Vein procedures

Radiofrequency Ablation

Radiofrequency ablation, or RFA, is a minimally invasive alternative to eliminate abnormal veins, redirect blood flow to healthy veins, and relieve discomfort.

Radiofrequency Ablation Treatment for Varicose Veins

The effective and safe technology of RFA makes it one of the most powerful options available for varicose vein treatment without general anesthesia. It is a minimally invasive treatment that improves the appearance of varicose veins by harnessing the power and flexibility of radio waves.

Bellava MedAesthetics & Plastic Surgery Center in beautiful Bedford Hills, NY regularly provides this treatment to a variety of patients under the care of our board-certified physician, Dr. Donna D’Alessio. In your initial consultation, Dr. Donna D’Alessio will work closely with you to determine if Radiofrequency Albation alone or in combination with other vein treatments such as sclerotherapy, varithena or VenaSeal is the best course of action to restore your legs to their original beauty.

Schedule a consultation today with Dr. D’Alessio and the Bellava team.

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Restore Your Beautiful Legs with Radiofrequency Ablation

woman holding belly fat Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Radiofrequency ablation, or RFA, is a minimally invasive alternative to previous methods to eliminate abnormal veins, redirect blood flow to healthy veins, and relieve discomfort. Ultrasound imaging guide the doctor in precise insertion of a thin catheter.

The incision is so small that it requires only a dose of local anesthetic to ensure comfort. After the catheter is in position, the radio frequency heating element at the end of the probe is activated, which causes the surrounding vessel to contract, forcing the blood to reroute through healthier veins instead.

The procedure is performed on an outpatient basis, and typically takes an hour or less. You may get back to normal activities the same day. Patients wear compression stockings for the following two weeks to help ensure the best cosmetic outcome and prevent formation of small clots.

RFA Benefits

  • Safe
  • Little discomfort
  • Covered by most medical insurance plans
  • Very small incision
  • Little to no down time
  • Combinable with other vein procedures for maximum results

Radiofrequency Ablation Treats the Following Conditions

spider veins Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Spider Veins

Spider veins are small veins that are red, purple or blue and resemble spider webs.

What causes spider veins?

Spider veins are caused by venous insufficiency, which translates as failure of the veins to adequately circulate the blood. Hereditary factors, a job that involves a lot of standing, obesity, pregnancy, and/or a history of blood clots are all factors that can cause to spider veins.

Are spider veins different from varicose veins?

Spider veins may be a sign of an underlying problem known as venous insufficiency. When left untreated this could lead to the development of varicose veins or skin ulcers.

How are spider veins diagnosed?

Spider veins are typically located on the superficial surface of a patient’s skin and are therefore they are easy to diagnose by a trusted and experienced physician such as Dr. Donna D’Alessio.

What are the spider vein treatment options?

Sclerotherapy is used to treat the appearance of spider veins. Treatments for venous disease include radiofrequency ablations, sclerotherapy and VenaSeal.

Varicose veins Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Varicose Veins

Varicose veins are twisted, enlarged veins. Any veins in the body may become varicose, but the veins most commonly affected are those in your legs and feet.

What causes varicose veins?

Age is a factor since your veins can lose elasticity. In addition, heredity, pregnancy, or obesity can cause varicose veins.

Are varicose veins dangerous?

Each case of varicose veins is different. In some cases, they are just a cosmetic nuisance, whereas in others they be signs of an underlying issue.

How are varicose veins diagnosed?

To diagnose varicose veins, Dr. Donna D’Alessio will perform a physical exam. You also may need a diagnostic ultrasound test to see if the valves in your veins are functioning normally or if there is evidence of any blood clots.

Can I do anything to prevent varicose veins?

You can’t prevent varicose veins from forming. You can prevent the ones you have from getting worse. Exercise, avoiding standing to long, not smoking all can help prevent varicose veins from getting worse.

chronic vein insufficiency Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Chronic Vein Insufficiency

Chronic vein insufficiency occurs the valves in the veins are not working properly. In healthy situations, veins move blood towards the heart, and they have valves that keep the blood from leaking the opposite way. When the valves are leaking, venous insufficiency occurs.

What causes chronic venous insufficiency?

Genetics, pregnancy, and obesity are the most common causes. Leg trauma, and blood clots are can also cause chronic venous insufficiency. Other causes may include smoking, high blood pressure, lack of exercise, and phlebitis.

Is chronic vein insufficiency dangerous?

If chronic venous insufficiency is left untreated, pain, inflammation, swelling, and leg ulcers may occur.

What are the treatment options for chronic vein insufficiency?

Radiofrequency ablation and sclerotherapy.

