All posts by Dr. Kamran Afzal

Venous Reflux Disease 101: Prevention and Treatment

You are starting to get varicose veins. A part of you is sad because you now feel uncomfortable wearing shorts or dresses out in public. The other part of you says, “No worries; it is only a cosmetic matter. I’m still healthy.” But little by little you start noticing other changes.

Now, you’re having routine pain and swelling in your legs and feet, and beginning to experience leg cramps and itchy skin. If you find yourself thinking, “This is not normal” and “I should get some medical advice,” rest assured that you are not alone. It’s possible you are experiencing venous reflux disease.

Typically this condition is not life-threatening, but it can adversely affect those suffering from it. Knowing what it is, how to prevent it, and what treatments are available can help prepare you for life with venous reflux disease.

What is Venous Reflux Disease?

Venous Reflux

Venous reflux disease is when your blood vessels and capillaries do not allow blood to flow back to the heart efficiently and adequately. This trouble is due to a decrease in blood flow from the lower extremities – your legs, ankles, and feet.

Due to the inefficiencies of those veins, blood can begin to pool in some regions of your vessels and weaken the vein walls. This weakening stretches them out and causes them to bulge. When blood begins to collect in an area of the vein, valves close up to prevent the blood from flowing backward. Venous reflux disease can lead to varicose, spider, or reticular veins.

The Symptoms

Some of the symptoms attributed to the development of venous reflux disease or superficial venous insufficiency are:

  • Cramping of the legs
  • Edema, which is the swelling of your legs or ankles
  • A weak or heavy feeling in your legs whether you are sitting or walking.
  • Increased itchiness in your legs
  • Discoloration of your skin, primarily around your ankles
  • The appearance of varicose, spider, or reticular veins

Venous insufficiencies occur in the calves, ankles, and even in your thighs. If a case is severe, venous reflux can also cause eczema or leg ulcers.

Some of these symptoms are highly visible, such as varicose veins and edema. If you begin to notice some of these changes in your legs, rest assured that a doctor can do an evaluation and provide an adequate form of treatment.

Doctors can also help you figure out what activities in your routine harm your veins to help you learn how to control the disease and your pain.

Are You At Risk?

Venous Reflux

Even if you currently do not have venous reflux disease, some people have a predisposition toward developing it in the future. Some of the risks include the following:

  • Family history of varicose veins
  • Obesity
  • Pregnancy
  • A history of blood clots or injuries to legs and ankles
  • A lack of exercise or a sedentary lifestyle

For many women, it is common for superficial vein reflux to occur during pregnancy because the amount of blood they have in their system increases to support the growth of the baby. Most of the time the varicose veins or spider veins you gain during pregnancy will go away postpartum.

If you have had deep vein thrombosis or other blood clots in the past, they can weaken your vein walls and thus lead to issues with venous reflux in the future.

Also, people who have to stand or sit for long periods without a chance to move around are at high risk. This includes jobs such as teachers, bank tellers, and receptionists.

Venous Reflux Prevention

There are a couple of ways to prevent this disease. While doing these things is not a 100% guarantee that you will never have it, there is a correlation between following these habits and the decreased appearance of venous reflux:

  • Exercising regularly
  • Being a non-smoker
  • Maintaining a healthy weight

Having continuous movement and being active can help improve circulation and it helps to tone up the muscles that you have in your legs. Having stronger leg muscles can improve the efficiency of returning blood from your legs to your heart.

If you work in a profession that has you standing or sitting for long periods without much movement, try to move around at least every 30 minutes. Set a timer on your watch to remind you when it’s time to get up and go for a short walk around the office.

Nicotine increases your risk of blood clots, thus increasing your chances of restricted blood flow back to the heart. Other chemicals found in cigarettes can thicken blood causing a wide array of issues as well. If you want to prevent venous reflux disease and keep your legs clear of varicose and spider veins, stop smoking.

Treatments Available

Venous Reflux

From medicines to compression socks to surgery, there is a wide range of treatments you can try to help lessen your venous reflux disease. The type of treatment you will receive depends on a couple of factors:

  • Your current age and health history
  • Severity of symptoms
  • Allergies to medications or lack thereof

Based on the information to address the above criteria, your doctor can discuss possible treatment options with you. Some of the following are conventional treatments:

  • Wearing compression tights or socks – Compression stockings put pressure on your legs, thus reducing inflammation and improving circulation.
  • Sclerotherapy – This treatment is common for severe cases. Doctors inject a chemical into damaged veins. It causes them to scar and prevents them from carrying blood. Blood can then pump through healthy veins. Over time, your body absorbs the scarred, defunct veins.
  • Improving blood flow – This includes elevating your legs as much as possible throughout the day, avoiding crossing your legs, and exercising as consistently as possible.

Maintaining a healthy weight and reducing the amount of salt you eat can also help in the treatment of venous reflux disease and the lessening of symptoms.

Come See Us

Getting an expert to evaluate you and setting up a treatment plan is vital to keeping this disease at bay and preventing future symptoms. Our staff is available to answer your questions and address your concerns, and we offer free screenings.

Come and see us and find out how you can start feeling like your usual self again with no more leg pain, swelling, or discomfort. Call us at (612) 789-8346 today.


Xeomin and Dysport: How Do They Compare to Botox?

You likely know that for years Botox Cosmetic® has been the go-to injectable neuromodulator for smoothing out dynamic facial wrinkles and creases. But new kids on the block Xeomin® and Dysport® now offer you additional options for rejuvenating your appearance.

Dynamic wrinkles are those creases and lines that form due to repeated facial expressions. When you smile or frown, the skin on your face creases. Typically, these creases disappear once you stop making the expression. However, over time, the lines and wrinkles remain behind even when your face is at rest.

The wrinkle reduction specialists at Metro Vein Clinic are excited to offer Xeomin and Dysport as safe, effective alternatives to Botox. If you’re wondering about Xeomin vs. Botox or how long it takes for Dysport to work, contact us today.

