Welcome to VeinSolutions Georgetown
Georgetown, Texas is growing. And so are we. In 2019, we have expanded our staff and services to better meet your medical needs.
VeinSolutions Georgetown features a team of specialized board-certified vascular surgeons and medical staff dedicated to helping you. The Georgetown location offers the latest technologies in the diagnosis and treatment of varicose and spider veins.
VeinSolutions Georgetown was founded by Cardiothoracic and Vascular Surgeons (CTVS), a leading physician group serving Central Texas for over 60 years.
Our mission is simple: to provide you a comfortable environment with a professional staff who are friendly, knowledgeable, and ready to answer all your questions. From there, we will deliver the comprehensive care of cosmetic and therapeutic medical solutions for your vein problems.
Are your legs riddled with unsightly veins that have a web-like appearance? Do these veins appear to be abnormal and sit a bit too close to the surface? You may have spider veins.
What are spider veins? As the name suggests, Spider Veins are a collection of dilated veins that develop very close to the surface of your skin. They often give off a web-like appearance and could look like tree branches. While these veins can develop on any area of the body, they are most commonly found on the legs and face and would typically be red or blue in color.
It is common for spider veins to form in people over the age of 50. However, it is important to understand that they are not normal and can sometimes cause swelling, throbbing, or pain in the affected area. Spider veins may also develop with absolutely no symptoms at all.
VeinSolutions Georgetown has spider vein treatments that are safe and effective.
Reticular veins are enlarged veins that form due to increased pressure. They are dilated veins that are often blue and green in color and are found very close to the surface of the skin.
Often times, they are the causative factor behind the formation of spider veins and are treated as a cosmetic problem. This is because the medium sized veins do not result in any serious medical problem or health complication.
What are varicose veins?
Varicose veins are one of the most well-known and complicated vein related cosmetic medical problems. They are painful abnormal veins that can form anywhere on the body. These veins are often swollen and knotted and will form in the soft tissue beneath the skin. Varicose veins are superficial and have a tendency of creating an unappealing look at the affected area. The veins in the legs and thighs have a higher tendency of becoming varicose and will typically carry all of the above symptoms when they begin to develop. With varicose veins, removal is both effective and helpful. Since these veins have no real purpose in blood circulation and do not effectively transport blood to the heart, they can be safely removed to improve venous circulation.
What causes varicose veins?
With Varicose veins, they are lots of theories and notions on the formation and causes. However, studies have shown that they are caused by defective valves. The function of valves in veins is to prevent the backflow of deoxygenated blood and ensure that it circulates effectively to the heart. When these valves become damaged, this function becomes thwarted thereby causing a reverse flow down the superficial veins rather than flowing in the right direction towards the heart. When this continues over time, the pressure in these superficial veins builds up as a result of regular backflow leading to varicosities.
Varicose Veins FAQ
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- Prolonged standing
- Family history
- Prior surgery or trauma to the leg
- 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.
Varicose veins come with a wide range of other symptoms, the condition is not only a cosmetic one as it often brings some level of discomfort to patients alongside many other physical implications. While their formation is slow and progressive, over half of the people who suffer from this condition experiences 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. The idea behind this is to keep your feet positioned higher than your heart level. A good way to reduce the excess pressure on your legs is to maintain ideal body weight.
- Engage in regular body exercises. Simple activities like walking, stair climbing, swimming, and cycling should be incorporated into your daily routine to help activate your calf muscles.
- Try to move your legs as frequently as possible to imitate the walking motion. A simple action like flexing your ankles will help to pump the blood out of your legs. If you tend to sit for long periods, try to flex your ankles at least 10 times within 10 minute intervals to help improve circulation in the area.
- Try to avoid extended periods of sitting or standing. During long plane or car trips, move your feet frequently up and down to activate your calf muscles as described above. If possible, take a short walk every few hours.
- Wear support compression hose.
Deep Venous Disease
Problems with the deep venous system could be very scary and are often misunderstood. Common disorders include deep vein thrombosis and obstruction from scar tissue or compression. The treatments for these disorders can either be done in the office or conducted on an elective basis. Types of treatment for deep venous disease include placement and removal of IVC filters, treatment of pelvic congestion syndrome or May-Thurner Syndrome, and stenting of the iliac veins and vena cava.
