Perforator Treatments

Perforator Vein Treatments

Perforator veins serve as connections between the two networks of veins in the legs: the superficial venous system and the deep venous system. Perforator veins allow the blood near the skin (our superficial veins) to drain into our deep veins, which then leads the blood back to the heart.

All our legs veins, including perforator veins, have one-way valves designed to keep the blood flowing in one direction: toward the heart. When those valves no longer function properly and reflux occurs, the buildup of blood and pressure can cause perforator veins and associated superficial veins to become incompetent, or to backflow. Perforator veins in the lower leg and ankle are particularly vulnerable to distention and incompetence, which results in a variety of circulatory problems.

Problematic Perforator Veins can cause:

  • Edema
  • Skin discoloration
  • Dermatitis
  • Skin ulcers
  • Swelling
  • Large varicose veins
  • Wounds
  • Skin changes

Why treat your perforator veins?

Although the majority of varicose veins and venous insufficiency develops from the saphenous veins, perforator veins may also be the cause of continued symptoms even after saphenous vein ablations have been completed.

Who are eligible candidates?

If you have symptoms of burning, fatigue, edema, heaviness, itching, skin changes, ulcerations, or visible varicose veins in your legs, or have been diagnosed with venous insufficiency you may need an ablation of refluxing perforator veins performed.

How long is the procedure?

The whole process takes approximately 20-30 minutes per perforating vein. The number of veins treated will depend on the patient and their needs.

What happens during the treatment?

Using ultrasound guidance, a fine needle is passed into the perforating vein through the skin. The area is locally anesthetized (numbed). The radio-frequency current heats the inside of the perforator vein causing it to shrink down and discontinue the reflux, or backward flow between the deep veins and varicose veins.

What are the common side effects of perforator treatments?

There are very few side effects for perforator vein treatments. However, allergic reactions are plausible during a perforator vein treatment. Let us know of any allergies you have and we can discuss a personalized treatment plan.

What does recovery look like?

There is no need for general anesthesia, and no down-time or recovery period. Patients return to activities the same day. Most patients report minimal pain and little or no scarring after the procedure.

What should I expect for post-treatment care?

We take a comprehensive approach and continue to follow up with each patient after treatment has been completed.

Why come to Heart of Dixie for perforator treatments?

Our office uses the ClosureRFS stylet to treat perforator veins using radio-frequency ablation. It is the only intravascular ablation device specifically intended for the treatment of incompetent perforator and tributary veins. We perform this minimally invasive procedure in our office.

Our staff is highly trained and willing to answer any questions you may have before or during the perforator treatment process. We have the experience and tools it takes to give you a comfortable experience. Contact us today to learn more about our perforator treatments!


Oblonsky E. Incompetent Perforator. Premier Vein Center Arlington Heights Illinois. Accessed October 17, 2017.

Covidien ClosureRFS™ Stylet | Venefit™ Procedure by Covidien. Accessed October 17, 2017.

Skip to content