Aching, swollen legs? There's usually a fixable cause.
Dr. Thomas Parisi finds it with one painless ultrasound, then treats it in our private procedure room. More than 30,000 vein ablations since 2006.
- Covered by Medicare and most insurance when medically necessary
- A painless, noninvasive ultrasound evaluation, and you walk out the same day after treatment
- Nevada's only IAC-accredited vein center
After hours, our answering service picks up at (702) 703-3543.
Thank you. We'll call you shortly.
Our vein coordinator will reach out during office hours. Prefer to talk now?
Call (702) 898-9191center in Nevada
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Which of these sound like your legs?
Tap everything that applies. Most trace back to veins that aren't moving blood back to the heart, and nearly all get worse without treatment.
Skip the guesswork. Talk to our vein coordinator.
Most questions about symptoms, insurance and scheduling are answered in one short call.
From first call to lighter legs.
One small, consistent team handles your care, led by a dedicated vein coordinator who also handles the insurance side.
Call or request a visit
We book your evaluation and verify your insurance before you come in.
Painless ultrasound
A full history, exam and lower extremity ultrasound. Quick, comfortable and noninvasive.
Treatment in office
Radiofrequency, laser, MOCA or VenaSeal through one small IV site, in about 20 to 30 minutes.
Walk out, follow up
You walk out the same day. We follow up until you're satisfied with how your legs feel.

Your procedure, performed by Dr. Parisi himself.
Board certified in Venous & Lymphatic Medicine and Internal Medicine, Fellow of the American College of Physicians, and the most experienced endovascular vein specialist in the Las Vegas Valley.
“I appreciate how Dr. Parisi does the entire procedure himself. The other place I went to, the doctor was out in 5 min.”
Vein procedure
Real patients, real relief.
Testimonials reflect individual experiences. Individual results vary.
“I wouldn't wear shorts for over 15 years because I was so embarrassed about the way they looked. Now I wear shorts all the time.”
Vein treatment
“I went to another vein clinic and I did not get the results I was looking for. Dr. Parisi achieved those results in less than a month.”
Vein treatment
“I appreciate how Dr. Parisi does the entire procedure himself. The other place I went to, the doctor was out in 5 min.”
Vein procedure
“His clinic is not a factory. He gives one-on-one care and explains everything. I was impressed.”
Vein treatment
“Now I can travel on planes and not suffer from legs swelling and cramps anymore. Really helped with business trips.”
Swelling
“My wound wasn't healing and I went everywhere. Dr. Parisi took his time and did the job right. Once it healed, it hasn't come back.”
Wound care
Ready to find out what's behind your symptoms?
Your painless ultrasound evaluation is one phone call away.
Covered as medical care.
When veins cause symptoms, treatment is medical, not cosmetic. We bill Medicare and most major plans for every treatment that is a covered benefit, and handle prior authorization for you.
Check my coverageCareCredit
For anything your plan doesn't cover, qualified patients can pay over 12 to 18 months with no interest, alongside an HSA if you have one.
Is varicose vein treatment covered by insurance?
Usually, yes, when your veins cause symptoms such as pain, swelling, cramping or skin changes. Insurers treat symptomatic vein disease as a medical condition, not a cosmetic one. Las Vegas Vein bills Medicare and most major plans for every treatment that is a covered benefit, and our vein coordinator handles the prior authorization your plan requires. Purely cosmetic spider vein treatment may not be covered.
What happens at my first visit?
You'll review your health history and symptoms, have a brief exam, and get a lower extremity ultrasound of your leg veins. The ultrasound is painless and noninvasive. If it shows venous reflux, Dr. Parisi explains your treatment options.
How long does a vein procedure take, and is there downtime?
Endovenous catheter procedures typically take about 20 to 30 minutes and are done in our private procedure room through a single small IV site with local numbing. You walk out the same day. Published data for the procedure report recovery of about 3 to 7 days, and walking is encouraged.
Does vein treatment hurt?
Most patients describe it as mild. The leg is numbed before the catheter is placed, and sclerotherapy solution is not painful as it enters the vein. Some soreness or bruising for a few days is common.
What is the difference between varicose veins and spider veins?
Varicose veins are larger, bulging, rope-like veins, usually caused by leaking valves in deeper veins. Spider veins are small red, blue or purple veins near the skin surface. Spider veins can be treated with sclerotherapy or Nd:YAG laser, but they sometimes signal reflux underneath, which is why we check with ultrasound first.
Find out what's behind your leg symptoms.
One painless ultrasound gives you an answer.