Spider veins and small/medium sized veins are eliminated through a treatment method known as Sclerotherapy. This process involves injecting a solution into the abnormal veins using a very tiny needle. This solution is often irritating to the vein wall and can cause a breakdown in its structure. During Sclerotherapy, external compression is applied to the affected area with the aid of pressure dressings and pressure gradient compression hose.
Ultimately, the broken down vein wall is reabsorbed into the body thereby eliminating the problem vein. Sclerotherapy is done in a doctor’s office and requires no special preparation. However, it is important that patients do not engage in prolonged sitting, standing and heavy exercises for up to two weeks after the process. Walking and other mild exercises are highly encouraged.
Depending on the severity of the situation, more than one treatment session may be required and the process is entirely cosmetic. After each treatment, the prescription gradient compression hose are worn for a period of 7-10 days.
This process is a minimally invasive and non-surgical process used in the treatment of varicose veins. The Endovenous ablation procedure is typically conducted in the doctor’s office and requires the use of local anesthesia. A small puncture is made near the knee and a tiny catheter is injected into the defective vein. Through the catheter, a small fiber is inserted into the skin extending to the upper end of the vein. After this, the fiber is then slowly withdrawn. This withdrawal action causes a release of heat or radiofrequency to the vein wall. This energy release results in the shrinkage of the vein wall as the fiber is eventually pulled out completely.
This eventual closure of the damaged vein results in the redirection of blood to other healthy veins. As a result of its effectiveness, Endovenous ablation has proven to be an effective treatment for varicose veins and their causative factor, venous reflux, with very minimal pain.
After the initial procedure, patients are then placed on compression therapy for a couple of days. This procedure offers long term benefits as patients have shown great results with just one treatment and may even resume normal activities the next day.
With larger varicose veins, surgery may be the best option for treatment. Typically, the aim of the surgery is to extract these veins in order to relieve pain and swelling of the affected area. This process is done to achieve cosmetic results and very minimal scarring.
For smaller veins, however, surgery may not be the best line of treatment but is often utilized when there is an underlying problem. After the surgery, the physician may then proceed with light therapy or Sclerotherapy. Available technology such as venous duplex imaging and surgical techniques of our surgeons at VeinSolutions Georgetown has made it very easy for patients to achieve the maximum cosmetic and therapeutic results they desire.
This procedure is considered to be both cosmetic and medically necessary. It is performed in a hospital setting and often has a recovery time of 1-2 weeks.
Through the use of ultrasound, we examine the anatomy of a vein, inspect blood flow direction and assess any abnormality present. This process is called duplex scanning and is used to diagnose underlying problems and help create custom treatment plans specific to a patient’s needs. Duplex scanning is very effective and is highly necessary to achieve the best cosmetic and therapeutic results in the long term.
At VeinSolutions Georgetown, we utilize our on-site vascular laboratory to conduct a non-invasive procedure that requires no preparation and is completed within an hour. The test is purely diagnostic and is usually covered by most insurance companies.
Meet Our Doctors
Jeffrey M. AppleM.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 past 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.
Bradley A. BooneM.D., F.A.C.S.
Bradley A. Boone, M.D., F.A.C.S. was born in Dallas and grew up in Meridian, Mississippi. He is a graduate of Tulane Medical School and completed his general surgery residency at UT-Southwestern Medical Center in Dallas, followed by vascular surgery fellowship at Vanderbilt University Medical Center. He returned to Meridian to practice for 12 years and joined Cardiothoracic and Vascular Surgeons in January 2014.
Dr. Boone is board certified in general and vascular surgery by the American Board of Surgery and is a Fellow of the American College of Surgeons.
He has extensive leadership experience, having served two terms as President of the East Mississippi Chapter of the Mississippi State Medical Society and Chief of Staff of two hospitals in Meridian. He also served as Medical Director of a Level III Trauma Center as well as a Wound Healing and Limb Salvage Center that maintained an amputation rate of less than 2%.
His special interests include carotid artery disease, thoracic and abdominal aortic aneurysms and critical limb ischemia. He is committed to the comprehensive management of both arterial and venous disease using both open surgical and endovascular techniques.
