Performing Vein

Procedures Since 2011 



In addition to treatments for venous disorders, Dr. Lornell Hansen can help treat other skin issues, such as excess hair, wrinkles and fine lines, skin discolorations, unwanted tattoos, and sun damage through his aesthetic services. He even offers body sculpting, minimally invasive liposuction and professional grade skincare products. All of this is available through Lazaderm, also owned and directed by Dr. Hansen


Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. The procedure involves injecting a solution directly into the vein. Once injected into the vein, the solution causes the blood vessels to swell and stick together. The blood clots, the vein becomes scar tissue and collapses. Over time, the scar tissue fades away.

The typical treatment lasts approximately 20 minutes depending on the size of the targeted area. After your Sclerotherapy Treatment, the varicose or spider veins should fade away within a few weeks. To completely eliminate the targeted veins, patients may need additional treatments spread out over several weeks.

After the procedure you will be asked to wear compression stockings for 1 week or longer. The stockings can help reduce bruising and help keep the treated veins closed, which will contribute to the success of the procedure. Walking or mild exercise is helpful to increase blood flow but you should avoid intense activities for the first 24 hours. In most cases, you will be able to resume your normal activities immediately after the procedure. Watch a Sclerotherapy Procedure.


An Endovenous Laser Treatment (EVLA) is a minimally invasive method for treating large varicose veins. It uses laser and ultrasound technology to close the main vein from the inside with laser energy. We will apply topical numbing cream, making the injection of the local anesthetic almost painless. Local anesthesia and then a minute laser fiber is inserted directly into the vein through a catheter. Pulses of laser energy are released along the course of the vein to seal it completely. Once the laser has sealed the vein, the fiber is removed and a steri-strip or a stitch closes the area.


Most insurance companies are now requiring a trial of Conservative Therapy before considering covering the treatment of Varicose Veins. Compression stockings may help lessen the symptoms caused by varicose veins but they do not treat the underlying problem and must be worn indefinitely. Other therapies may include elevation of legs, exercising thirty minutes a day and anti-inflammatory medications.

Compression Stockings

One alternative form of therapy is to use compression stockings. They’re also known as support hose. The primary function of compression stockings is to improve circulatory problems in the legs, as well as reduce the swelling in your legs. Properly fitted support hose will squeeze your legs and put pressure on them, which will then move blood out of the veins in your legs and into more centralized areas. Typically, support hose can help alleviate symptoms and reduce swelling but does not resolve the underlying vein problem.

Lifestyle Changes

There are several lifestyle changes you can make to help improve your symptoms. Depending on your condition and your circumstances, you may want to try walking more frequently, losing weight and possibly wearing more appropriate shoes. Although physical changes may improve your symptoms, they will not eliminate your varicose or spider veins.


An Ambulatory Phlebectomy is a varicose vein removal procedure that usually takes about 30-60 minutes and requires little to no downtime. First, a local anesthetic numbs the area and your bulging varicose vein is extracted with a “micro-hook” through a very small incision. The incision almost always disappears completely after healing. Immediately after this procedure you will need to wear a compression bandage and stocking.

If you have bulging veins or varicose veins, Ambulatory Phlebectomy might be an option for you. It’s a medical procedure to remove asymptomatic and symptomatic superficial veins.

Bulging varicose veins can not only be unsightly but they can also cause pain and swelling in your legs. The cause of the problem is a direct result of a defect in the vein valve that controls the flow of blood. When the valves don’t work properly, the blood flow is inadequate causing the vein to increase in size.

Ambulatory Phlebectomy is a surgical procedure to remove the problematic veins. The veins are removed through small incisions in the skin. The slits are so small, that they don’t need any stitches. Because veins are very collapsible, even large veins can be removed through the tiny incisions.

The procedure is performed under a local anesthetic in the clinic and most patients don’t experience any pain. It’s very common for patients to go home within an hour of the procedure.

After the procedure, a compression bandage or compression stockings should be worn for at least 2 weeks, although the amount of time will vary depending on your circumstances. The compression bandage will help minimize swelling and discomfort and minimize the risk of blood clotting.


Physicians Vein Clinic has locations in Sioux Falls, SD, Sioux City, IA, Sioux Center, IA and Watertown, SD. PVC has locations that are only a short drive from Dakota Dunes, Tea, Harrisburg and Brandon.