Vein Treatment Options

Omaha’s Vein Treatment Choice

Totally Vein provides expert vein treatment under the leadership of vein specialist Dr. Robert Zadalis, a board certified surgeon and Diplomate of the American Board of Venous and Lymphatic Medicine. Totally Vein is committed to offering their patients a wide range of advanced, minimally-invasive alternatives to vein surgery, with innovative treatments like Venefit™ Targeted Endovenous Therapy, VenaSeal™ Closure System and Veinwave™.

Totally Vein offers a number of solutions for spider veins and varicose veins, including duplex ultrasound, Venefit™, VenaSeal™, ambulatory phlebectomy, sclerotherapy, ultrasound-guided sclerotherapy, and Veinwave™. Many of our vein treatments require little or no anesthesia, and can be performed in less than an hour. They offer excellent results and quick recovery times.

Varicose and Spider Vein Treatments

Duplex Ultrasound

At our Omaha vein treatment center, we perform duplex ultrasound before undertaking any treatment of varicose veins. Duplex ultrasound is a non-invasive and painless way to diagnose the underlying cause of varicose veins. We will then propose a plan of treatment to help you get rid of varicose veins using the most effective, minimally invasive treatment options available.


Venaseal™ is the newest option for treatment of selected vein problems. It is a non-thermal technique that is virtually painless, as effective as current thermal treatments, and associated with extremely rare complication risks. It allows for immediate return to normal activities without the need for compression stockings. Dr. Torpy was the first physician in the Omaha area to perform this innovative procedure.

Venefit™ Targeted Endovenous Therapy

Venefit™ Targeted Endovenous Therapy or RF closure (radiofrequency closure) is used to effectively get rid of varicose veins and is an excellent alternative to invasive vein surgery. In Venefit™ Targeted Endovenous Therapy, a tiny radiofrequency catheter is inserted into the vein and delivers gentle RF energy as it is withdrawn, causing the vein to close. Blood is then re-routed to healthy veins and the collapsed vein is eventually absorbed by the body. Dr. Torpy has performed over 6,000 closure procedures. Venefit™ Targeted Endovenous Therapy can be performed in the convenience of our Omaha vein treatment clinic under local anesthesia, and most patients return to their regular activities within a day


Veinwave™ is a new technique pioneered in the U.K. and France for the treatment of small red spider veins, particularly on the face, knee and ankle areas that are often difficult to treat using other methods. Veinwave™ is performed as an outpatient treatment with immediate return to normal activities.

At our Omaha vein treatment center, we are constantly looking for innovative and effective ways to treat problem veins. Totally Vein is one of only about ten U.S. vein treatment centers to introduce the Veinwave™ technique of spider vein treatment.

Ambulatory Phlebectomy

Ambulatory phlebectomy, also known as microphlebectomy, is a procedure in which a varicose vein is removed through a series of tiny incisions. In ambulatory phlebectomy, the incisions are so small that stitches are very rarely required and scars are virtually imperceptible. We perform ambulatory phlebectomy in the comfort and convenience of our Omaha vein treatment center, usually under local anesthesia. After ambulatory phlebectomy, patients wear a compression stocking or bandage for a short period.


Sclerotherapy is the gold standard in the treatment of spider veins. In sclerotherapy, an FDA-approved solution (“sclerosing agent”) is injected into the vein using a tiny needle. The veins then collapse, shrink, and are eventually absorbed by the body. A series of brief (20-30 minutes) sclerotherapy sessions may be needed to get rid of spider veins completely.

Sclerotherapy is often considered a cosmetic procedure by insurance companies. It is usually performed by a nurse and physician assistant practitioners at our Omaha vein treatment center.

Ultrasound-guided sclerotherapy has expanded the use of sclerotherapy to include the treatment of varicose veins. Our doctors use ultrasound technology to precisely locate the diseased vein and to guide a needle, which delivers the sclerosing agent into the vein. As with the treatment of spider veins, several sessions of ultrasound-guided sclerotherapy may be needed to get rid of varicose veins.

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Let us help you understand venous disease then recommend a treatment option.

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