What Are Xeomin and Dysport?

Both Xeomin and Dysport are injectable neuromodulators, formulated treatments that temporarily inhibit the nerve impulses of targeted muscles. When injected into a muscle underlying a dynamic wrinkle, a neuromodulator paralyzes the movement of the muscle for a short time. In turn, this helps smooth out certain types of lines.

In clinical trials, Xeomin has been proven safe and effective for cosmetic purposes. It’s excellent for smoothing deep lines on your face, particularly those between the eyebrows that give you an angry or upset appearance. Xeomin injections rejuvenate your face in a natural-looking way without giving you the dreaded “plastic” look.

What Are the Wrinkle Treatment Areas?Xeomin and Dysport

Botox, Xeomin, and Dysport are ideal for treating dynamic wrinkles on your forehead and neck as well as around your eyes, nose, and mouth. In particular, the injectables are perfect for addressing the following:

  • Horizontal forehead lines (worry lines)
  • Vertical lines between the eyebrows (glabellar lines or “11” lines)
  • Lines at the corners of the eyes (crow’s feet)
  • Nose lines on or around the bridge (bunny lines or squint lines)
  • Lines at the edges of the mouth (smile/laugh lines or marionette lines)
  • Upper lip lines (smoker’s lines or lipstick lines)
  • Necklines (neck bands)

Xeomin vs. Botox vs. Dysport

First, let’s address a major misconception – Xeomin and Dysport are not cheap, generic versions of Botox. The FDA has officially recognized and approved both treatments to minimize the appearance of facial wrinkles and creases.

All three treatments share similarities, as each is a form of botulinum toxin Type A. They relax targeted facial muscles, which in turn reduces the appearance of wrinkles for several months.

Of course, there are differences. A significant difference is in their formulas. The Botox formula includes several protective proteins that are clustered around the active botulinum toxin Type A molecule.

Dysport is similarly formulated but features smaller molecules than those in Botox. Its formula is also more diluted, yet just as effective. It tends to spread over a larger area after injection, making it ideal in addressing more wrinkles in one treatment. On the flip side, Dysport is generally less effective for treating smaller areas that require more precision or that have thicker muscles.

By contrast, Xeomin is considered a naked neurotoxin. It contains only the botulinum molecule. The purity of the Xeomin molecule means there is a lower chance that you will develop a resistance to its effects.

Botox and Xeomin have similar dosing. Twenty units of Botox is the same as 20 units of Xeomin. Because Dysport features a more diluted solution, however, you’ll need more units of it to match the results of Botox or Xeomin.

The Xeomin formula produces effects that look “lighter” than either Dysport or Botox due to its pure formula. The result is that patients have facial movements that may feel more natural even while their wrinkles and creases are smoother.

How Long Does It Take for Dysport, Xeomin, and Botox to Work?

Xeomin and Dysport

Xeomin typically takes up to 96 hours (four days) for results to fully reveal themselves. You generally can see the effects of Botox after 72 hours. Dysport tends to show results in the quickest time of the three. You usually see its effects within 24-36 hours.

Typically, the results of treatment with all three last 3-6 months before the effects start to wear off. To prolong the effects, it’s a good practice to have touch-up sessions every 4-6 months.

What Is Treatment Like?

Treatment involves the administration of injections with an ultrafine needle into the targeted muscle underlying the wrinkle. Typically, the injections are not painful. Most people report feeling nothing more than a tiny pinch, so no anesthesia is required. However, you can choose to have a topical numbing cream or ice applied before treatment to ensure complete comfort.

A single treatment session normally lasts 15-20 minutes, which means you can get back to your busy schedule right away. If the treatment area is more significant, however, you will need to plan for more time.

What Are the Side Effects of Dysport, Xeomin, and Botox?

The side effects of treatment from any of the three are similar, though results do vary from person to person. Typical reactions include:

  • Bruising
  • Swelling
  • Soreness
  • Tenderness
  • Redness
  • Drooping eyelid or eyebrow

These side effects are usually mild and dissipate within 7-10 days. After about two weeks, as the full results become apparent, you should be able to enjoy a rejuvenated, more youthful appearance

Which One Should You Choose?

Typically, the choice is up to you after consulting with your doctor about your wrinkle condition and your aesthetic goals. For larger areas, Dysport may be a better choice because it spreads more readily. Botox and Xeomin may be more useful for smaller areas that require more precision.

For More on Xeomin vs. Botox vs. Dysport, Contact Metro Vein Clinic

If you’ve been thinking about undergoing a wrinkle reduction treatment, one of the three injectable modulators could be the right choice for you. To know for sure, contact the specialists at one of the three Twin Cities locations of Metro Vein Clinic today. With our years of experience and training, our friendly staff will ensure that your experience is pleasant and the results are revitalizing.

In-Office Liposuction: Safe and Effective

Everyone has heard of liposuction. It has been around for decades. Many people associate liposuction with belly fat or arm fat, or people wanting to get rid of the extra flab. Many people also assume it is an expensive procedure that is only for the well-off.

There are a variety of ways to get liposuction today. Whether you choose laser liposuction, in-office liposuction, or a non-invasive method like CoolSculpting, the idea is the removal or shrinking of fat cells.

At Metro Vein Clinic, we specialize in in-office liposuction. We have years of experience providing the best possible care to patients all over the Twin Cities. If you are interested in liposuction, give our office a call today.

What is Liposuction?

Liposuction is a procedure that is considered optional and cosmetic. The surgery can be done in a doctor’s office or a surgical hospital, depending on what style of liposuction you choose. The goal of liposuction is to remove excess body fat that is difficult or impossible to take care of with diet and exercise alone.

A plastic surgeon or a dermatologic surgeon will perform the procedure. Typically, a surgeon will perform liposuction on the stomach, hips, thighs, buttocks, bar, arms, face, or neck. The goal is to enhance the shape and flatten the area. Many times, liposuction is combined with another plastic surgery, such as a facelift, tummy tuck, or breast reduction.

