If you are looking for a vein doctor near Richmond, CA, you have a great option. Dr. Malvehy is the top rated vein doctor in California and has an office located near Richmond in Pleasanton, right near Stoneridge Mall. Easily accessible by highway, seeing the top rated vein specialist in California is worth the drive. Given we are able to definitively provide varicose vein treatment in as little as a single visit, patients from Richmond frequently make the drive to see Dr. Malvehy.
One of the few physicians in the country who devotes his practice exclusively to vein disease, Dr. Malvehy performs over 500 major vein treatments and 1,000 sclerotherapy treatments every year. He has been consistently rated 5-stars on Google, Yelp!, and other patient platforms for years.
Dr. Malvehy is certified by the American Board of Venous and Lymphatic Medicine, one of less than 700 physicians in the US and Canada who have earned this rigorous certification requiring years of education, experience, and expertise. Dr. Malvehy performs his own ultrasound examinations on all patients during their first visit and is certified in ultrasound both as an RVT, Registered Vascular Technologist, and RPhS, Registered Phlegology Sonographer.
Dr. Malvehy was a Medical Scholar at the University of Miami Miller School of Medicine before earning his MD in 2000. He began his clinical career in the Duke University Health System before earning his MBA at Duke University’s Fuqua School of Business.
“I so wish I had gone here when a friend told me about Dr Malvehy 3 years ago. There is so much misinformation about vein treatment. If you have leg pain, heaviness, itchiness, spider or varicose veins you need an ultrasound and not just sclerotherapy. There may be a root cause of your vein issues that a dermatologist or even vascular surgeon will not diagnose properly. I tried years of treatment and my legs only worsened pain and appearance wise as years progressed. This doctor knows his stuff and the process has been enjoyable, efficient and educational at the same time. There is help with the right doctor and Dr Malvehy is the one to go to. I am very happy I finally went to his office. The facilities, staff and procedures are pleasant, friendly and warm. I will recommend him to everyone.”
– Natalie H., Verified Patient Review
Sclerotherapy in Richmond
After obtaining written informed consent and correctly identifying the patient and correct site of the procedure, an extensive venous mapping of the LE was performed, including surveillance for DVT and superficial thrombosis, and the patient’s legs were cleaned with isopropyl alcohol. 0 cc of 0.5% polidocanol liquid and 8 cc of 0.5% polidocanol foam were injected into the target sites using ultrasound guidance. The patient’s legs were bandaged and a compression stocking was applied. Detailed post procedure instructions were provided and a follow up visit was scheduled.
Our office offers comprehensive spider vein treatment including sclerotherapy. Dr. Malvehy offers advanced sclerotherapy techniques including ultrasound guided sclerotherapy and foam sclerotherapy. Dr. Malvehy has performed thousands of sclerotherapy treatments, has published scientific literature on the topic, and has taught national courses for specialists seeking to learn it.
Sclerotherapy is the process of injecting a medication into a vein in order to “sclerose” or close the vein. While many practices use salt water or saline for injections, Dr. Malvehy exclusively uses Asclera, the only brand-name FDA approved medication for sclerotherapy. Besides reduced pain when compared to older, saline solution, treatment with Asclera offers more consistent results.
Varicose Vein Treatment in Richmond
Varicose vein treatment is customized by Dr. Malvehy during the initial consultation and may include a combination of laser vein treatment (also called EndoVenous Laser Ablation or EVLA), ultrasound guided foam chemical ablation, and minimally invasive varicose vein removal.
Current varicose vein treatments are all performed in the office using only local anesthesia. Patients can drive themselves to and from their treatment visit and have little to no downtime afterwards. Depending on the size, location, and nature of your particular varicose veins, Dr. Malvehy may be able to perform most or all of your treatment in a single visit. For patients living in Richmond seeking varicose vein treatment, this is a real advantage since it limits the number of trips to the doctor necessary to treat the issue.
Laser Vein Treatment in Richmond
Dr. Malvehy performs over 500 laser vein treatments every year for a variety of different conditions and seeks to make the process as comfortable for patients as possible, anticipating points of discomfort and mitigating them before the fact. Treatment typically takes 30-45 minutes and may be combined with minimally invasive varicose vein removal and sclerotherapy as part of your customized treatment plan. Using ultrasound guidance, local anesthetic is delivered around the target vein. A laser fiber optic is then inserted into the target vein and the vein is treated. The entire procedure is performed without making incisions in the skin and results in no scarring. Patients can drive themselves home after treatment and may immediatley resume normal activity. Dr. Malvehy may ask you to wear a compression stocking for 5-7 days depending on the size and location of the vein being treated.
Laser vein treatment is covered by most commercial insurance and Medicare for patients with pain, swelling, or venous ulcers. For patients with Kaiser Permanente insurance seeking laser varicose vein treatment, preferred pricing is available.
Facial Vein Treatment in Richmond
Facial vein treatments include liquid or foam sclerotherapy or thermocoagulation using VeinWave. All treatments are performed after application of a topical anesthetic cream in order to make them as comfortable as possible. Sclerotherapy is used for larger red or blue veins and involves an injection of a small amount of solution into the veins to cause them to collapse; they generally disappear in 2-4 weeks though there can be incremental improvement later. VeinWave is a thermocoagulation device that delivers a small pulse of energy using a “bristle” needle tip. Veins typically disappear instantly. Both treatments may have 1-2 hours of redness or swelling in treated areas. 1-2 treatments are usually adequate for most people.
