Varicose Veins
Symptoms & Causes
Varicose veins are swollen, twisted veins visible just under the surface of the skin, most commonly in the legs. They can range from a cosmetic issue to a condition that causes significant discomfort or complications if left untreated.
Common Symptoms
Heaviness or aching in the legs
Swelling, especially around the ankles
Cramps or throbbing at night
Skin discoloration or dryness
Bulging, rope-like blue or purple veins
Common Causes
Weak or damaged valves in the veins
Prolonged standing or sitting (occupational risk)
Hormonal changes such as pregnancy or menopause
Obesity or inactivity
Aging and family history
Note: Early symptoms may be subtle. If you experience discomfort or visible changes in your veins, consult a vein specialist promptly.
Diagnosis & Treatment
Early diagnosis of varicose veins is essential to prevent complications such as skin changes, ulcers, or deep vein thrombosis. At CHIVA Centers, a detailed evaluation helps guide the most appropriate treatment approach.
Common Diagnosis Methods
Physical examination – Assessing visible veins, swelling, and skin changes
Duplex ultrasound – Imaging to evaluate blood flow and detect valve insufficiency
Vein mapping – Locating reflux points and abnormal branches
Symptom scoring – Evaluating pain, heaviness, and impact on daily life
Treatment Options
Lifestyle changes – Elevating legs, regular exercise, weight management
Compression therapy – Medical-grade stockings to support venous return
Sclerotherapy – Injection of a solution to collapse small veins
Thermal ablation – Laser (EVLA) or radiofrequency (RFA) to seal faulty veins
CHIVA – A conservative, vein-preserving technique tailored to venous flow patterns
Why CHIVA?
CHIVA (Conservative and Hemodynamic Treatment of Venous Insufficiency) is a minimally invasive outpatient treatment that preserves healthy vein segments and improves long-term outcomes. It is offered exclusively by trained specialists at our CHIVA Centers.
Why CHIVA?
CHIVA (Conservative and Hemodynamic Treatment of Venous Insufficiency) is a minimally invasive outpatient treatment that preserves healthy vein segments and improves long-term outcomes. It is offered exclusively by trained specialists at our CHIVA Centers.
Doctors & Departments
Meet Our CHIVA Experts
Our international CHIVA team brings together surgical precision, hemodynamic expertise, and a patient-first philosophy.
Dr. Xin Du – Director of CHIVA Center Beijing. Specializes in venous diagnostics and individualized treatment plans.
Dr. Lei Su – Director of CHIVA Center Jinan. Expert in ultrasound-guided CHIVA and advanced outpatient procedures.
Dr. Jianping Deng – Director of CHIVA Center Shenzhen. Known for minimally invasive interventions and clinical research in vein care.
Dr. Xuan Su – Attending physician at CHIVA Center Shanghai. Skilled in preoperative assessment and patient education.
Dr. Yijian Gu – Attending physician at CHIVA Center Chengdu. Focuses on conservative treatment and long-term venous management.
Dr. Qiang Zhang – Founder of Dr. Smile Medical Group and Global CHIVA Management. International leader in hemodynamic-based vein therapy.
Our CHIVA Network
New York (USA) – Global flagship and CHIVA training hub
Beijing, Jinan, Chengdu, Shanghai, Shenzhen (China) – Core CHIVA centers across Asia
Addis Ababa (Africa) – CHIVA outreach and clinical collaborations led by Dr. Smile Medical Group to improve access to vein care across underserved regions
From Diagnosis to Recovery
Every CHIVA doctor is committed to preserving vein function — not removing it.
Care at CHIVA Centers
Care at CHIVA Centers
We believe that vein care should be precise, gentle, and personal
At CHIVA Centers, your experience is built on comfort, clarity, and long-term success — not vein removal.
A Vein-Sparing Approach
Personalized assessment using real-time hemodynamic ultrasound
No vein stripping or general anesthesia
Outpatient procedures with minimal recovery time
Vein function preserved, not sacrificed
What to Expect at a CHIVA Visit
Initial consultation with a CHIVA-trained specialist
Hemodynamic-guided diagnosis to map reflux and flow
Customized CHIVA plan based on individual vein function
Same-day discharge, with walking encouraged immediately after
What Patients Say
“I was walking the same day, without pain. CHIVA saved my veins — and my confidence.”
— Patient from Chengdu Center
Why CHIVA Centers Are Different
Unlike conventional vein clinics, CHIVA Centers are built around hemodynamic principles that treat root causes, not just symptoms. We do not burn, strip, or remove veins unnecessarily.
CHIVA stands for a conservative, science-backed, vein-preserving future in vascular care.
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Compassionate, Expert Vein Care You Can Trust
Every CHIVA treatment plan is tailored to your vein health, lifestyle, and cosmetic goals. Our team combines advanced hemodynamic techniques with personalized care, so you can enjoy improved circulation, reduced symptoms, and renewed confidence.
Advanced CHIVA Treatment for Varicose Veins
CHIVA is a minimally invasive, patient-friendly treatment for varicose veins that preserves the saphenous vein while correcting venous reflux. This technique ensures faster recovery, less pain, and long-lasting results, making it the preferred choice for both patients and vein specialists worldwide.
- Minimally Invasive & No General Anesthesia
- Performed by Experienced Vein Specialists
- Quick Recovery & Minimal Discomfort
- Long-Term Effectiveness & Natural Results