To be a good candidate for liposuction, most doctors will require you to be within 30% of your ideal weight. You will want to have firm skin with some elasticity, and you should not be a smoker. Furthermore, doctors do not recommend the procedure for anyone with heart disease, circulation issues, diabetes, or a compromised immune system.

Liposuction is not a cure-all, however. You will not walk out of the surgery center or doctor’s office ten sizes smaller with no fat and free of cellulite. However, it does drastically help with the last bit that diet and exercise struggle to fix.


What to Expect?

Throughout the process, you can expect many things. You will meet with your doctor several times preparing for and leading up to the procedure. Ensure your doctor has all essential information including allergies and medications, as well as your goals.

You will want to ensure that whichever doctor performs your surgery is licensed, and the facility is accredited. Check out their reviews and standards.

During the procedure, you will either get general or local anesthesia, depending on the doctor and type of liposuction. You most likely will go home the day of the procedure, but you will want someone to drive you home.

After surgery, you will most likely wear compression garments for a couple of months. You will also probably take antibiotics to prevent any infection.

The main risks associated with liposuction are minor. Because it is a surgery, there is a slight chance of more severe risks. Typical side effects, if any are noticed, are bleeding, infections, uneven fat removal, numbness at location site, or damage to nerves. However, there can be complications from anesthesia, shock from surgery, fat embolism, or other side effects.

Because the doctor is removing fat cells, the results are permanent. However, this does not mean you can’t gain weight back. If you fail to follow a healthy diet and maintain an active lifestyle, you can gain weight back in new fat cells in other areas of the body.

What is the Cost of Liposuction?

Liposuction cost varies drastically depending on what type of liposuction is performed, who performs it, where the surgery happens, and how many areas of the body you choose to treat.  The American Society of Plastic Surgeons found the average cost for liposuction to be $3,374.

However, this is by no means the exact amount you will pay. The cost should include anesthesia fees, hospital fees, medical tests, surgical garments, medications, and the surgeon’s fees.

Remember, you get what you pay for with liposuction. If you find a doctor that costs more than another in the same area, you are probably paying for his or her experience. In the end, your comfort level with your chosen doctor is as important as the total liposuction cost.


Excellent Specialty Physicians at Metro Vein Clinic

At Metro Vein Clinic, we specialize in in-office liposuction. Our procedures are based on the principle taught by Dr. Klein. In the 1980s, Dr. Klein pioneered the in-office liposuction technique and has been teaching it since then. Dr. Klein personally trained Dr. Afzal at Metro Vein Clinic. Dr. Burris, who is a world class dermatologic surgeon that taught at the Mayo Clinic, trained Dr. Afzal, as well.

The Benefits of Being a Metro Vein Patient

The benefits of choosing Metro Vein Clinic to perform your liposuction are that we use local anesthesia right in our office. Many surgical centers use general anesthesia, which leads to longer recovery time.

Our patients experience fast recovery. Many of them return to work the next day. The results are permanent because we remove fat cells during the surgery. Finally, in-office liposuction is safer than laser liposuction.

Our patients pay on average between $2,600 and $4,000 on the liposuction cost for an abdomen and waist. We will not surprise you with hidden fees. You will meet your doctor and nurse on the first visit, and they will walk you through every step. Our patients are very satisfied after choosing Metro Vein Clinic; our reviews speak for themselves.

During in-office liposuction, we use a small cannula to remove fat deposits from underneath the skin. Our cannulas are smaller than laser liposuction, Smart liposuction, Vaser liposuction, and Tickle liposuction. With smaller cannulas, you will notice less discomfort, little or no scarring, a quick recovery, and smooth results.


Convenience Matters

If you have been thinking about liposuction, call Metro Vein Clinic today. We have three convenient locations around the Twin Cities, one in Edina, one in Fridley, and one in Burnsville. We have years of experience and a friendly staff that will ensure you are satisfied. We will also help walk you through the steps of dealing with insurance if needed.

Ask any of our former or current patients, or read our reviews on Google. We work hard to make sure everyone who walks through our doors leaves satisfied, looking better, and feeling better. Call us today.

Body Contouring


At our Edina clinic we offer non invasive and minimally invasive body contouring.


#1 Non invasive body contouring method



Call 6127898346 or fill a form for a Free Evaluation


Liposuction performed at our clinic is based on principle taught by Dr Klein who pioneered the in-office liposuction technique. Dr Klein has been teaching these techniques since the 1980’s to other dermatological surgeons and plastic surgeons.Dr Afzal was personally trained by Dr Klein and Dr Burris is a world class dermatalogic surgeon has taught at the Mayo Clinic. Our Board certified doctors and RNs work on a daily basis to improve techniques leading to better results and safer procedures.


  1. Liposuction done under local anesthesia, in the office rather than a surgical center.
  2. Fast recovery, patients can go back to work the next day.
  3. Since fat cells are removed, results are permanent.
  4. Safer than laser liposuction.


Call 6127898346 or fill a form for a Free Evaluation

How Botox Can Benefit You

If you have wrinkles, chances are you have thought about Botox. But what is this little miracle injection that has been popular for so many years now?

Botox injections have become commonplace in America and around the world. But many people don’t know what it actually does or the numerous benefits of Botox. If you have had Botox injections, you are probably one of the millions of people who praise the results.

If you are interested in Botox, call the professionals at Metro Vein Clinic. We offer Botox injections in a safe, sterile, and friendly environment. We have convenient locations around the Twin Cities, and we pride ourselves on creating satisfied customers.

What is Botox?

Botox is the common name for onabotulinumtoxina. Botox derives from a bacteria that causes botulism. When it occurs on its own, botulism can cause paralysis by blocking nerve activity. Botulism is rare, and you must treat it quickly. When injected in a controlled amount, however, the results can be helpful and effective in treating a variety of symptoms and diseases.

