Look good. Feel good.

Venous disease can cause clusters of enlarged, swollen, and knotted veins in the legs, as well as skin discoloration and, in severe cases, ulceration. Whether you're struggling with varicose veins or need treatment for a venous ulcer, our experienced Tampa team is ready to help you find relief and regain your confidence. From minimally invasive procedures like vein ablation and sclerotherapy to cosmetic treatments that enhance your appearance, we offer a range of personalized options to help you look and feel your best.

Our holistic approach to vein care

At Vein & Aesthetics Center of Tampa Bay, we believe in taking a holistic approach to vein care. This means that we don't just treat the symptoms of venous disease – we also focus on the underlying causes and work to address them through a range of personalized treatment options. Our approach to vein care begins with a thorough physical exam and medical history, followed by patient education on preventing and treating vein disorders. We determine the appropriate treatment plan for each patient using a diagnostic ultrasound. From lifestyle modifications to improve circulation and reduce inflammation to minimally invasive procedures like vein ablation and sclerotherapy, we offer a comprehensive approach to vein care that helps patients achieve long-lasting results and improve their overall health and well-being.

Step 1: Book Your Consultation

Schedule a consultation to explore whether vein treatment is the right option for your needs.

Step 2: Leg Ultrasound

A fast, painless ultrasound scan will identify if vein disease is the source of your symptoms.

Step 3: Verify Your Benefits 

Since vein disease is recognized as a medical condition, many insurance plans offer full coverage. We’ll assist you in checking your eligibility.

Step 4: Receive a Customized Treatment Plan

Our specialists will create a treatment plan tailored specifically to you. Procedures are noninvasive, quick, and involve very little recovery time.

Know the signs of venous disease.

Varicose veins

Varicose veins are a common condition that primarily affects the legs. Enlarged, twisted veins that cause pain and heaviness and may lead to more serious health issues are the hallmark of this condition.

Spider veins

Spider veins, a less severe form of varicose veins, can be the first sign of deep venous disease. They often resemble a spider web and are typically found on the face or legs near the skin's surface. These veins are usually red or blue.

Deep vein thrombosis (DVT)

Deep vein thrombosis (DVT) is a medical condition in which a clot or cluster of blood cells forms and blocks the blood flow in the body's deep veins, usually in the legs.

Venous ulcers

A venous ulcer, or non-healing wound, is a chronic sore that can persist for several months. This condition is often caused by venous disease, DVT, peripheral artery disease, or other underlying health conditions.

Background media

Vein treatments can improve your quality of life.

Vein ablation

Vein ablation treats varicose veins and other forms of venous insufficiency. During the procedure, Dr. Gharai makes a small incision in the affected vein and inserts a catheter to deliver heat or laser energy to close the vein.

About vein ablation

Sclerotherapy

Sclerotherapy is a treatment for spider veins and small varicose veins. After we rule out deep vein disease, we then inject a special solution into the affected veins. This causes the veins to collapse and gradually fade away over time.

About sclerotherapy

Phlebectomy

Phlebectomy removes varicose veins from the legs. During the procedure, Dr. Gharai makes small incisions in the skin and removes the affected veins using a unique tool with minimal discomfort and a quick recovery.

About phlebectomy

Laser vein removal

Dr. Gharai uses a specialized laser to deliver energy to the affected veins during laser vein removal. The laser energy heats the veins and causes them to collapse and gradually fade away as the body absorbs them. 

About laser vein removal

YAG Laser

By using laser technology, it targets and shrinks blood vessels beneath the skin, enabling the body to gradually absorb them over time.

About YAG laser

Before & After

View Gallery

Diagnosis Before Treatment

At the Vein & Aesthetic Center (VAC), our step-by-step diagnostic process begins with: 

Step 1: Ruling out Deep Vein Thrombosis (DVT)

A serious condition where a blood clot forms in the deep veins, usually in the legs. DVT can cause symptoms such as leg swelling, pain, warmth, redness, or heaviness, and if left untreated, may lead to life-threatening complications like pulmonary embolism.

Step 2:

We perform detailed vein mapping, using ultrasound to measure the diameter and anatomy of the great saphenous vein (GSV), small saphenous vein (SSV), accessory veins, and perforator veins that connect superficial to deep systems.

Step 3:

We utilize color Doppler ultrasound to identify and document venous reflux, or backward blood flow, timing how long the reflux persists in each vein—with anything over 0.5 seconds considered abnormal. This comprehensive approach ensures an accurate diagnosis and guides the most effective treatment plan.

Background media
Woman rubbing cream on her shins

Understanding Vein Size and Reflux: What It Means for Your Vein Health

When it comes to diagnosing and treating vein disease, there are specific ultrasound criteria that help determine if a vein is considered abnormal and needs treatment. One of the most important things we look at is vein diameter and reflux—but what does that actually mean for you?

