North Dallas

Vein procedures are also known as venous procedures and vary according to what your vein doctor believes will be the best solution for your spider veins, varicose veins or other issues.
At Medilaser, Cosmetic Surgery and Vein Center, Mauricio Giraldo, M.D., F.A.A.C.S. personally provides state-of-the-art solutions for varicose veins, spider veins, and more complex venous disorders. Dr. Giraldo obtained his medical degree from Javeriana University, Colombia, and completed his surgical training at the University of Pittsburgh, Pennsylvania, and Harvard University in Boston, Massachusetts.
He is certified by the American Board of Surgery and is a fellow of the American Academy of Cosmetic Surgery and the American Society for Laser Medicine and Surgery. Among other memberships, he is a member of the American Society of Transplant Surgeons and American College of Phlebology.

Dr. Giraldo cofounded Advanced Vein Center in Pittsburgh, Pennsylvania, and Medilaser, Cosmetic Surgery and Vein Center in Frisco, Texas. He specializes in the treatment of varicose veins in the context of cosmetic surgery.

risk factors for venous disorders

  • Heredity
  • Age over 40
  • Pregnancy
  • Obesity
  • Prolonged sitting or standing
  • Long distance travel
  • Sedentary lifestyle
  • Surgery or trauma
  • Infectious disease
  • Use of hormone medication

symptoms of venous disorders

  • Heavy, tired or aching legs
  • Initial signs of varicose veins
  • A feeling of tension, cramps or fatigue in your legs
  • Swollen ankles or feet
  • Spider veins
  • Skin discoloration or problems
  • Restless leg syndrome
  • Leg Ulcer

vein Procedures


varicose Veins

Vein Ablation
Vein Removal

Spider Veins

Injection Therapy
Laser Vein Removal

Products We Offer


Compression Stockings

Sigvaris Compression Stockings

compression stockings

DO YOU HAVE TIRED, ACHING, SWOLLEN LEGS, OR DO YOU SEE THE BEGINNING OF VARICOSE VEINS? If so, the proposed treatment is less invasive than you ever thought.
Wearing graduated compression stockings can help. Venous circulation problems can progressively worsen over time and can affect your health and quality of life. These products can help improve your circulation, increase your energy and aid in keeping your legs healthy. At Medilaser, Cosmetic Surgery and Vein Center, we offer SIGVARIS graduated compression garments. SIGVARIS product lines include:

who are good candidates for wearing graduated compression garments?

Compression stockings aid those with chronic venous disorders, edema, stasis, skin changes and for those who have had or will be having a vein procedure. On the other hand, anyone, especially those who stand for long periods of time on their feet, can benefit from compression stockings.

injection therapy (sclerotherapy)

DO YOU HAVE UNWANTED, VISIBLE SPIDER VEINS AND SMALL VARICOSE VEINS NEAR THE SURFACE OF YOUR SKIN? Sclerotherapy is a non-surgical procedure done at Medilaser, Cosmetic Surgery and Vein Center. Whether you have tiny red veins, purple dilated blood vessels, or even the larger blue vessels, this treatment is requently used to minimize or even eliminate those unsightly veins.
This non-surgical procedure is frequently used to treat visible spider veins and small varicose veins near the surface of the skin. Spider veins, tiny red or purple dilated blood vessels, and reticular veins, larger blue vessels, form when venous blood flow is abnormal. Although smaller than
most varicose veins, spider and reticular veins are often more noticeable. This is because these veins are located just below the surface of the skin. More common in women, spider and reticular veins may be triggered by pregnancy or hormonal variations. They sometimes result in itching, restless leg and minor aches and pains. Non-symptomatic spider veins may be found on the face and chest as well as legs. Although surface veins are mainly a cosmetic problem, they can also be an indication of more serious vein disease below the surface as in the case of venous reflux disease. In the lower extremity, these unsightly veins can distribute in the ankles, calves and thighs.
Sclerotherapy is a technique that uses chemical agents injected into the veins that cause them to collapse or obliterate. This is a non-painful procedure that is very well tolerated without anesthesia at all. The sclerosing agent that Medilaser, Cosmetic Surgery and Vein Center utilizes is POL, a former local anesthetic used in epidural anesthesia for obstetric procedures in the past. It is commercially available as Asclera, the only FDA approved POL available in the United States. It is safe and effective having minimal reported complications as per today. Patients undertake their injections in a friendly and relaxed environment without pain at all. The procedure is completed in 30-45 minute sessions. Depending on the severity of the condition, regularly more than one session is needed to achieve maximum desirable results.