In the 1980s, ophthalmologists introduced Botox as a way to treat muscle disorders of the eyes. Over the years, the medical world discovered other benefits. The FDA accepted Botox in 2002 for the treatment of lines and wrinkles on the face. Researchers regularly rank Botox injections in the top five of nonsurgical cosmetic procedures performed every year.


Botox injection should only be administered by a medical professional who has been trained, never at home or by someone unlicensed. A trained professional will inject Botox into a muscle. For your safety, you should not get Botox injections more than once every three months.

Depending on the reason for the injections, you may receive doses in more than one area of your body at a single time. Ensure you follow all of the instructions your doctor or healthcare provider gives you.

The time it takes for symptoms to ease or diminish depends on what you are treating. Some people see improvement in a matter of days; others may need to wait a few weeks. Botox injections only provide temporary relief. The symptoms can return.

What is it Used For?

There are many reasons to use Botox. The most commonly associated treatment is for fine lines and wrinkles. However, there are many other uses for Botox injections.

Practitioners widely use Botox to treat muscle spasms and stiffness. Many people have cervical dystonia, which is severe spasms in your neck. Botox injections can ease the discomfort associated with this disorder. It is common to use Botox for stiffness in the elbows, wrists, knees, fingers, ankles, and toes.

If you have hyperhidrosis or excessive sweating of the underarms, you might benefit from Botox injections. Botox can also treat overactive bladder or incontinence that is caused by nerve disorders.

Many people who suffer from chronic migraine headaches have experienced the benefit of Botox injections. If you have migraines more than fifteen days a month that last at least four hours, ask about Botox.

Doctors can also use Botox injections to treat certain eye conditions that arise from nerve disorders. Whether you experience uncontrolled blinking, eyelid spasms, or a condition where your eyes can’t focus in the same direction, Botox might provide some relief.


What are the Benefits of Botox?

There are many benefits to this type of treatment. From addressing fine lines to helping with bladder control, you should experience relief in a relatively short period.

At Metro Vein Clinic, we specialize in Botox injections for fine lines and wrinkles. Our patients often see results in as little as 24 to 48 hours. You should maintain visible results for up to four months.

When you see Dr. Afzal at Metro Vein Clinic, you are in the best hands in the Twin Cities. In an appointment that takes about ten minutes, you will have fewer wrinkles and frown lines. There is no downtime or recovery period so that you can get back to your normal life immediately, with fewer wrinkles.

What to Expect?

If you are pregnant, breastfeeding, or plan to become pregnant soon, you should hold off on Botox injections. There are also certain medications that you should avoid while receiving Botox. Talk to your doctor about the risks and the precautions you should take.

Some people notice headaches after the injections. Bruising or pain at the injection site is possible, as well. Very few cases result in drooping eyelids or eyebrows.

If you do decide to try Botox injections, there are a few guidelines to follow. Avoid aspirin or ibuprofen at the time of injection and in the two weeks before, to lessen the chance of bruising. Make sure your doctor knows all of the supplements you are taking, even natural ones and vitamins. You want to avoid anything that will thin your blood or cause bleeding.

Speak to your doctor about the results you wish to see. If you are looking to use Botox to treat wrinkles, ensure your doctor is aware the look you want so he or she can adjust the dosage.


Call Metro Vein Clinic Today

At Metro Vein Clinic, we have been treating patients around Minneapolis for seven years. Our physicians have a combined 75 years of experience. Last year, Dr. Afzal performed more than 1,000 neurotoxin procedures. If you want the wrinkle-free skin that you deserve, ask us about the benefits of Botox.

Not only do we treat wrinkles in our office, but we also handle a variety of other issues, like spider and varicose veins. We have comfortable treatment rooms and a friendly staff to ensure your time with us not only solves your problems but is enjoyable too.

We have Saturday appointments for those that are busy during the week. We will also walk you through the insurance maze so you know you are getting everything covered that possibly can be with as little out of pocket as possible.

Our patients consistently leave stellar reviews on Facebook and Google. We work hard to ensure every patient is completely satisfied, and it shows. Call us today at (612)789-8346 and see how soon we can get rid of those lines and wrinkles on your face and leave the smooth, beautiful skin you deserve.

What is Sclerotherapy?

You’ve probably heard of varicose veins, spider veins, or bulging veins. You might even have them and may be well aware of the discomfort they cause. They’re a relatively common vascular condition that affects between 20 and 40 million Americans.

You may not have heard of sclerotherapy, however. If you have spider veins or varicose veins, this is a word you should learn. It’s an effective, quick, mostly painless procedure that has immediate results. Your visible and not-yet-visible bulging or purple veins will be a thing of the past after sclerotherapy treatment.

Twin Cities-area residents are lucky to have a highly-trained doctor close by who is skilled in sclerotherapy. Dr. Afzal at Metro Vein Clinic performs more than 25,000 sclerotherapy injections every year to help people relieve their vascular problems. Before you decide whether sclerotherapy is for you, it’s important to know what it is, how it works, and how much it costs.


What is Sclerotherapy?

In simple terms, sclerotherapy is a simple, in-office medical procedure to treat spider veins, bulging veins, or varicose veins. A trained physician injects a solution directly into the diseased veins, sometimes using ultrasound to guide them. The solution irritates the problematic veins, causing them to collapse and the blood within them to clot.

Don’t worry though, your body is ready for sections of veins to collapse. Blood flow reroutes around the closed veins. They fade to scar tissue, and the visible signs of the varicose or spider veins disappear. Your blood only flows through healthy, non-varicose veins.

The word sclerotherapy itself is somewhat daunting to read or pronounce. “Sklair-oh-thair-uh-pea” is a good approximation. “Sclero” is a Greek prefix that means “hard” or “hardened.”

The injected solution is a sclerosing, or hardening solution, which causes the problematic veins to collapse or close up and turn to scar tissue. With the blood flow diverted, the veins no longer have pressure, and you can no longer see them through your skin. Presto. The results are instantaneous and get even better over time as your body reabsorbs the vein.


