Vein Treatment at Restorative Health Care

Restorative Health Care has been a leader in the treatment of varicose veins and venous disease since the 1990’s. Dr. Koziarski trained with many of the pioneers in the field of endovenous surgery. In 2002 Restorative Health Care (Family Surgical at the time) had the first FDA approved laser in the state of Michigan which could be used for Laser Ablation Surgery for varicose veins.

After being trained in all aspects of vascular surgery and maintaining a very busy vascular practice, in 2003 Dr. Koziarski limited his vascular focus to the treatment of venous diseases.  The experience gained after treating many thousands of patients has led to Dr. Koziarski being an active participant in many research programs. His research and findings have been presented on both national and international levels.

Dr. Koziarski is a member of the American College of Phlebology ( and Vein Experts ( In 2008 he took and passed the first exam offered by the American College of Phlebology to achieve certification in Phlebology (the treatment of venous diseases).

The Vein Basics
In order to understand vein disease, you must first understand the purpose of the blood vessels in the body.

The heart pumps the blood through the arteries out to the organs and tissues. Because the heart is a very strong pump, blood in the arteries is under very high pressure; like a garden hose. After the blood goes through the organs and tissues, it has very little pressure left to get back to the heart. Veins are the blood vessels that carry the blood back to the heart. Valves in the veins keep the blood flowing in the right direction. When the valves become weakened, the blood actually backs up in the veins and has trouble getting out of the legs and back to the heart.

Varicose Veins

varicose-veins-224x224Varicose veins are superficial veins that are dilated and can bulge under the skin. They occur when vein walls are weak and valves do not close properly (venous insufficiency). Varicose veins often run in families and are more common in women, but can occur in men as well. They may make you feel self-conscious about the appearance of your legs, but can cause symptoms, such as aching, heaviness and throbbing.

Spider Veins

spider-veins224x224Spider veins are also dilated blood vessels in the skin, but they are much smaller in diameter, and tend to be purple or red in color. These can bulge and be unsightly, but can also cause symptoms.

Venous Insufficiency

One out of five Americans suffer from a disease known as venous insufficiency; a disease that most people have not heard of before. Yet this disease is regarded as one of the most common reasons for lost work and productivity world-wide.

Venous insufficiency is a medical term that means “veins that do not work properly”. Specifically, this is referring to the veins in the legs. This disease can present itself in many different ways. That is why most people with the disease do not even know they have it.

Venous insufficiency is when the blood does not get out of the legs efficiently, putting pressure on the nerves, the veins in the skin, and the skin itself. This results in pain, heaviness, aching, varicose veins, spider veins, skin rashes, skin itching, ulcers, or infections. This can occur in anyone; young or old, obese or thin, men or women, athletes or couch potatoes. The reasons are probably genetic. Most people with venous insufficiency can recall others in their family with similar problems.

How do I find out if I have Venous Insufficiency?

Venous insufficiency can be diagnosed with a simple, noninvasive study called a venous duplex ultrasound. The study generally takes 30 minutes, and is done right here in our office. It uses sound waves to create images of the vein structures and blood flow in your leg, to help us locate the source of your vein problem.


  • Aching
  • Heaviness
  • Pain
  • Itching
  • Swelling
  • Throbbing
  • Burning
  • Numbness and Tingling
  • Restlessness in the legs
  • Skin rashes of the legs
  • Edema
  • Ulcers
  • Infections of the legs
  • Phlebitis
Free Vein Evaluations

While you are here, you will undergo a venous duplex ultrasound exam to evaluate your legs for venous insufficiency (ultrasound is covered by most insurances). You will also meet our Physician Assistants, who will examine your legs and discuss your symptoms and medical history with you.

Treatment Options

VenaSeal™ Closure System

The VenaSeal system improves blood flow by sealing—or closing—the diseased vein. The system delivers a small amount of specially formulated medical adhesive to the diseased vein. The adhesive seals the vein and blood is rerouted through nearby healthy veins.