Hand Vein Treatment in Richmond
Handscaping™ hand vein removal is a safe, effective, and permanent solution to the problem of bulging hands veins. Bulging or thick veins on the back of the hand can make hands appear aged or masculine. While many offices offer injections of fat and fillers to temporarily obscure these unsightly veins, Dr. Malvehy is one of the pioneers in offering Handscaping™, a better hand vein treatment that focuses on the underlying problem, the bulging hand veins themselves. Patients often travel to Dr. Malvehy from Richmond for hand vein removal because he is one of the few physicians who have experience with bulging hand veins.
Results from this innovative hand vein treatment are:
Handscaping™ is a customized treatment where bulging hand veins are removed through a pinprick incisions sized 1 mm or less. The procedure is totally safe, takes about 20 minutes per hand, and pretty much painless.
Venous Ulcer Treatment in Richmond
Venous ulcers or leg ulcers are typically found in the lower leg or ankle, also called the gaiter area. Over 80% of wounds of the lower leg and ankles are due primarily to vein disease. These venous ulcers usually follow a period of discoloration of the skin and can be quite painful. Often, treatment is focused on the overlying skin disruption – local creams, antibiotics, bandages and skin grafts. Without treating the underlying vascular disease, however, these ulcers tend to persist or recur.
Dr. Malvehy is one of only a few physicians in the United States who performs ultrasound guided foam chemical ablation directed at treating chronic wounds, so patients come from Richmond, CA to see him regularly.
Dr. Malvehy identifies the underlying cause of the ulcer or wound using ultrasound and then creates a customized venous ulcer treatment plan focused on that issue. In wounds less than a year old, treating the underlying vein and circulatory issues usually results in spontaneous healing. Wounds older than one year may require supplemental skin treatment.
Insurance for Varicose Vein Treatment in Richmond
Treatment for varicose veins, venous insufficiency, and venous ulcers is covered by most commercial insurance plans – like United Healthcare, Aetna, Blue Shield of California, Cigna, and Anthem Blue Cross – and government insurance programs like Medicare and Medi-Cal but insurance companies like United Healthcare typically want to make sure that you are not seeking varicose vein treatment simply for cosmetic purposes. No insurance covers cosmetic sclerotherapy for spider veins. Insurers want to ensure that you do have real varicose veins and a situation where the circulation is causing you some sort of symptom or problem with your skin or legs. Even if you don’t have visible varicose veins and have totally normal appearing legs, you may still have symptoms of vein disease caused by venous insufficiency. Venous insufficiency is the root cause of varicose veins, a condition where blood flows backwards in the vein (also called reflux) and pools in the lower legs instead of circulating effectively back to the heart. Because patients come to our office from Richmond for varicose vein treatment regularly, we try to minimize the number of visits and pre-authorize your treatment in advance to reduce your travel time.
Symptoms associated with varicose veins and venous insufficiency are usually worse with prolonged standing and at the end of the day. It is very common to hear from patients that pain in the legs or leg cramps interrupt sleep. One of the things that needs to be documented for varicose vein treatment to be covered by insurance is that the patient’s symptoms need to be clearly documented including whether they have pain and, if so, where that pain is. The pain is often described not as a focal pain but as discomfort like heaviness or aching. This can sometimes be severe.
Each insurance company has specific requirements (and they are all different!) for covering varicose vein treatment including some ultrasound requirements like the size of the veins and how much backwards flow, or reflux, there is. As part of your initial evaluation, Dr. Malvehy will perform a detailed ultrasound examination to identify and document the source of your varicose veins and venous insufficiency. This is then provided in documentation to your insurance company to support pre-authorization for treatment.
We regularly work with insurance companies to get pre-approval for patients seeking varicose vein treatment so we understand the different requirements that each insurance company has.
Patients coming from Richmond should take I-680 and head south. I 680 has an exit for Stoneridge Road, right after I-580. Exit right after the interchange with I-580 and turn right on Stoneridge Drive. Stoneridge Mall Road will be on the right, a ring around Stoneridge Malls. We are in a 3 story black glass building that will be the second one on your left. It is 5700. There is plenty of free parking available.
Vein Doctor Near You
East Bay Vein Specialists is the best vein treatment center in California. He is also a pioneer when it comes to minimally invasive treatments.
The philosophy at this vein clinic is simple. We know that you want the best solution for these issues. We also know that you want a permanent solution. You don’t want a lengthy recovery time. That’s why we use cutting edge techniques and look beyond the obvious cosmetic solutions.
Certified Vein Specialists
When you come in for a consultation, Dr. Malvehy will conduct a thorough examination. Based on his findings, he will come up with a customized treatment plan that addresses the symptom and the cause. As a board-certified specialist, Dr. Malvehy is able to cover the full spectrum of vein disorders.
Whether you need to treat varicose veins, venous insufficiency, or spider veins he is equipped to find the right solution.