How Long Does Sclerotherapy Take?

The exact duration of your sclerotherapy session will depend on the extent of your damaged veins and how close to the surface they are. Usually, the procedure is complete within a couple of hours. You can go back to work on the same day if you choose. Patients experience minimal downtime, although doctors do ask that you avoid aerobic activity such as dancing or running for a few days after treatment.

How Effective is Sclerotherapy?

Sclerotherapy treatment is performed in a sterile setting in your doctor’s office or outpatient clinic. Your doctor will use local anesthesia at the injection sites to make you more comfortable. Sclerotherapy has been around since the 1930s and is proven effective for treating varicose veins.

Sclerotherapy is effective when used on the entire length of a diseased vein. So your doctor uses many small injections to close it one section at a time. A typical sclerotherapy session can include between 10 and 60 injections. Physicians often treat the entire leg in a single course to optimize results.

Most sclerotherapy addresses visible veins, which is probably what brought you to the doctor in the first place. Sometimes, however, deeper veins have disease but are not visible through the skin. They can still create problems such as leg pain and pressure or can cause adjacent veins to fail.

In these cases, your doctor will do echosclerotherapy which is ultrasound-guided sclerotherapy. The doctor uses the ultrasound to guide them to the injection site as well as to monitor the vein after injecting the solution. Traditional treatment for these deeper veins often requires invasive surgery, so the ultrasound-assisted sclerotherapy is a welcome, less-intrusive option.

Sclerotherapy is a permanent solution. The closed veins never become problems again. However, sclerotherapy cannot prevent new spider or varicose veins from developing in the future. If you are already prone to the disease, new bulging veins may develop.

They can also occur with pregnancy or significant weight gain. If new spider or varicose veins do appear later, you can do sclerotherapy again.


How Does Sclerotherapy Help?

Sclerotherapy is both a medical and a cosmetic procedure. Of course, it improves the look and feel of your legs by getting rid of the bulges and visible purple areas. Your legs will be smooth and flawless following sclerotherapy treatment.

Treating varicose or spider veins is more than simply cosmetic, however. After sclerotherapy, you’ll typically find relief from:

  • Aches and pains in your legs
  • Leg pressure and swelling
  • Burning sensation in your legs
  • Night cramps in your legs

After sclerotherapy, you will likely experience some mild bruising or discomfort that may last for a few days. In rare cases, people experience more severe side effects, such as blood clotting or an allergic reaction. Your doctor will stay in touch after the treatment to monitor your progress.

How Much Does Sclerotherapy Cost?

Your health insurance may cover sclerotherapy if it is necessary for medical reasons, rather than for cosmetic purposes. Even if insurance does not cover it, sclerotherapy is an affordable treatment for varicose or spider veins.

The actual cost for your specific treatment will vary, depending on the number and severity of your affected veins, as well as how close to the surface they are. However, there are some figures from 2017 that give you a ballpark idea. According to the American Society for Aesthetic Plastic Surgery, the average cost of a single sclerotherapy session is between $322 and $369.


Metro Vein Clinic Will Banish Your Spider Veins

Contact the professionals at Metro Vein Clinic to get more information about sclerotherapy and how it can eliminate your painful and unsightly varicose or spider veins. Dr. Afzal will evaluate your veins and determine if you are a candidate. At that time you will receive a specific quote for your treatment. Dr. Afzal has done tens of thousands of sclerotherapy treatments. He and the staff at Metro Vein Clinic are waiting to help you, too.

Traveling Tips to Reduce Your Risk of DVT

We are getting closer to summer which means people are planning their vacations and where they will visit this summer. Traveling is an exciting, albeit hectic, time.

Whether you are traveling by car, plane, bus, or train, there are a few things you should be aware of during your trip. Deep vein thrombosis, or DVT, is a very real risk that affects thousands of people every year.

At Metro Vein Clinic, we know that you don’t want to be slowed down by something like DVT. Call us today and see how we can treat or help prevent a case of DVT in yourself or a loved one if you plan on traveling this summer.

What is Deep Vein Thrombosis?

Traveling Tips

Deep vein thrombosis, DVT, happens when a blood clot develops in a deep vein in the body. Most times, this occurs when your blood thickens and then forms a clump. Typically, these blood clots happen in your thigh or lower leg. On rare occasions, they can develop in other areas of your body.

People often ask us, “Can blood clots kill?” The answer is yes, in certain situations. The clot on its own is not necessarily dangerous, but you do need to treat it immediately. The major risk with DVT is when a portion of the clot fractures off and makes it way to the lungs. If the part of the clot, or embolus, lodges in the lungs, it will block blood flow. This condition is called a pulmonary embolism.

A pulmonary embolism is extremely dangerous. If the blockage is not dealt with promptly, permanent damage can occur in the lungs and other organs. In severe cases, the obstruction is fatal.

Blood clots that form in the thighs are more likely to break apart and cause a pulmonary embolism than clots in other sections of the body.

Traveling Tips

What Causes Deep Vein Thrombosis?

There are a variety of DVT risk factors. If you have had a recent injury, there may be damage in the veins as a result of the trauma or even from the process of healing. There are also chemical and biological factors that might result in damage to the interior lining of the veins in your legs.

If you have had surgery or a serious injury, be sure your doctor is monitoring you for deep vein thrombosis. Inflammation and immune response are other issues that can lead to blood clots.

If there are times where blood flow slows down, diminishes, or is sluggish, blood clots can form. Typically, people who have lower body surgery, or any serious operation that requires a period of rest are at risk for developing DVT.

Furthermore, if you are traveling for an extended period and are not able to get up and move, you have a higher chance of developing blood clots.

If your blood is thicker, or you have a blood clotting problem, you should be vigilant in watching for signs of DVT. Some genetic conditions can make both of these issues more likely.