VenaSeal Closure System Advantages:

  • Improved patient comfort
  • Rapid return to normal activities
  • No multiple needle sticks
  • Minimal to no bruising
  • No post-procedure compression stockings

Learn More about VenaSeal

Endovenous Laser Ablation

This is a minimally invasive procedure that uses heat to treat the problematic saphenous veins. The heat is generated by a laser. The laser is positioned in the vein through an IV placed near the knee.  This is all done using ultrasound guidance. Local anesthetic is used to numb the area of the leg being treated, and patients are offered medications to take prior to the procedure to help relax them and make the procedure more comfortable. You may also use nitrous gas during the procedure. This is tolerated very well and is performed in the comfort of our office’s ultrasound suite.

Clarivein Ablation

Clarivein ablation is a mechanical-chemical ablation technique. This is a virtually painless, yet very efficient way to close off those leaking veins. It is a “tumescent-less” technique; which means that no anesthesia shots around the vein are needed.  A wire is placed through a catheter into the saphenous vein. The wire rotates at a high speed, damaging the inner lining of the vein. At the same time, a liquid solution is being injected into the vein, which chemically damages the vein. This is also performed using ultrasound guidance with a single needle puncture, and done right in our office.


This is the method used to treat any unsightly, bulging varicose veins. These are treated using a simple removal technique. After numbing the area with a local anesthetic, very small incisions are made along the course of the vein. Tiny hooks are then used to remove the vein through these incisions. Depending on the extent of your bulging varicosities, this can be done in our office, or if you have many veins, as outpatient surgery using light sedation to make you more comfortable. Afterwards, your leg is wrapped in a bulky dressing which stays on for two to three days. There is minimal discomfort afterwards, and really no restrictions to your activities.

Radiofrequency Ablation

This is a minimally invasive procedure that uses heat to treat the problematic saphenous veins. The heat is generated using electricity (radio waves). The catheter is positioned in the vein through an IV placed near the knee.  This is all done using ultrasound guidance. Local anesthetic is used to numb the area of the leg being treated, and patients are offered medications to take prior to the procedure to help relax them and make the procedure more comfortable. You may also use nitrous gas during the procedure. This is tolerated very well and is performed in the comfort of our office’s ultrasound suite.


This is the final step in your vein treatment. By this point, your legs should be feeling much better, but you will still be left with those unsightly red and/or purple spider veins. Sclerotherapy is a technique which uses very tiny needles to inject a liquid detergent solution (most commonly Sotradecol or Asclera) into the veins which causes it to harden and close up. Over the course of 6-8 weeks, your body will slowly absorb the treated veins. Most people require multiple treatment sessions to get rid of all their spider veins.

Post Operative Instructions
Post Operative Instructions

For Endovenous Laser Ablation, Radiofrequency Ablation, and Clarivein

  • For the first 48 hours after each procedure, we recommend you keep compression on the treated leg. You may purchase compression stockings at our office, or we will provide you with a prescription to obtain stockings at a local medical supply store.
  • You will need to refrain from any heavy lifting or straining during the first 48 hours after surgery. This includes exercise or any activity that will significantly increase your heart rate.
  • We encourage you to get up and walk at least every hour or two the first few days after surgery during the hours you are awake. This will help decrease your risk of blood clot.
  • When you are at rest, it is always a good idea to elevate the leg to prevent increased bruising and swelling.
  • You may shower once you have removed the dressing and stocking from your leg two days after the procedure.
  • It is normal to have some soreness in the leg where treatment was performed. This is due to inflammation in the tissue. We will provide you with a prescription for Ibuprofen which we encourage you to take, as it will help significantly with any pain or soreness you may develop.
  • You really have no restrictions with physical activity after the first 48 hours. We ask that you continue to wear your compression stockings for the next 10 days during the hours that you are awake, especially if you are on your feet. This will help with the inflammation in your leg, and will also assure the treated vein will successfully close down as we hope.

Download Post Operative Instructions

For VenaSeal Closure

  • After the procedure, you will have a bandage over the IV insertion site. There are no restrictions. You may return to activity as tolerated immediately after the procedure. You may shower the following day. It is okay to take Tylenol or ibuprofen for any soreness or discomfort.

