Frequently asked questions

No — a physician referral is not required. You may schedule a consultation directly. If you were referred by a physician, we coordinate care closely and report findings back to your referring provider.

The visit begins with a focused clinical history and an assessment of your symptoms and goals. Duplex ultrasound can be performed in-office at the same visit — at our St. Johns office serving Jacksonville, Ponte Vedra, Nocatee, and St. Augustine — allowing diagnosis and treatment planning the same day.

Most medically necessary vein care is covered — including vascular duplex ultrasound, radiofrequency ablation, endovenous laser ablation (EVLT), chronic venous insufficiency management, and venous ulcer care. Sclerotherapy is covered when medically indicated and is cash-pay ($350 per session) when performed for cosmetic indications. Our staff verifies your benefits prior to treatment.

When treatment is medically necessary — confirmed by duplex ultrasound — radiofrequency ablation, endovenous laser ablation, and related care are typically covered by insurance, so your cost is determined by your plan's deductible and copay. Cosmetic spider vein treatment is cash-pay at $350 per sclerotherapy session. We verify your benefits before treatment.

Sclerotherapy is generally well tolerated. Patients typically report brief stinging at each injection site. Sessions are performed with a fine-gauge needle, take under 30 minutes, and require no anesthesia; normal activity can resume the same day.

The number of sessions depends on the number, size, and distribution of the veins being treated. Improvement develops gradually over three to six weeks as treated vessels close and fade, and a series of sessions may be recommended for complete clearance.

Radiofrequency and endovenous laser ablation are performed in-office under local anesthesia with ultrasound guidance — no hospital stay or general anesthesia is required. Procedures typically take 30 to 60 minutes, and most patients resume normal activity the same day.

Varicose veins are rarely an emergency, but they are frequently a sign of chronic venous insufficiency — a progressive, treatable medical condition. Acute swelling in a single warm or painful leg is different: it can indicate a blood clot and warrants urgent evaluation. Duplex ultrasound provides a definitive assessment, with results reviewed the same day.

Spider veins develop from a combination of heredity, hormonal changes, pregnancy, prolonged standing, and sun exposure. In some patients they are also a surface sign of underlying venous reflux, which is why we may recommend duplex ultrasound when symptoms accompany them. Treatment is in-office sclerotherapy.

Veins that are properly closed with ablation or sclerotherapy do not typically reopen. However, new veins can develop over time — particularly when the underlying venous insufficiency or contributing whole-body factors are not addressed. Our integrative evaluation is designed to identify and manage those drivers to reduce recurrence.

Often, yes. Compression therapy supports healing after treatment, and many insurance plans require a documented period of conservative management — including compression — before approving ablation. Our team guides you through your plan's specific requirements.

Medical weight loss is provider-supervised from evaluation through maintenance. Care begins with a consultation reviewing your medical history, goals, and any underlying factors affecting your metabolism; from there we build a supervised plan that may combine nutrition guidance, medical therapy, and ongoing monitoring. Pricing is determined at consultation.

When clinically appropriate, our provider-supervised program may include GLP-1 medications such as semaglutide or tirzepatide. Candidacy is determined at your evaluation, and supervision continues throughout treatment — monitoring your pace of loss, nutrition, and labs so weight comes off safely.

IV nutrient therapy delivers vitamins and minerals directly into the bloodstream to support vascular repair, calm inflammation, and address deficiencies that can impair circulation, recovery, and energy. It is offered at our St. Johns office as part of our integrative wellness care.

Results typically appear within a few days and last several months, with three to four months being common. We offer Botox ($14 per unit), Dysport ($10 per unit), and Xeomin ($13 per unit), allowing us to match the neuromodulator to your anatomy and goals.

Yes — SkinPen microneedling (from $300) uses controlled micro-injuries to stimulate collagen and elastin, refining acne scarring, texture, and pore size on the face, neck, and chest. A series of treatments is recommended for best results, with minimal downtime.

VI Peels (from $350) are brief in-office treatments. Expect visible exfoliation over the following days as the treated skin sheds and renews, revealing brighter, smoother skin — most patients return to normal activities immediately.

Sculptra ($850 per vial) is a collagen biostimulator: rather than adding immediate volume, it stimulates your body's own collagen production over time. Results develop gradually across a recommended series of sessions and can last up to two years.