Certain drugs, like hormone therapy or birth control pills, can also increase your chances of blood clots.

Unfortunately, sometimes blood clots form for no known reason. In spite of decades of research, much of biology remains a mystery.

Risk Factors for Deep Vein Thrombosis

Certain medical and lifestyle situations can increase your chances of developing deep vein thrombosis.

  • A previous occurrence of DVT makes it likely you will develop it again.
  • Pregnancy and delivery leave you at risk of DVT for six weeks after giving birth.
  • Recent or current treatment for cancer raises your chance of developing DVT.
  • Recent or consistent catheter use places you at higher risk of DVT.
  • Being over the age of 60 and being overweight are factors for DVT as well.

If you have any of the issues mentioned above, either medicines, surgery, injuries, or biological factors, be aware that you have a significant chance of blood clots. The more DVT risk factors you have, the higher your risk for developing the condition.

How to Prevent Deep Vein Thrombosis During TravelTraveling Tips

While it is hard to prevent some of the causes of DVT, there are things you can do to ward it off during travel. First, and most important, is to keep moving. Every time you can get up and move around, do it. On a flight, take frequent walks up and down the aisle. On car trips, stop regularly and walk for ten minutes.

If you are unable to move around, do some leg exercises at your seat. Curl your toes up, then press them down. Do leg lifts by slowly raising and lowering your legs in a controlled manner. These motions will increase blood flow in your legs.

Next, make sure you hydrate adequately. Drink fluids every chance you get, even if it makes you need to use the restroom more often. Bathroom breaks will at least ensure that you get a chance to stretch your legs periodically. Steer clear of coffee and alcohol as they can dehydrate you.

When you are sitting, do not cross your legs or wear socks with constricting elastic bands. Wearing compression stockings can also decrease your risk of developing DVT. If you are concerned with how they look, wear them under long pants or a pair of loose-fitting socks.

Traveling Tips

Call Metro Vein Clinic Today

If you plan on traveling this summer or have any of the risk factors for deep vein thrombosis, call the experienced staff at Metro Vein Clinic today. We can treat DVT with medication before it escalates into a significant health problem. If you think you have DVT, call us today and schedule an appointment.

We have years of experience and are one of the highest-rated vein clinics in the Twin Cities. Whether you are suffering from spider or varicose veins, restless leg syndrome, leg ulcers, or anything in between, we have the expertise to treat you efficiently and safely.

When you call, you will work with the most helpful staff in the industry. The team will walk you through the process of scheduling an appointment and dealing with insurance. Call us today at 612-789-8346 and see how we can make sure your veins get and stay healthy.

Spider Vein Removal Treatments

If you are a woman of a certain age, you most likely have heard of spider veins. It’s possible you might even have some. Spider veins are not unique to women, however. They affect men and women alike.

If you have spider veins, you probably shy away from wearing shorts even when it is hot. You might not feel comfortable in a bathing suit, either. Thankfully, some treatments can diminish the appearance of spider veins. Sometimes treatment can make spider veins nearly invisible.

At Metro Vein Clinic, Dr. Afzal has spent years treating vein conditions. With three convenient locations in the Minneapolis area, you are not far from relief. Call today and set up your first consultation.

What are Spider Veins?

varicose veins in women

Spider veins and varicose veins are often confused. Both have to do with discolored or enlarged veins, typically on the legs and feet. However, spider veins and varicose veins can appear in other areas of the body.

Spider veins are generally smaller than varicose veins. They will display as thin red lines under the surface of the skin. People describe spider veins as looking like spider webs. Each of these lines is a blood vessel.

Spider veins are most often harmless and rarely pose a serious risk. Some people report slight pain, aching, or burning after standing for a long time.

Spider Vein Treatment Options

While there are several different treatment options available, the primary spider vein treatment is sclerotherapy. Other options include laser surgery, massage therapy, or compression socks.

With sclerotherapy, a doctor injects the affected vein with a solution. This solution causes the damaged vein to scar and close up. This closure forces the blood to find a new route through vessels that are healthier.

After a couple of weeks, the treated veins will show signs of improvement. The red and blue veins fade, and the skin should look normal again. Sometimes, a particular area will require more than one injection. However, sclerotherapy is very effective when done correctly.

Sclerotherapy is a low-risk spider vein treatment. A doctor can perform this treatment in the office with no anesthesia and little or no downtime for you. Potential side effects can include swelling, itching, and skin discoloration in the injected area.

Some doctors choose to utilize laser surgery to treat spider veins. In this method, a laser will pulse bursts of light in the affected vein. This light treatment makes the blood vessel return to the normal color and disappear from sight.

While laser surgery does not require needles or incisions, many professionals see laser therapy as less effective than sclerotherapy. The side effects of laser surgery may include redness, bruising, swelling, itching, and discoloration of the skin around the therapy sight.

Typically, blood vessels will take a couple of months to fade. Sometimes, they do not disappear completely, and you still will notice slight discoloration. There is always the chance new spider veins can appear in a similar area, as well.

Why Get Rid of Spider Veins?

There are many benefits to receiving spider vein treatments. First, and most noticeable to many people, are the physical benefits. You will no longer have red or blue lines throughout your legs. Your legs will look healthier and feel better as well.

The procedures are simple and very common. The methods for treating spider veins are state of the art and happen thousands of times a day across the country. With low risk and little downtime, there is no reason to wait.

What to Expect?

At Metro Vein Clinic, Dr. Afzal has performed more than 100,000 injections. He has devoted his career to treating vein problems for patients throughout Minneapolis. You can feel comfortable receiving spider vein treatment from Dr. Afzal.

After your initial consultation, sclerotherapy treatment will begin on the affected area. All procedures occur in the clinic in a sterile environment. General anesthesia is not necessary, so you receive only local anesthesia. Our patients often return to work the same day.