who are good candidates for sclerotherapy?

Anybody who has visible unwanted veins is a good candidate.

which unsightly veins can be treated with sclerotherapy?

Spider veins that are located in the chest and legs can be treated.

what about small vessels in the face?

Medilaser uses laser technology to treat spider veins in this location.

any other location?

Breast - Particularly after pregnancy or augmentation procedures, frequently developed are engorged blue veins. These vessels are easily obliterated with one or more sessions of Asclera injections.

Hand and arm superficial veins - Obliteration of these veins using sclerotherapy produces remarkable rejuvenation results. This procedure is popular among women who are concerned about their aging hands.

is the procedure covered by health insurance?

Usually it is not. However, with good documentation of medical necessity some insurance companies agree to cover few sessions of sclerotherapy.

Laser vein removal

HOW CAN I GET RID OF VERY FINE VEINS? Laser spider vein removal allows individuals with unsightly and unwanted veins to have them removed safely and effectively.
Laser Vein Removal is an advanced, non-invasive method for diminishing or eliminating spider veins in the legs or face. The laser pierces the skin and penetrates the superficial blood vessel. The heat generated from the laser coagulates the blood inside the vessel, causing it to collapse and seal. Over the next few weeks, the vessel will disappear and all the blood will be removed by the body's scavenging cells. Only the very small superficial veins are treated with a laser. The skin above the veins will have a reddish, cat-scratch appearance. This generally disappears over the next two days. For optimal results, several laser spider vein removal sessions may be necessary. If there is pain, swelling of the feet or fatigue, then the symptoms are not from spider veins. Often, a laser vein removal procedure can be thoroughly effective on its own, but in more severe cases with larger blood vessels, the treatment can also be used in tandem with another spider vein removal technique like sclerotherapy. For more severe varicose veins, vein removal surgery may be necessary.

what causes spider veins?

Spider veins are typically caused by abnormal blood flow and weakening of the blood vessel wall. Any condition or activity that places pressure on the veins (like weight gain, prolonged sitting or standing) can contribute to their development.

Spider veins increase with age and thus are quite common in the elderly. There is also a genetic basis, since spider veins do tend to run in families. In pregnancy, spider veins are quite common and have been associated with an increase in the female sex hormone, estrogen. Estrogen is known to weaken the walls of the veins and may contribute to the development of spider veins.

Once developed, spider veins generally get worse and do not resolve on their own. Weight gain, lack of exercise and a sedentary life style is associated with progression of spider veins.

who is a candidate?

Appropriate candidates for laser vein removal are those individuals who have spider veins, who are non-smoking individuals, are physically healthy, and has no disease of the blood vessels or problems with bleeding. Since in laser vein removal lasers directly contact the skin, those with a tendency to form keloid scars are not ideal candidates. Skin tone can also be affected by laser vein removal treatment, so it is best to talk to your doctor about the type of laser appropriate for you.

is the treatment Painful?

During your treatment, you may feel a slight tingling sensation as the laser fires.

what preparations are needed?

Avoid sun exposure, aspirin, alcohol and not smoke for at least a week prior to the procedure. On the day of the treatment, avoid all creams, lotions and moisturizers on the area that is going to be treated.

is the treatment covered by insurance?

