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Lifestyles 55+ Plus | June 25, 2019

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Beyond the Vanity of Varicose Veins

Beyond the Vanity of Varicose Veins

By: Mary Bounds

With an estimated 50-60% of American adults suffering from some form of vein disease, Dr. Randall Juleff of La Bella Vita Laser and Vein Center knows there is much work to be done. As the only board certified Phlebologist on the Northshore, Dr. Juleff is ready and willing to meet the challenges in educating the public and providing his patients with cutting edge technology in the treatment of venous disorders.

La Bella Vita Laser and Vein Center is located at 1431 Ochsner Blvd. Suite B in Covington. For more information call 985-892-2950 or visit


When he graduated Magnum Cum Laude from Oakland University, Randall Juleff knew he wanted to become a physician but had no idea where his dream would eventually lead him.  His subsequent degree from Wayne State University School of Medicine in Detroit, Michigan, was the first step toward his accomplished career in cardio-vascular health. After medical school he completed an internship, residency and clinical fellowships at Beaumont Hospital, also in Michigan and in Cincinnati, followed by a Cardio-thoracic fellowship at Tulane University in New Orleans. Once in the deep South, Dr. Juleff decided to make Louisiana his permanent home, and eventually built a successful practice on the Northshore in Covington.

After providing years of exceptional patient care as a board certified Cardio-vascular and Thoracic surgeon, Dr. Juleff grew keenly interested in the field of Phlebology, a medical specialty that concentrates solely on the diagnosis and treatment of vein disorders. With the rapidly emerging technology surrounding this field, Juleff’s interest grew into a passion to bring innovative, state of the art vein care to the Northshore and to the New Orleans Metropolitan area.  He completed additional specialized training and is currently one of only five board certified Phlebologists in the state of Louisiana. His impressive outpatient clinic, La Bella Vita Laser and Vein Center in Covington, was professionally designed to provide patients with the latest, comprehensive treatment for an array of vein related issues.

Educating the public is an integral aspect of Dr. Juleff’s enthusiastic mission surrounding modern vein health.  “Most people don’t think it is a real medical problem. The symptoms develop gradually and they learn to live with it, not realizing that a few safe, simple procedures could make a huge difference in the way they feel.”  In addition to this misconception, Juleff adds that many believe vein problems are solely a cosmetic issue.  Although vein procedures can produce aesthetically appealing results, one should not lose sight of underlying health issues. Again, Juleff contends education is key in changing faulty perceptions concerning these medical conditions.  “Vein disease can lead to serious complications, including chronic skin ulcerations and deep vein thrombosis, commonly referred to as DVT. Deep vein thrombosis is associated with pulmonary embolism, a potentially deadly condition that is considered a medical emergency.”

Various factors, including age and gender, are known to contribute to vein disease. As one ages the circulatory system experiences wear and tear that can result in faulty valves within the vein causing the pooling of blood. This pooling can directly cause varicose veins or other symptoms such as Restless Leg Syndrome or leg cramps at night. Women are more likely to have vein issues due not only to hormonal changes that occur throughout their lives but also hormonal and mechanical changes that occur during pregnancy. It is important to realize, however, that problematic veins can occur at any age, and men can also suffer from poor vein health. Other factors that are known to contribute to vein disease are heredity, a sedentary lifestyle, obesity, and occupations that require long periods of standing. It’s also important to note that some people have completely normal looking legs but can still have the symptoms and this condition we call Venous Insufficiency.

Common symptoms associated with Venous Insufficiency include the following:

  • Leg aching and heaviness that is worse late in the day
  • Swelling of the lower legs and ankles
  • Restless Leg Syndrome
  • Tiredness of the legs, especially at night
  • Burning sensation
  • Leg ulcers
  • Leg cramps at night
  • Itching
  • Eczema like skin rash on lower legs
  • Brownish discoloration of the skin of the lower legs


Since symptoms of vein disorders vary from person to person, Dr. Juleff offers free ultrasonic vein screening at La Bella Vita Laser and Vein Center for patients to learn more about the condition of their veins. After their individual, informative assessment, many devise a personalized treatment plan with Dr. Juleff, then schedule appropriate procedures for optimal results. Most are happy to learn, modern medical vein treatments are frequently covered by many insurance companies including Medicare. Check with your insurance carrier for individual benefits. Recent laser advancements have fostered dramatic improvements in the treatment of venous insufficiency. Gone are the days of invasive vein stripping requiring hospitalization and significant downtime. These newer procedures, performed by Dr Juleff at La Bella Vita Laser and Vein Center, are less invasive, more convenient and have remarkable results.

Endovenous Laser Ablation (EVLA) and Endovenous Radiofrequency Ablation (EVRA) have revolutionized the field of Phlebology in the treatment of varicose veins. These advanced, minimally invasive procedures are performed under local anesthesia and take less than one hour to complete. They require no incisions and leave no scarring. Most patients return to normal activities within one day and are surprised at how much better they feel. Some people assume their problems are the result of aging and are amazed at the improvement.  According to Dr. Juleff, “It can have such a tremendous impact on not only the way people feel but also their energy level and desire to be active.”

Other patients may benefit from Microphlebectomy, a procedure designed to remove ropey, bulging varicose veins too large or tortuous for EVLA technology. These large veins are removed through micro-puncture incisions measuring no more than 1-2 millimeters in diameter, requiring no sutures. Both medical and cosmetic improvements after this procedure are oftentimes quite significant.

Dr. Juleff is frequently asked about spider veins, which appear as small red or purple veins on the leg, neck, chest or face. When found on the legs, spider veins may be associated with Venous Insufficiency and screening is advised. Generally speaking, spider veins are primarily a cosmetic concern and can be treated by Sclerotherapy. This procedure involves injecting an FDA approved solution into the vein with a micro-needle. The veins will close and then disappear over the course of a few months. Facial veins can be treated with various types of lasers, therefore a personal consultation is required to select the best therapeutic approach.

Although lifestyle changes such as dieting, exercise or smoking cessation are excellent ways to improve many heath issues, they do not resolve existing vein problems. Vein disease does not improve with time; unfortunately, the opposite is true. Vein disorders are progressive and can cause chronic swelling and skin discoloration, or in more severe cases, develop into deep vein thrombosis or skin ulcerations. Tragically, if left untreated, these more serious conditions could eventually lead to loss of life or limb.

Dr. Juleff and his friendly, skilled staff are available to answer questions about the newest procedures using advanced technology for vein disease. Their goal is to provide safe, state of the art, minimally invasive care while achieving exceptional results for satisfied clients.

   Dr. Randall Juleff, the only board certified Phlebologist on the Northshore, hopes patients will take their vein health seriously and place their confidence and trust in La Bella Vita Laser and Vein Center. His extensive expertise and commitment to excellence speak for themselves.

Photo RJ 1B

La Bella Vita Laser and Vein Center is located at 1431 Ochsner Blvd. Suite B in Covington. For more information call 985-892-2950 or visit


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