Can I do anything to prevent chronic vein insufficiency?

Maintain a healthy body weight, exercise, avoid standing or sitting for long periods of time, and do not smoke.

leg pain Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Leg Pain

Sometimes venous insufficiency can lead to leg swelling, pain and cramping (also known as restless leg syndrome). Without treatment, these issues can get worse and lead to chronic venous insufficiency (CVI), which may contribute to leg ulcers or other skin issues.

How common are leg pain symptoms?

Leg swelling, leg pain, and cramping (also restless leg syndrome) are very common symptoms for venous insufficiency.

How can the causes be diagnosed?

The causes can be diagnosed by coming into a medical office for a physical examination. Swelling can be visible, and a venous ultrasound can be conducted to confirm whether or not these symptoms are caused by varicose veins, and venous insufficiency.

What are the treatment options?

Treatment options are compression stockings, exercise, antibiotics, radiofrequency ablations, sclerotherapy, and phlebectomy.

Radiofrequency Ablation Procedure FAQs

Who are the best candidates for radiofrequency ablation?

Patients with varicose veins are the best candidates. Patients who experience spider veins, leg pain, swelling, cramps or discomfort may also benefit from radiofrequency ablation.

What happens during the procedure?

Patient will lie down on bed, and an ultrasound is used to guide procedure. The leg being treated will be injected with a local anesthetic, and a small needle punctures the vein to be treated. The catheter will be inserted into the vein and more numbing medication will be injected around the vein. Once the numbing medication is placed around the catheter and vein, the catheter will slowly be pulled back. During the time the catheter generates heat, the vein is closed off. This is completely safe and the expected result.

Does radiofrequency ablation hurt?

Most patients report feeling little, if any, pain during the procedure. You will receive local anesthetic to numb the treatment area.

What are the expected results?

It is possible that you will notice a dramatic improvement in the way your legs feel within a few days. Depending on how large and long left untreated, varicose veins may take time to fully disappear. Typically patients have 1 to 4 veins that need treatment, so depending on how severe your case is, it will determine how soon will you see results.

Does insurance cover the treatment?

Yes. Give us a call at 914-864-2140 to confirm your coverage.

What is the recovery like?

You may resume normal activities immediately. Rarely, the patient may also experience slight discomfort and bruising along the course of the treated vein. If bruising occurs, it should improve in 1 to 2 weeks.

When can I return to work?

Many return to work the same day.

Are there any side effects?

Some patients feel a tight, pulling sensation which they describe as a cord-like sensation. This can develop 1-4 weeks after treatment and resolves over time. Areas of light inflammation can be common after treatment. The areas can become red, swollen, tender and can sometimes feel warm. When the vein that is being treated lies closer to the surface, skin discoloration may occur.

Dr. Donna D'Alessio, board-certified plastic surgeon Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Meet Our Board-Certified Veins Specialist, Dr. Donna D’Alessio

Donna D’Alessio is the Owner, Operating Physician and Medical Director of Bellava MedAesthetics & Plastic Surgery Center, where she personally delivers the most advanced, nonsurgical cosmetic medical vein procedures to improve the appearance of spider veins and varicose veins.

Read More About Dr. D'Alessio's Superior Background in Pain Management and Aesthetic Medicine

She graduated from The College of New Jersey before completing her medical degree at St. George’s University School of Medicine in the West Indies. Dr. D’Alessio carried out an internship in internal medicine as at SUNY Downstate Medical Center at Long Island College Hospital in Brooklyn, New York. She then went to complete her residency training in Physical Medicine & Rehabilitation at Mount Sinai Hospital in New York City. In her final year of residency training she was appointed and served as Chief Resident.

Board certified in Physical Medicine & Rehabilitation, she is a leading nonsurgical interventional pain management physician in New York and New Jersey. She helps patients find relief from all sorts of pain, including chronic vein insufficiency (CVI) and leg pain.

To help her patients reach their individual goals, Dr. D’Alessio also offers multiple cosmetic rejuvenation services such as injectables, body contouring and laser treatments to restore youthful beauty and vitality.

Dr. D’Alessio is now accepting new cosmetic vein patients in the Westchester and the surrounding areas. Call or schedule an appointment online today.

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For more information or to schedule an appointment, call (914) 867-4442 today!

Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Bellava MedAesthetics and Plastic Surgery Center
182 Rte 117 Bypass Road
Bedford Hills, NY 10507




(914) 864-0377


Monday - Wednesday
9:00 AM - 5:00 PM

9:00 AM - 7:00 PM

9:00 AM - 4:00 PM

9:00 AM - 3:00 PM

† Individual Results May Vary.

Models photography used unless specified as a before & after photo.