No. Spider veins do not cause symptoms and are of a cosmetic concern only.

vein ablation (venefit™ Procedure)

DO YOU EXPERIENCE LEG PAIN, DISCOMFORT, SWELLING AND DILATED VEINS? If so, you may be suffering from superficial venous reflux disease.
Approximately 25 million people in the United States have this condition. Moreover, half of women over 50 and more than three quarters of women over 65 have reported suffering various degrees of leg varicose veins, pain or swelling. In general, veins are responsible for taking blood against gravity back to the heart. When veins are incompetent as in reflux disease, blood does not flow to the heart completely. Some of it leaks back with gravity and pool in the leg veins. This causes for the veins to bulge and stretch resulting in unpleasant side effects such as: aching and throbbing pain, itching, numbness, heavy and tired legs, night cramps, and restless leg syndrome. Varicose veins are bulging dilated vessels that are located in various parts of the body especially legs and female genitalia. Although there is an important family trait, varicose veins are a frequent complication of pregnancy, birth control pills and certain occupations where standing for prolonged periods of time is required.

Traditionally, venous reflux disease was treated with a painful surgery known as vein stripping. Now, patients can be treated at Medilaser, Cosmetic Surgery and Vein Center with a minimally invasive procedure known as Venefit™ Targeted Endovenous Therapy, formerly Closure Procedure™, which uses readiofrequency energy (similar to laser but with lesser side effects or complcations). This method corrects the abnormal venous circulation that causes varicose veins, spider veins and leg pain. Using ultrasound technology to visualize the veins to be treated, the entire procedure is carried out under local anesthesia, through a 3 mm puncture incision. Patients are awake and comfortable during the procedure, which is completed in less than 30 minutes at a time. Within one hour, they are back performing their routine activities or work. There is minimal pain if any after the surgery.

who are good candidates for the venefit™ procedure?

Anyone with venous reflux disease, who experience bulging veins, leg pain, swelling, discomfort, cramps, heaviness and restless leg syndrome and have ultrasound documentation of their condition. Since the procedure is performed under local anesthesia in the office setting, the risk of complications is minimal.

what is the difference between laser ablation and radiofrequency ablation?

Although they are similar, minimally invasive techniques (endovascular treatments under ultrasound guidance and local anesthesia) differ in complication rates and collateral damage. Radiofrequency is a much safer technique, because it uses heat related collagen contraction to close the treated vein in comparison to laser which causes severe vascular damage and blood boiling inside the treated vein.

is this procedure covered by health insurance?

Yes, most insurance plans cover the evaluation and treatment of this medical condition regardless the cosmetic benefits associated with it. Our billing specialists will assist you to make sure there is not a financial burden to you or your family.

Vein ablation forms:


vein removal (microphlebectomy)

DO YOU HAVE UNSIGHTLY, DILATED VEINS ON VARIOUS AREAS OF YOUR BODY THAT YOU WOULD LIKE TO HAVE REMOVED? Microphlebectomy is a minimally invasive procedure that you may benefit from.
Occasionally, some veins form in the context of minimal reflux that is not detected by ultrasound. If they are painful or cosmetically unappealing, these vessels need to be removed through a procedure called microphlebectomy. This too can be performed using minimal invasive technology: tiny incision, local anesthesia and very short recovery time. Medilaser, Cosmetic Surgery and Vein Center offers microphlebectomy surgery to remove unsightly varicose veins through 3 mm incisions. After the procedure, the pain is minimal and the return to work is immediate. The cosmetic result of this procedure is dramatic since the corresponding incisions are so small that the scar formation is minimal if any at all.

who are good candidates for microphlebectomy?

Anyone who has unsightly dilated veins and wants to have a rapid resolution of their condition in the context of a negative ultrasound for reflux disease is a good candidate.

is the procedure covered by health insurance?

Yes, when it is performed to alleviate pain and discomfort.

vein removal (microphlebectomy) forms:


Contact us in Frisco, Texas, to schedule an appointment today
- (469) 362-8665.