Varicose veins are a vein condition that often starts small, but over time can turn into persistent discomfort that affects how you move, dress, and feel about your legs. If you’re dealing with visible, bulging veins or ongoing leg discomfort, it may be time to explore treatment options that address both the symptoms and the root cause.
At Advanced Vein & Vascular Associates, Dr. Humam B. Kakish provides expert, minimally invasive solutions to help you feel better and restore confidence in your legs. With decades of experience and a reputation for excellence, he offers personalized care designed around your comfort and results.

What Are Varicose Veins?
Varicose veins are enlarged, twisted veins that typically appear on the legs. They develop when valves inside your veins weaken, allowing blood to pool instead of flowing properly back to the heart.
Common symptoms include:
- Aching or heavy legs
- Swelling in the lower legs or ankles
- Burning or throbbing sensations
- Visible, bulging veins
- Skin discoloration or irritation
Left untreated, varicose veins can worsen over time and may lead to complications like ulcers or blood clots.
Why Do Varicose Veins Develop?
Several factors increase your risk of developing varicose veins. Many patients are women between 30 and 50, often with a history of pregnancy or prolonged standing.
Common causes include:
- Pregnancy and hormonal changes
- Family history of vein disease
- Aging and reduced vein elasticity
- Standing or sitting for long periods
- Being overweight
Understanding the cause helps guide the most effective treatment plan.
Treatments for Varicose Veins
Modern varicose vein treatments are fast, effective, and minimally invasive. At Advanced Vein & Vascular Associates, treatment options may include:
- Endovenous Laser Ablation (EVLA): A laser fiber is inserted into the vein to deliver heat, closing it off and redirecting blood flow to healthier veins.
- Radiofrequency Ablation (RFA): Uses controlled radiofrequency energy to gently heat and seal damaged veins with minimal discomfort.
- Sclerotherapy: A specialized solution is injected into smaller varicose or spider veins, causing them to collapse and fade over time.
- Phlebectomy: A minimally invasive procedure that removes surface varicose veins through tiny, nearly invisible incisions.
- Ultrasound-Guided Evaluation: Ensures accurate diagnosis and precise, personalized treatment planning.
These procedures are performed in-office and typically take about an hour from start to finish. Patients can return to normal activities quickly, often the same day.
Benefits of Treatment
Treating varicose veins offers both medical and cosmetic benefits. Many patients experience immediate relief and long-term improvement.
Benefits include:
- Reduced pain and swelling
- Improved circulation
- Smoother, clearer-looking legs
- Prevention of complications
- Increased comfort during daily activities
Dr. Kakish focuses on making treatment as convenient and painless as possible, using gentle techniques and mild sedation when needed.
Candidates for Varicose Vein Treatment
You may be a candidate if you experience symptoms like pain, heaviness, or visible veins. Even if your concerns are primarily cosmetic, a vascular evaluation can determine if underlying vein disease is present.
A consultation includes:
- A detailed health assessment
- Onsite diagnostic ultrasound
- A personalized treatment plan
Early treatment can prevent the condition from progressing.
Why Choose Advanced Vein & Vascular Associates for Varicose Veins
Choosing the right provider makes a significant difference in your experience and results. At Advanced Vein & Vascular Associates, you receive care backed by experience, innovation, and compassion.
Dr. Humam B. Kakish is a board-certified vascular surgeon and Chief of Vascular Surgery at Presbyterian Hospital of Dallas. He has successfully treated thousands of patients and maintains a 98% success rate using advanced, minimally invasive techniques.
Patients choose this practice because:
- Named Best Doctor in Dallas by D Magazine for 15 consecutive years
- Stanford-trained with fellowship at UT Southwestern
- One of the largest varicose vein practices in the Metroplex
- In-office procedures with onsite ultrasound for efficiency
- A warm, patient-first approach focused on comfort and clarity
The goal is simple: make treatment easy, effective, and stress-free.
Get Healthy, Confident Legs with Varicose Vein Treatment in Dallas, TX
You don’t have to live with the discomfort or appearance of varicose veins. Dr. Kakish combines advanced technology with compassionate care to deliver exceptional results. Call (469) 547-1142 to schedule a consultation.