Vein Specialists at San Francisco Vein Center
Evaluation at San Francisco Vein Center includes a medical history and physical examination, with venous ultrasound when appropriate. Treatment recommendations depend on each patient’s symptoms, examination findings and underlying vein condition.
The practice offers a small, personal office setting, with attention to patient comfort. Time is provided to discuss concerns, answer questions and explain treatment options. Most vein conditions can be evaluated and treated in the office.
Meet the Vein Care Team
Melinda Aquino, MD
Dr. Aquino is board certified in vascular surgery and general surgery. Her practice includes the evaluation and treatment of varicose veins, spider veins and other vascular conditions, using minimally invasive procedures and surgery when needed.
Tiffany Huynh, PA-C
Tiffany is a physician assistant with experience in vascular surgery and emergency medicine. She cares for patients with varicose veins, spider veins and other vascular concerns, including wound care and dialysis access.
Vein Evaluation and Treatment
Visible veins and leg symptoms can have different causes, and more than one vein condition may be present. Evaluation considers both the visible veins and any symptoms that may suggest an underlying problem. Venous ultrasound can help identify problems beneath the skin and guide treatment when needed.
The practice evaluates and treats varicose veins, spider veins, reticular veins and other venous conditions, including deep vein thrombosis (DVT).
Depending on the condition and evaluation findings, treatment options include:
- Sclerotherapy for spider veins and reticular veins.
- Radiofrequency ablation (RFA) to close veins with faulty valves that allow blood to flow backward.
- Stab phlebectomy to remove selected surface varicose veins through small incisions.
- Compression stockings to help manage swelling and other symptoms.
- Wound care for venous ulcers.
Many vein procedures are minimally invasive and can be performed in the office. The appropriate treatment, expected discomfort and recovery depend on the procedure and individual patient. Some vascular conditions require treatment beyond an office procedure.
Insurance may cover medically necessary evaluation and treatment. Cosmetic spider vein treatment is generally not covered. Read more about insurance coverage for vein treatment.
San Francisco Vein Center has offices in San Francisco and Daly City, serving patients from San Mateo and other Bay Area communities.
Not All Vein Specialists Are Equal
The term “vein specialist” can describe clinicians with different training and qualifications. When choosing a provider, consider their education, experience treating vein conditions and the range of treatments they perform.
Dr. Aquino completed a general surgery residency followed by fellowship training in vascular and endovascular surgery. Her background includes evaluating diseases of the arteries and veins and performing minimally invasive, endovascular and open surgical procedures.
This training supports decisions about whether a vein condition requires conservative care, an office procedure or surgery. Choosing a vascular surgeon does not mean surgery is necessary; it provides access to a physician whose training includes both office procedures and surgical treatment.
Tiffany’s clinical role is that of a physician assistant. Identifying each provider’s qualifications helps patients understand who is involved in their care and the background each brings to the evaluation and treatment process.