Dr. Boone currently serves as the Medical Director for Vascular Surgical Services at Heart Hospital of Austin at St. David’s Round Rock Medical Center. Additionally, he serves on the Board of Directors for the Austin chapter of HeartGift Foundation. He is an active member of the American College of Surgeons, Society for Vascular Surgery, The American Venous Forum, Parkland Surgical Society, Southern Association for Vascular Surgery, Texas Medical Association and Travis County Medical Society.
Ryan S. TurleyM.D.
Ryan S. Turley, M.D. is a native Texan originally from Amarillo. He received his medical degree from Duke University School of Medicine in Durham, North Carolina followed by his general surgery internship, residency, and vascular fellowship at Duke University Medical Center. He has practiced in Austin since 2017.
Dr. Turley is board-certified in general surgery by the American Board of Surgery and specializes in all areas of endovascular and vascular surgery. His special interests include advanced endovascular techniques for limb salvage and complex aortic aneurysm repair. He also has a special interest in clinical outcomes research.
He is a member of the Society of Vascular Surgery, the Southern Association for Vascular Surgery, Society for Clinical Vascular Surgery, and Vascular and Endovascular Surgery Society, as well as the Travis County Medical Society. In addition, Dr. Turley has authored more than 50 manuscripts and has presented at several national surgical meetings.
At VeinSolutions Georgetown, we participate in Medicare as well as most major health insurance plans. However, we do not take Workman’s Comp, Medicaid, or Scott and White commercial Medicare/Medicaid.
In order to ensure that our patients are fully informed regarding their coverage, we recommend that each individual takes the time to carefully research the specific provisions of their insurance coverage. This is to avoid all unnecessary expenses and unforeseen surprises. To do this, simply get in touch with your insurance provider using the customer care service number listed on the back of your insurance card.
At VeinSolutions Georgetown, we always strive to do whatever we can to ensure that our patients’ treatments are covered. However, patients are responsible for understanding their coverage requirements and notifying us of any special conditions.
We are happy to help submit insurance claims on your behalf. Before processing payment, the insurance company may request additional information from you.
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 512-501-4287.
At VeinSolutions Austin and Georgetown, we are dedicated to providing the highest quality of cosmetic and therapeutic vein care to our patients. We utilize the latest technologies in the diagnosis, treatments, and after-care of varicose veins, spider veins, and other vein related health conditions.
We are a team of experienced and specialized board-certified cardiothoracic and vascular surgeons focused on delivering professional health care to tackle these problems. Our goal is to combine aesthetics and medicine in the comprehensive care of all vein problems.
Our facility was established in August 2003 by Cardiothoracic and Vascular Surgeons (CTVS), a leading physician group serving Central Texas for over 50 years. As industry leaders, we understand the need for a warm and friendly environment and we have created a comfortable environment filled with professional staff who are always ready to provide you with the quality information and care you need. Regardless of the severity of the situation, you can rely on us to provide you with the long term solution you require.
Get in touch with us today and let’s bring you the cosmetic and therapeutic vein care you desire. To schedule a screening, please reach out to us at: 512-501-4287CALL US TODAY
What Our Patients Say About Us
"Very thorough with information! Gave me all my options and decided the best course of treatment for me!"
"Dr. Dilling and his staff were amazing! They took great care of me and worked with my insurance and schedule to save me time and money."
"Prior to the surgery, local anesthetic was administered in the area. I felt no pain after the anesthetic. I left the office pain-free. After the procedure, I felt better and I was lighter on my feet, which was the biggest tangible benefit. They made sure I was comfortable, and the quality of care was excellent."
"I felt better in a matter of days. I was up and about within three days, and I felt better than I had in years. As time has passed, my circulation has improved and the aches I used to feel have disappeared completely. I would recommend VeinSolutions to anyone, and if I had to, I wouldn’t hesitate to do it all over again under Dr. Apple’s care. His concern for my well-being was apparent from the very beginning."
"VeinSolutions provided me with great service, as always. The staff was very professional and courteous, making for a great experience overall."
"My experience with VeinSolutions was so great I’ve told my friends and family about it and they want to learn more. They have looked at your website and plan to pursue treatment!"
"The VeinSolutions staff is very friendly and caring and always carries a great sense of humor!"
"I was so pleased with EVERYTHING about VeinSolutions – thank you for everything you’ve done for me!"
"VeinSolutions was very helpful in explaining insurance procedures and answering any questions I had."