During the procedure, the doctor injects a solution into the diseased vein. Because spider veins are visible to the naked eye, doctors don’t need to rely on ultrasound images during the procedure. The solution irritates the damaged veins, causing them to collapse. Your body reroutes the blood through healthier veins. Your body eventually will absorb the closed vessels.

During one sclerotherapy session, the patient receives anywhere from ten to thirty injections. When necessary to treat a diseased vein properly, Dr. Afzal has done up to sixty injections in a single session. There is no prescribed number of doses as each patient is different, and each spider vein is unique.

Patients might experience some bruising or aching after the procedure. There are some uncommon side effects like allergic reactions, ulcers, or blood clots. However, these are extremely rare. At Metro Vein Clinic there has never been an allergic reaction, and side effects occur in fewer than .01% of cases. This rate is much lower than the national average.

Call Metro Vein Clinic Today

clinic reception desk, she is answering phone and making notes

If you are seeking treatment for spider vein removal, call Metro Vein Clinic today at 612-789-8346. We are ready to help you have healthy and beautiful legs again.

Metro Vein Clinic has served the Twin City area for more than seven years. Our physicians have a combined 75 years of experience. Our patients leave our office satisfied, and their reviews speak for themselves. Our Facebook and Google reviews elaborate on the incredible care our patients receive and how happy they are with the treatments.

For the convenience of our patients, we offer Saturday appointments. We know life is busy, and Metro Vein Clinic wants to ensure we are available when you are. We also have patient care coordinators that will walk you through the steps to deal with insurance and HSA.

At Metro Vein Clinic, our goal is to make the process as easy and comfortable as possible. Call us today and set up your first appointment. Healthy legs free of spider veins are in your near future.

Top 5 Symptoms of Circulation Issues

Thousands of people in the United States deal with circulation issues every day. Poor circulation can cause numbness, fatigue, pain, and cold hands and feet. If left untreated, poor circulation issues can lead to varicose veins, phlebitis, deep vein thrombosis, and leg ulcers. Additionally, poor circulation can be a sign of a more severe health problem, such as cardiovascular issues, scleroderma, or diabetes.

Poor circulation generally results from a blocked or narrowed blood vessel. Hypertension, diabetes, thyroid disease, and obesity can lead to circulation issues, as can poor health habits such as smoking, excess drinking, bad diet, and lack of exercise. People who sit for long periods in the same position can also develop poor circulation.

Many of the symptoms of circulatory problems are easy to overlook or to be mistaken for something else. But these symptoms should not be ignored. Circulation issues should be taken seriously and justify a visit to your doctor. There may be some simple steps you can take to improve your circulation, or you may discover a deeper issue that requires medical treatment. You owe it to yourself to pay attention to your circulatory system.

At Metro Vein Clinic, we specialize in treatable conditions that often arise from or are exacerbated by circulation issues. These include varicose veins, leg ulcers, and phlebitis. As you improve your circulation, these issues don’t always clear up on their own, and that is where we can help. We are also here to help diagnose and make recommendations to treat circulation issues.

What are some signs that you have poor circulation symptoms? There are quite a few, but there are five main symptoms that are cause for concern.

5. Numbness

If you have “pins and needles” in your limbs, especially in your feet and hands, then you may have circulation issues. The numbness and tingling are caused by restricted blood flow. The circulatory system has to work the hardest when taking blood to the extremities, so this is where circulation problems tend to show up first.

4. Joint Pain and Cramping

In addition to numbness and tingling, circulation issues can cause pain in your arms, hands, legs, and feet. They may ache or throb, especially as blood flow returns. It often worsens if you have been sitting or standing for long periods. Cramps in your feet and calves are also signs of poor circulation. The lack of oxygen and nutrients from the improperly circulating blood is the cause of this stiffness and cramping.

3. Swelling in the Lower Extremities


Leg of diseased patient who suffers from Edema.

Fluid accumulating in certain areas of the body is a symptom of poor circulation. This fluid buildup is called edema, and it most often occurs in your legs, ankles, and feet but can also be in your hands. Edema is caused by pressure from improper circulation, forcing fluid from nearby blood vessels into the surrounding tissue.

All of the following symptoms can be signs of edema:

  • tight, warm skin
  • stiff joints
  • a feeling of heaviness
  • visible swelling
  • pain in the affected area
  • an indentation remains when you push on the swollen skin

An early sign of developing edema is when your jewelry gets too tight, or when socks and shoes no longer fit or leave visible marks.

2. Skin Discoloration

A sure sign of poor circulation is a change in the color of your skin, especially in your extremities. When insufficient blood reaches your body’s tissues due to poor circulation, the skin may appear pale or even blue. If blood is leaking from your capillaries, the skin may appear purple. Skin discoloration is most noticeable in the ears, lips, nose, nipples, hands, and feet.

1. Cold Hands and Feet

The number one symptom of poor circulation is feeling cold, especially when others do not. In particular, people with circulation issues tend to have cold toes, feet, hands, and fingers. You may have heard your grandma use the aphorism, “Cold hands, warm heart.” While that may be true metaphorically, it’s not true medically. It would be better stated, “Cold hands, overworked heart.” Cold hands are a sign of circulation issues because the reduced blood flow to your extremities makes them much colder than the rest of your body. Cold fingers and toes mean that your blood is not flowing at a healthy rate, creating temperature fluctuations in the skin and the nerve endings, leading to the numbness and tingling we discussed above.

How Can I Improve My Circulation?

couple hiking on path in forest with walking sticks

If you’ve been wondering how to improve circulation in your body, here are some tips we have found to help our patients.

Exercise is your best friend when it comes to improving your circulation. Sitting at a desk all day, only getting up for bathroom breaks or lunch, is not helping your circulation issues. You need to get up and get moving. While cardiovascular exercise is great, your activity does not need to be strenuous to improve your circulation. A brisk walk, housecleaning, grocery shopping, or some yard work are all ways you can get your heart pumping and your circulation moving.

