VenaSeal™ in Los Angeles & Walnut
VenaSeal™ — also known as the VenaSeal™ Sapheon Closure System — is an FDA-approved, non-thermal treatment for symptomatic varicose veins caused by venous insufficiency. At Vein Care Medical Center in Los Angeles & Walnut, Dr. Michael D. Landau utilizes VenaSeal™ as one of the most advanced, patient-friendly options in our comprehensive vein care portfolio. By delivering a precisely metered amount of medical-grade adhesive directly into the diseased saphenous vein, VenaSeal™ permanently closes the vessel without heat, without large volumes of anesthesia, and with essentially no downtime.
Request an AppointmentHow VenaSeal™ Works
VenaSeal™ uses cyanoacrylate — a specially formulated medical adhesive (previously known as “Sapheon”) — to physically seal the diseased saphenous vein. The procedure is performed under ultrasound guidance:
- A small catheter is inserted into the targeted vein through a tiny entry point in the skin.
- Under continuous ultrasound visualization, the catheter is positioned at the treatment site.
- Precisely metered amounts of VenaSeal™ adhesive are dispensed along the length of the vein as the catheter is withdrawn.
- The adhesive bonds the vein walls together, immediately closing the vessel.
- The body then initiates sclerosis — a natural hardening process — and the vein is gradually absorbed.
Once the diseased vein is sealed, blood is rerouted through healthy veins in the leg, eliminating the elevated venous pressure that causes varicose vein formation and associated symptoms.
Key Advantages of VenaSeal™
VenaSeal™ offers several clinically significant advantages compared to thermal-based procedures such as EVLA or Radiofrequency Ablation:
- No tumescent anesthesia along the vein — only a small local anesthetic at the catheter entry point is needed
- No risk of thermal nerve damage or skin burns — because no heat is used
- No post-treatment compression stocking requirement immediately after the procedure (though Dr. Landau may still recommend them for optimal results)
- Immediate return to normal activity — no downtime
- Only a tiny amount of adhesive is needed — effective in patients across a wide range of ages and vein anatomies
- No need for immediate post-treatment pain medication
Is VenaSeal™ Safe?
VenaSeal™ is FDA approved and has been studied extensively in clinical trials. The medical adhesive has been used safely in vascular and surgical procedures for decades. The small quantity of VenaSeal™ required to seal the saphenous vein remains inside the treated vessel permanently — it does not migrate and is not harmful to surrounding tissue. The vessel wall itself eventually hardens and the vein is absorbed through the body’s natural processes over time.
Post-Procedure and Recovery
Recovery from VenaSeal™ is immediate. Patients can return to their normal everyday activities right away — no restriction, no anesthesia hangover, no compression stockings mandated immediately (though Dr. Landau will discuss recommendations based on your individual situation). Unlike thermal procedures, there is no post-procedural discomfort from anesthesia injections along the vein, and patients typically find the overall experience considerably more comfortable than they anticipated.
Schedule Your VenaSeal™ Consultation
If you are looking for a minimally invasive, non-thermal solution for varicose veins in Los Angeles & Walnut or the greater Los Angeles area, call (323) 934-9191 to schedule a consultation with Dr. Landau at Vein Care Medical Center. Together we will determine whether VenaSeal™ is right for you and develop a comprehensive treatment plan tailored to your anatomy and goals.
VenaSeal™ — Frequently Asked Questions
How is VenaSeal™ different from laser and radiofrequency vein treatments?
EVLA and RFA use thermal energy (heat) to close diseased veins, which requires tumescent anesthesia — a large volume of local anesthetic injected along the entire length of the vein to protect surrounding tissue from the heat. VenaSeal™ uses a medical adhesive to seal the vein without any heat, eliminating the need for tumescent anesthesia and removing the risk of thermal nerve damage or skin burns. Patients who are sensitive to extensive needle injections or concerned about heat-related complications often find VenaSeal™ to be a particularly attractive option.
Is VenaSeal™ FDA approved?
Yes — the VenaSeal™ Closure System received FDA approval for the treatment of symptomatic venous reflux disease of the great saphenous vein. It is a rigorously tested, proven treatment backed by robust clinical data demonstrating both efficacy and long-term safety.
Does VenaSeal™ require anesthesia?
VenaSeal™ requires only a small amount of local anesthetic at the catheter insertion point — no tumescent anesthesia injections along the vein are necessary, and no sedation is needed. This makes the procedure significantly more comfortable than thermal alternatives for many patients.
Is the VenaSeal™ adhesive safe inside the body?
Yes. VenaSeal™ cyanoacrylate adhesive is a medical-grade material that has been used safely in surgical and vascular applications for many years. The small amount required to seal the saphenous vein remains within the treated vessel and is not harmful to surrounding tissue. The vein gradually undergoes natural fibrosis and is eventually absorbed by the body.
How long does a VenaSeal™ procedure take?
A VenaSeal™ procedure at Vein Care Medical Center typically takes under one hour. The procedure is performed entirely in-office, requires no sedation, and patients can walk out and resume their normal activities immediately.
Will my insurance cover VenaSeal™?
Coverage for VenaSeal™ varies by insurance carrier and is often dependent on medical necessity documentation. Some plans cover VenaSeal™ for symptomatic venous insufficiency, while others may prefer coverage of thermal alternatives. Vein Care Medical Center participates in Medicare and will assist you in understanding your benefits and coverage options before your procedure.
Can VenaSeal™ be combined with other vein treatments?
Yes — VenaSeal™ is frequently used as part of a comprehensive treatment plan. After the diseased saphenous vein is sealed, residual surface varicose veins and spider veins can be treated with sclerotherapy. Dr. Landau will discuss the full scope of your treatment plan during your consultation to ensure all vein concerns are addressed completely.

