Stages of Development of Varicose Veins

VNUS Closure

There are a variety of vein problems encountered by patients seeking treatment at Total Vein Wellness in Dallas and Frisco. Our vein doctor commonly sees varicose veins as well as the more progressive medical disorder known as Chronic Venous Insufficiency (CVI).

Schedule an Appointment Today

Minimally Invasive Treatment

Over time, CVI worsens and lessens the amount of oxygen-rich blood carried to the heart from the lower legs. Varicose veins should be treated to avoid them advancing to CVI, which can bring on swelling, skin damage, sores and leg pain. Fortunately, our vein specialists can suggest minimally invasive vein treatment options to relieve both varicose veins and CVI.

While simple conservative methods such as wearing compression stockings may ease some symptoms, we can provide information about endovenous ablation, a VNUS Closure procedure using the Venefit™ method of radiofrequency ablation.

What is Radiofrequency Ablation for Veins?

This minimally invasive vascular surgery method allows us to treat deeper veins of the legs without requiring open surgery, even for many patients with severe varicose veins. These techniques can be done simply and effectively on an outpatient basis using only local anesthesia.

In the Venefit VNUS closure treatment, the doctor inserts a small catheter, or tube into the vein. Then a probe is threaded through the tube and the tip of the probe heats up inside of the vein to close it off. The heat is generated by radiofrequency energy, which provides just enough uniform heat to contract the collagen in the vein walls. Once your veins collapse and seal, your blood flow is redirected into healthy veins.

After VNUS Closure

Following the procedure, the catheter is removed and a bandage or compression stocking is placed on the treated leg. Patients are able to walk immediately after the procedure and most individuals are able to return to work the next day.

Once your blood begins flowing in the right direction, through healthy veins after the VNUS closure treatment, you may experience slight bruising but symptoms of varicose veins improve. Possible complications of endovenous radio frequency ablation are thermal skin burns and transient numbness.

In time, the treated (formerly varicose) vein shrinks and is absorbed by the body. Compared with more invasive surgical options like ligation and vein stripping, endovenous ablation offers less pain and quicker recovery time. Total Vein Wellness recommend this vein treatment because it provides a faster, more comfortable recovery and the ability to quickly return to their everyday activities. It also improves the appearance of varicose veins.

Endovenous radio frequency ablation (Closure® procedure) is FDA approved for the treatment of the greater saphenous vein. In addition, Venefit™ Targeted Endovenous Therapy using the ClosureFast™ catheter is currently the only form of segmental radiofrequency ablation for the treatment of CVI in the United States.

Contact Us Today

Conveniently located in Frisco, Total Vein Wellness benefits from the experienced medical knowledge of Dr. Jerome Naifeh, a graduate of the Baylor College of Medicine. He is a general and vascular surgeon with more than 20 years of experience in this specialized field, focusing on vascular disorders such as vein reflux disease, varicose veins, and spider veins.

Call Now: (214) 471-5909

Why Choose Total Vein Wellness?

Meet the Doctors

Jerome G. Naifeh, MD

Jerome G. Naifeh, MD

Dr. Naifeh is a Cardiovascular Surgery Specialist in the Dallas and Fort Worth Metroplex. He has over 20 years specializing in leading his team in perfecting minimally invasive vein treatments. 


He graduated from UT Austin and Baylor College of Medicine where he has published numerous research papers on synthetic arteries under Dr. Michael E. Debakey and Dr. Denton A. Cooley.


Dr. Naifeh did a postgraduate research fellowship in helping to develop the Totally Implantable Artificial Heart at the Texas Heart Institute in Houston, Texas under Dr. Denton A Cooley and Dr. John Norman. 


He completed his General and Thoracic Surgery Residency at the University of California Davis, Sacramento Medical Center.


Dr. Naifeh currently performs minimally invasive procedures that provide excellent results using cutting-edge medical technologies. He invests time in his patients developing personal relationships and working to find customized solutions that will best treat each person’s individual vein issues.

Julie Greene, DO

Julie Greene, DO

Dr. Greene has a special interest in vascular medicine, specifically in the advanced treatment of venous disorders of the lower extremities.  She has been treating spider and varicose veins at Total Vein Wellness for the past 4 years. 


Dr. Greene is Board Certified in Anesthesiology by the American Osteopathic Board of Anesthesiology and is a member of the AVLS. 


Dr. Greene received her Bachelor of Science degree in biology at Abilene Christian University. She went on to receive her medical degree at the University of North Texas Health Sciences Center in Fort Worth. 


She completed her Internship and Residency at Tulsa Regional Medical Center, receiving the Best Intern Award there. 


Dr. Greene completed her residency in anesthesiology at Texas Tech University Health Sciences Center, serving as Chief Resident and receiving awards for Resident of the Year and Outstanding Obstetrical Anesthesia Resident. 


Dr. Greene is a member of the American Osteopathic Association and the Texas Osteopathic Medical Association. 



The doctor and his assistant was very helpful. The treatment was fast and pain free. I will give them 10 stars!

J. Campbell

Dr. Naifeh and his staff were terrific!

They were very thorough and ensured that I fully understood the process, my options, and what to expect. Very pleased!

H. T.

Knowledgeable and friendly!

The staff of the doctors were very knowledgeable and friendly! Can’t wait for my follow-up appointment!

Debbie V.

Proud to show off my legs!

I was very happy to learn that Dr. Naifeh offers advanced vein care for men. He took care of something I had tried to hide by keeping my legs covered. But now I am very proud to show off my legs!


Such a great experience!

Total Vein Treatment Center was such a great experience. The medical staff was courteous, kind and helpful. They provided me an education on the process. The doctor was highly-trained and qualified. What a pleasant experience – I would have never expected this level of care for treating spider veins!

M. A.

In and out in less than an hour!

My Varicose Veins treatment made one spot disappear within 24 hours. It’s only been three days and the other areas already look better too. The treatment works, it was not painful and I was in and out in less than an hour. Thank you!

Valerie S.