Dr. Thomas Parisi MD DABVLM is the leading vein treatment specialist in the Las Vegas area.

Our Total Vein Care protocol is based on a the most current treatment plans available today that have been peer reviewed and accepted.  Furthermore, our belief further is that vein care includes preventive care so that you can maximize your time with your loved ones rather than at the doctors.

First Vein
Treatment Step

Deep Vein Ultrasound

Second Step

Endovascular Catheter Ablation

Third Step


Fourth Step


Fifth Step

Nd: YAG (Neodymium-doped yttrium aluminum garnet) Vein Removal Laser Treatment

Below is our Total Vein Care protocol. Not all procedures may apply to your care so do not feel that all this will occur.

First Vein Treatment Step:

Deep and Superficial Vein Ultrasound

The Lower Extremity Ultrasound (LEU) is an initial evaluation part of vein treatment of your lower extremities using noninvasive ultrasound. Prior to any treatment, this determines if you have vein reflux disease (“Reflux”) that needs therapy. Reflux is when the vein or it’s valves do not work properly. When that occurs, blood pools in the lower part of the legs and does not return to the heart as well. This causes swelling, restless legs, discoloration, and varicose veins.  This is required so that the provider and insurances know which veins to treat.  

(NOTE:  Exams done at Pueblo Imaging cannot be honored as that facility is not accredited for venous studies.)

Second Step:

Vein Treatment (Endovascular Catheter Ablation)

What? It means that vein is closed within your body using a catheter with no surgical stripping, sutures, or scarring. The entire vein treatment procedure is performed through a single intravenous (IV) site. The basic premise of the procedure is that the catheter causes the vein to close by many ways, depending on the technology approved by your insurance.  The technology can be LASER, Radiofrequency, VenaSeal, or MOCA.  As the vein is treated, the lining is changed and acts like glue, holding it shut. The leg may be put into compression depending on the procedure performed and the patient walks out.  Any of these technologies is safe to use any patient unless directly contraindicated. This can be done independently of any step.  


To see the full video on this procedure on YouTube instead, click on the following link:




Third Step:

Vein Removal - Microphlebectomy

Microphlebectomy is the removal of medium size veins from the skin surface. This type of vein removal entails small incisions ion the superficial skin layer, followed by the removal of the vein using small, very specific instruments. The visible vein is excised and removed. The incisions are not stitched and therefore scarring is not visible at all in this vein removal procedure.  This is an older method that is used rarely by today's phlebologists.  Reserved for extreme cases only.  This can be done independently of any step.

Fourth Step:


Sclerotherapy is a treatment of small, visible veins using a solution that causes the vein to remain closed and then disappear. The solution itself is painless when introduced to the vein. The use of sclerotherapy and YAG laser therapy has shown to be effective treatments for these smaller surface veins.  This can be done independently of any step.

Fifth Step:

Nd:YAG (Neodymium-doped yttrium aluminum garnet)
Vein Removal Laser Treatment

Nd: YAG Laser Treatment (YLT) is a proven treatment for superficial veins, the treatments emit a laser pulse, which causes the veins to disappear, much like sclerotherapy. The difference in the treatments is the YLT can remove veins in a noninvasive manner and can also treat much smaller veins that would be very difficult to access with scleotherapy.


Once you have completed the above five options (if needed), we hope that you are satisfied with the results and your vein treatment removal procedures. It is Las Vegas Vein’s policy that the patient is completely satisfied with their care. Subsequent appointments are to determine the success of our treatment as well as your satisfaction.  This can be done independently of any step.


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John F.

"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."

Alex S.

"I couldn't achieve the strength goals put forward by Dr. Parisi but the muscle stimulator got me there. Now I don't use a cane."

Donald B.

"My legs were so swollen and hurt so badly. Dr. Parisi's treatments have helped me in the meantime while I wait for insurance to approve treatment."