Vein Sizes Can Vary – But There Are Common Guidelines

Different insurance carriers may use slightly different thresholds, but most go by the following general standards:

  • Great Saphenous Vein (GSV): abnormal if larger than 3.0 mm
  • Small Saphenous Vein (SSV): abnormal if larger than 3.5 mm
  • Accessory veins (like anterior accessory saphenous veins): also flagged if over 3.5 mm
  • These measurements are taken during a venous ultrasound, a non-invasive scan that lets us see the size of your veins and how well your blood is flowing.

What Is Reflux?

Reflux is when blood flows backward in your veins instead of going up toward your heart. In healthy veins, small valves act like one-way doors to keep blood moving in the right direction. But when those valves weaken or fail, blood starts pooling in the lower legs—leading to symptoms like heaviness, swelling, bulging veins, or pain. Think of it like this: Imagine your veins are like highways, and the valves are traffic lights. If the lights stop working, traffic gets backed up—and in your body, that “traffic jam” is blood collecting in your legs. In medical terms, reflux is measured in milliseconds (MSEC). A reflux time over 500 MSEC (or half a second) is generally considered abnormal.

Why It Matters

A vein that is both dilated and has significant reflux is typically considered incompetent—and that’s when a vascular or vein specialist should evaluate your case. These findings can indicate chronic venous insufficiency (CVI), a progressive condition that can lead to worsening symptoms and complications if left untreated.

Varithena Procedure:

Before performing a Varithena procedure, we carefully evaluate the size and condition of the perforator veins to ensure patient safety and optimal outcomes. It is essential to confirm that the perforators are not excessively large, as this could allow the medication to seep into the deep venous system, increasing the risk of complications. If the perforators are found to be too large, we first perform a targeted radiofrequency ablation to close them safely. Once the perforator veins are adequately sealed, we proceed with the Varithena treatment to effectively address the varicose veins. 

Schedule a free consultation – we can help!

Candidates for vein treatments typically include individuals who experience discomfort, pain, or swelling in their legs due to varicose veins or other forms of venous insufficiency. Our experienced team can help determine the best course of action for each patient's unique needs, and we offer treatment options for people of all ages and backgrounds.

Banner media

We Accept All Insurance

Wondering about your insurance for vein treatment? We accept ALL insurance plans and handle all paperwork directly with your provider. Coverage depends on your specific plan, but treatments are more likely to be approved with evidence of medical need, such as abnormal blood flow, pain, or swelling. Our team ensures a smooth, hassle-free experience for you.

Why choose Vein & Aesthetics Center of Tampa Bay?

Dr. Fariba Gharai provides expert-level vein treatment at Vein & Aesthetics Center of Tampa Bay. She has performed over 2,000 lung, heart, and vascular surgeries over the last 15 years of practicing medicine and shows superior expertise in delivering outstanding outcomes.

At our clinic, we specialize in providing aesthetic and vascular treatments that help our patients look good and feel good. With personalized treatment plans specific to your needs, you can rest assured that you will receive the care and attention you desire with results that reflect your goals.

Whether you want to treat varicose veins or other venous diseases, our team has cutting-edge technology and experience in the most advanced techniques to ensure your well-being for years to come. Call us at (813) 533-1999, or schedule your free consultation online today!

Patient Reviews

I was truly impressed with Dr Gharai and the caring staff and friendly can do attitude and smiles. You guys are TRULY AMAZING, as well as the front desk was incredible on all 3 vis...

Dr Gharai has the best team of medical staff I have been around in a long time. They were busy but still took the time to make me feel like I was the only patient there. The woman ...

I was very pleased with my experience with Dr. Gharai. I can be a hard critic of Physicians and the people employed by them. Combine that attitude with an innate crankiness when I’...

Dr Gharai was very sensitive to my anxiety in the healthcare setting. She took the time to review my imaging with a radiologist prior to my visit. She explained everything about my...

She is so very caring and takes so much time with you explaining everything she will do. She actually makes you relaxed because you know she is the very best at what she does. Than...

I went to her office and she explained the procedure to me in detail on how she was going to do it from beginning to end. After meeting with her and talking with her and the knowle...

Dr. Gharai should be named among the best doctors in America. Everything about her is superb: great bedside manners, spending time with family, explaining the situation to us, and ...

It is scary to go to the doctor especially when surgery is involved. Fariba is easy to talk to and spends time with the family to explain what she is going to do and why. Coming ou...

She is an excellent physician with lots of medical knowlege. I would take any of my family member to her for any medical issues.

Read More Testimonials

We are here to make you look good and feel good

Seeing the results you desire in the mirror is within reach! Schedule your free consultation with Vein & Aesthetics Center of Tampa Bay, and find out how Dr. Gharai can help you achieve your aesthetic goals.

Schedule a Free Consultation

© Vein & Aesthetics Center. All Rights Reserved.

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 813-798-1477.

Scheduling Disclaimer - Click Here

New Device: Luminis ULTRA Pulse Alpha

New Product: Lumenis ULTRA Pulse Alpha
Contact Us