Facial Veins & Rosacea

Rosacea is a common but poorly understood disorder of the facial skin that causes redness on the cheeks, nose, chin or forehead. Other symptoms can include small visible blood vessels on the face, bumps or pimples on the face and watery or irritated eyes. Left untreated, it can cause significant psychological, social, and occupational problems. VeinGogh™ is the preferred treatment for facial veins and Rosacea. This treatment delivers radiofrequency energy through an ultra-fine insulated needle, to heat the affected blood vessels which causes the sides of the blood vessel to stick together and disappear.

Deep Vein Thrombosis (DVT)

Deep vein thrombosis (DVT) is a blood clot (thrombus) in your deep veins, most commonly your legs. While this clot can cause leg pain, tenderness, or swelling, it may also occur without any symptoms making it more difficult to diagnose. This is a serious condition because these blood clots can break loose, travel through your bloodstream and block blood flow to your lungs (pulmonary embolism), which can cause sudden death. Another danger of DVT is known as post-thrombotic syndrome. This occurs when the valves of the deep venous system are damaged, or veins are blocked, resulting in long-term symptoms such as pain, swelling, and discoloration of the skin.

Risk factors for DVT include long periods of sitting during travel or hospital stay, surgery, trauma and a variety of medical conditions and blood clotting abnormalities. Miller Vein physicians are board-certified in venous and lymphatic medicine and are able to diagnose and manage DVT blood clots. Treatment usually includes the use of blood-thinning medications (anticoagulants) that prevent new clots from forming or prevent existing clots from getting larger. If you believe you have a DVT but also have shortness of breath, rapid heart rate (palpitations), or chest pain, you should dial 911 or get to a hospital immediately as this may mean you have a pulmonary embolism (blood clot in the lungs).

Newer catheter-directed therapies are available, including devices that remove clots, administer drugs directly into a clot, or both. Procedures of this kind typically are done by an interventional radiologist in a hospital setting.


Lymphedema refers to swelling, usually of your arms or legs, that results from removal or damage to your lymph nodes or lymphatic ducts. This blockage prevents lymph fluid from draining your extremity which causes fluid buildup and swelling. Potential causes include radiation, surgery, trauma and infection or inflammation. There is also a rare hereditary form of lymphedema.

Miller Vein physicians are board-certified in venous and lymphatic medicine and are able to diagnose and manage multiple causes of leg swelling. At your full consultation, we carefully review your medical history and perform a complete physical exam. While there currently are no adequate permanent surgical solutions to lymphedema, our physicians have several options to help and can manage your care.

Venous Stasis Ulcers

While there are many causes of leg ulcers, 80 percent of such wounds are from faulty veins. This affects approximately 1 percent of people in the United States. Venous ulcers often come back despite treatment. Open ulcers can last from weeks to many years. Left untreated, severe complications can occur such as skin or bone infection and even cancer.

If you have a non-healing leg ulcer, Miller Vein can help. Since 80 percent of these wounds are due to poorly functioning veins, a major component of healing is to fix this underlying problem. The way we treat this condition is the same way we treat varicose veins. It is helpful to imagine that your skin is dry wall, and an underlying leaking pipe is causing the dry wall to rot. Fixing the dry wall alone would not take care of the underlying leaking pipe. Thus, the treatment of a leaking vein is the first step in healing a venous stasis ulcer.