Some people find improvement by adding fish oil or other omega-3 supplements to their daily regimen. Vitamin B and magnesium supplements have been shown to improve circulation as well. If you’re cold all the time, consider using a heated blanket, heating pad, or hot water bottle to warm yourself up. An under-desk space heater may also be a good solution.

Seek Diagnosis and Treatment

If you’re experiencing poor circulation symptoms, don’t put off seeing a doctor. At Metro Vein Clinic, we will evaluate your limbs and listen to your testimony to screen you for circulation issues. We can make recommendations for specific treatments, and we can assist you with vascular problems that arise from or are made worse by circulation issues.

Contact us today at 612.789.8346 or email us at We proudly serve Edina, Fridley, Burnsville, and the entire Twin Cities area.

We are your partner in improving your circulation and your quality of life. We look forward to speaking with you and helping you feel better today.

Current Treatment for Leg Ulcers

Do you suffer from leg ulcers? A leg ulcer is a symptom of severe varicose vein disease and results from veins not returning blood to the heart correctly. Leg ulcers can be quite painful and usually show up around your feet or ankles. The resulting sores can affect the skin and cause it to bleed or deteriorate. Left untreated, leg ulcers may turn into a severe problem.

While a leg ulcer may be indicative of vein disease, it is also a potentially painful and worrisome condition that requires medical attention. A leg ulcer can develop into a painful sore and leave you in discomfort.

You don’t have to live with leg ulcers. Leg ulcer treatment is advancing and is less invasive than you might think.  Through treatment, your leg ulcers can heal, and varicose veins can close. By increasing blood flow, treatments can effectively reduce symptoms and close varicose veins.

If you are wondering what type of leg ulcer treatment is available for you, the Metro Vein Clinic can provide you with outpatient treatment options that can fit your schedule and are completely customizable for your needs. With state-of-the-art treatments, you’ll be back to doing the things you love in no time. Metro Vein Clinic can treat your leg ulcer in several different ways and provide the healing you need.

The options we have for treating your leg ulcers will ensure that you don’t have to worry about invasive or time-consuming procedures to feel better. The current choices for leg ulcer treatment are practical and comfortable. A doctor can help you determine the right course of action.

Compression Bandages

Woman bandages leg with elastic bandage against varicose veins

Once your leg ulcer is clean, and a dressing is in place, a compression sock will help promote blood flow from the legs back to the heart. There are different compression stockings available that will fit your style and needs. Knee high, waist high, and even maternity compression stockings are available, depending on your needs.

Compression legwear is a simple way to get the blood flowing to the heart and heal your leg ulcer. By keeping a clean dressing on the wound and changing it weekly, while also wearing a compression sock, you will help the sore to heal.

Compression legwear effectively promotes treatment for varicose veins and leg ulcers and also has other benefits such as improving circulation and blood flow.

Radiofrequency Ablation Vein Treatment

Radiofrequency ablation vein treatment uses heat to close the walls of varicose veins, which in turn reroutes blood to the existing healthy veins. This state-of-the-art treatment is minimally invasive and occurs in the doctor’s office.

This procedure has very few side effects and will leave you able to complete your daily activities. You will experience very little discomfort with this procedure.  

Echo Sclerotherapy Vein Treatment

An effective alternative to surgical vein stripping is echo sclerotherapy, which injects foam or liquid into the veins. A doctor monitors this process by ultrasound, allowing them to see and treat veins that are below the surface.

The ultrasound allows a doctor to administer medicine to varicose veins to close and eliminate them, even when they are not easily visible on the skin’s surface.

Visual Echo Sclerotherapy

Spider veins on female leg with injection syringe

Visual echo sclerotherapy is much like echo sclerotherapy but does not use ultrasound. As the name implies, this treatment is for varicose veins that are visible on the skin’s surface, thus not requiring an ultrasound.

Doctors use a needle to inject a chemical solution into damaged veins, causing them to collapse. Blood then reroutes to healthy veins and back to the heart. The collapsed veins then absorb back into the body, which reduces the appearance of “spider veins.”

After Treatment Care

After you receive treatment for your leg ulcer, it is essential to take care of yourself to promote quick and effective healing. Staying active can help ensure proper circulation. Walking and exercising your legs will help you heal and prevent future issues.  

Be sure to elevate your leg when you are sitting or lying down. Not smoking, keeping a healthy weight and diet, and reducing alcohol intake will also promote healing of your leg ulcer.

Following up with your healthcare provider is also important. They will determine how your healing is progressing, and assess any need for further care. Once your leg ulcer heals, you may want to continue using compression legwear to help prevent future leg ulcers and other circulatory and vein related issues.

When To Seek Help

If you are experiencing “spider veins” that you can see, venous stasis, varicose veins, leg ulcers, or restless leg syndrome, you can reach out to the Metro Vein Clinic for a consultation to assess your vein condition and plan a course of treatment.

Your noticeable vein condition may be a serious health risk and not just a cosmetic inconvenience. In either case, Metro Vein Clinic can assist you in treatment and in identifying your condition.

Metro Vein Clinic Is Here To Help

If you are looking for outpatient leg ulcer treatment that you can trust to be minimally invasive but highly effective, Metro Vein Clinic is here to provide you with safe treatment options. With expertise and experience, Metro Vein Clinic will select a treatment that best suits your condition and will help your leg ulcer heal effectively.

You don’t have to live with painful or unsightly leg ulcers. You don’t have to worry about invasive treatments that will prevent you from going about your daily life, either. Metro Vein Clinic is here to provide state-of-the-art treatment and solutions for your leg ulcer and varicose vein needs.

Metro Vein Clinic is committed to treating your leg ulcers and other vein related health concerns with care, knowledge, and expertise. Contact us today for a free screening appointment, and let us help you with your leg ulcers, varicose veins, spider veins, and more.

Start living your best life and stop letting your varicose veins and leg ulcers keep you from the things you enjoy. Treatment is easier than you may think and will have you feeling and looking better while avoiding invasive procedures.