Download Post Operative Instructions

For Microphlebectomy

  • If the microphlebectomy was done in conjunction with endovenous laser ablation, radiofrequency ablation, or Clarivein ablation; please follow the postoperative instructions for the ablation procedure.
  • If the microphlebectomy was the only procedure performed the following postoperative instructions apply:
  • Keep the postoperative dressings on for 3 days. It is important that these do not fall down or loosen up. It is the tight compression on the legs that minimizes the bruising and discomfort. If they do start to loosen or fall down try to reinforce the wrapping with another layer of gauze or Ace wrap. Another option is to hold them in place with stockings or tight pants, such as Spanx or biking pants.
  • There were no restrictions on activity, provided the dressing stays in place.
  • You’ll be given a prescription for pain medicine to take as needed. Elevating the legs will help with any throbbing or aching.
  • You will not be able to bathe or shower until the dressings are removed. They must stay dry.
  • If the amount of veins removed from was very minimal, we will have you remove the dressings at home. Once the dressing is removed you may then shower. We then ask you to wear your compression stockings for 7-10 days, while you are awake. You do not need to wear them while sleeping.
  • Most of the time we will have you return to the office 2-3 days following the procedure, at which time we will do the initial dressing change. Bring your compression stockings with you to this appointment, as they will be put on you after the dressings are removed.

Download Post Operative Instructions

For Sclerotherapy

  • When it comes to instructions after Sclerotherapy (treatment of the spider veins), there are very few restrictions. We do ask that you wear your compression stockings the day of the treatment, as well as 3 days afterwards, just during the day. We also ask that you wait to soak in water until 48 hours after the treatment, but showering is permitted right away if desired. It is a good idea to avoid prolonged sun exposure or tanning during the sclerotherapy process. This will assure you do not develop any unwanted staining, or brown spots, where veins have been treated. There are no restrictions when it comes to physical activity after sclerotherapy.

Download Post Operative Instructions

More Resources

New Patient Forms

New Patient Forms

For your convenience, our new patient forms are available below for you to print off and complete prior to coming into your appointment. It is a requirement for you to fill out the new patient paperwork prior to your first appointment. If you would prefer us to mail you the paperwork instead, we would be happy to do that.


Fees & Financing

Payment Options

We accept cash, checks, and most major credit cards. Payment is expected at the time of service


As a service to our patients, our practice accepts most insurance plans. Insurance does not cover procedures that are for cosmetic reasons only (such as Botox and Coolsculpting).


We are pleased to offer financing through CareCredit® to help you achieve your goals. After your initial consultation, we will provide you with a quote for your procedure. CareCredit® can be used for Coolsculpting, Botox and vein treatments. For example, if there is a portion of your vein treatment that was not covered entirely by insurance, CareCredit® is an option to pay the remainder balance of your vein treatment(s).

Restorative Health Center offers the following four financing options through CareCredit:

  • 6 month no interest if paid in full within the promotional period with minimum $200 purchase (if not paid in full within this promotional period, interest at 26.99% will be charged from purchase date.)
  • 24, 36 or 48 month extended payment plans-14.90% interest for fixed payments with minimum purchase of $1,000.CareCredit is a revolving credit line for repeat procedures, without the need to re-apply. It only takes a few minutes to apply for and you may receive an online decision in seconds. For more information on this financing option, visit or apply now.
  • If you would like assistance with applying, please contact our billing manager at 269-979-6200 x108. All we need are 2 forms of ID (a picture ID and a major credit card).


CareCredit healthcare credit card for cosmetic procedures

It’s something you’ve always wanted to do, but something else was always there to hold you back. Well, not anymore! We accept CareCredit, the healthcare credit card designed specifically to help finance your health and beauty needs. CareCredit can help you move forward with getting the procedures you’ve always dreamed of with special financing on purchases of $200 or more.

The credit card exclusively for your health and beauty needs

CareCredit is the credit card exclusively designed for cosmetic procedures such as Botox, Coolsculpting and vein treatments. Provided you have credit available, you can also use your card over and over for follow-up appointments or for different procedures.* Which means you don’t have to put your health and beauty needs on hold until you save up enough money.

Learn more by visiting or asking us for details. Ready to apply? Apply Online for your CareCredit card today.

*Subject to credit approval. Minimum monthly payments required. Visit for details.

Apply for CareCredit Now

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Schedule an appointment today: (269) 979-6200