navy he was deployed twice to the Persian Gulf in support of Operation Iraqi Freedom.

He completed his Vascular Surgery fellowship at Baylor University Medical Center in Dallas, TX and is board-certified in vascular surgery. Dr. Apple is a Fellow of the American College of Surgeons and an active member of the Society of Vascular Surgery as well as the American Venous Forum. He has received numerous teaching awards and published several papers in the field of vascular surgery. Dr. Apple currently serves as the President of the Travis County Medical Society.

Dr. Apple has been practicing with VeinSolutions and Cardiothoracic and Vascular Surgeons since 2009. He specializes in all treatments for varicose veins and in the treatment of complex deep venous disorders including IVC filter removal and vena cava interventions.

Insurance

We participate in most major health insurance plans, including Medicare; however, we do not take Workman’s Comp, Medicaid, or Scott and White commercial Medicare/Medicaid.

To avoid unpleasant and expensive surprises, we strongly encourage our patients to carefully research the specific provisions of their health insurance coverage. (Contact the customer service number listed on your insurance card.) Insurers typically deny coverage if you do not meet their provisions. We are always happy to do whatever we can to help ensure that our patients’ treatment is covered. However, it is the patient’s responsibility to know the specific requirements for coverage, and to inform our office of all special requirements.

Our office is also happy to help patients by submitting insurance claims. Your insurance company may request additional information from you before processing payment.

Method of Payment

All insurance co-payments are due at the time of treatment. You will be sent a monthly bill for additional balances due, including portions not covered by your insurance company. You may pay by cash, check, VISA, Discover or MasterCard. For billing questions, contact our office at 512-452-VEIN (8346).

About Us

VeinSolutions Austin brings together a group of experienced and specialized board-certified cardiothoracic and vascular surgeons dedicated to using the latest technologies in the diagnosis and treatment of varicose and spider veins.

The concept is simple: to combine aesthetics and medicine in the comprehensive care of cosmetic and therapeutic vein problems. We have created a warm, comfortable environment with professional staff who are friendly, knowledgeable, and ready to answer all your questions.

The Austin VeinSolutions office was established in August 2003 by Cardiothoracic and Vascular Surgeons (CTVS), a leading physician group serving Central Texas for over 50 years.

Schedule a screening today: CALL US TODAY

What Our Patients Say About Us

Contact Us

ADDRESS

1010 W 40th St.
Austin, Texas 78756

PHONE

(512) 452-VEIN (8346)

FAX

(512) 795-8346

EMAIL