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Varicose veins
Bulging tortuous veins, heaviness, swelling and fatigue in the legs in the evening. The most common venous disease that gradually progresses without treatment.
Vascular Surgeon, Phlebologist, PhD in Medicine · Vinnytsia
Treatment of varicose veins without pain and incisions
- Outpatient care without large incisions — under local anaesthesia or medication-induced sleep. Your doctor selects the anaesthesia after assessment.
- Around 30–90 minutes — procedure time depends on the method and treatment area. You leave once the team has assessed your condition.
- No stitches or scars – return to work without weeks of sick leave.
Consultation with ultrasound assessment · response on the day you contact us
4.9★★★★★average patient rating
24years of practice
PhDPhD in Medicine
100%minimally invasive
Medtronicofficial trainer
MedFibersSingle-use radial fibers
Lasotronix1940 nm laser
Problems
Conditions patients seek help with
Recognise your symptoms? The earlier you seek advice, the simpler treatment is likely to be; at an early stage, one or two visits may be enough.
About the doctor
Treats the cause, not the symptom
Alexandru Yefymovych treats veins in Vinnytsia for more than 24 years — from the vascular surgery department at Pirogov Regional Hospital to his current operating practice Medilux Medical and Diagnostic Centre. Every patient receives a precise ultrasound assessment, a clear diagnosis and a treatment option tailored to their case, without unnecessary procedures.
«My task is not just to remove a vein, but to restore a person's healthy legs and confidence. And to do it in the least traumatic way possible.»Alexandru Yefymovych
Experience · conferences · procedures
Science and teaching
A doctor who researches and teaches
Alexandru Yefymovych defended his thesis on the very method he uses to treat patients every day and teaches it to other doctors in Ukraine and abroad.
PhD thesis · 2016
PhD in Medicine
"Radiofrequency ablation in the treatment of varicose veins of the lower extremities"
His research focused on the same treatment he uses in daily practice to help patients regain healthier legs.
Credo:Keep learning, put knowledge into practice and strive for excellence
Department Assistant at National Pirogov Memorial Medical University, Vinnytsia
Department of Endoscopic and Cardiovascular Surgery, since 2015.
Medtronic Trainer
Since 2016, he has trained doctors in minimally invasive techniques through courses at his own clinical base and workshops in Ukraine and abroad.
Instructor for the Surgical Phlebology course
Leads a specialist professional-development course for practising doctors.
International congressesSeoul · Budapest · Bratislava · Krakow · Maastricht · Jurmala
Methods
Modern varicose vein treatments
There is no single treatment that suits everyone. Alexandru Tatarin selects an option after an ultrasound assessment, taking into account the stage of the condition, vein anatomy and your lifestyle.
The gold standard
Endovenous laser ablation (EVLA)
A 1940 nm laser closes the affected vein from within using a thin single-use fibre. Treatment is performed through a puncture under ultrasound guidance.
from 36,000 UAH
The most comfortable
Radiofrequency ablation (RFA)
A Medtronic ClosureFast catheter closes the vein with controlled radiofrequency heat, segment by segment, while monitoring temperature and tissue resistance.
from 40,000 UAH
No compression stockings
VenaSeal medical adhesive closure
VenaSeal closes the vein with medical adhesive rather than heat. Local anaesthesia is needed only at the catheter entry site, not along the entire vein.
Based on the assessment
Aesthetics
Sclerotherapy
A fine needle delivers a sclerosant solution that closes spider veins and small veins. They gradually fade. Ultrasound guidance is used when indicated.
from 6,000 UAH
No stitches
Miniphlebectomy
Large varicose tributaries are removed through 1–2 mm needle punctures using a specialised hook. The punctures do not require stitches and usually heal with minimal visible marks.
Based on the assessment
Don't know what to choose?
Answer four short questions to see which type of treatment may be suitable for you.
Choose a method →Prepare for your consultation
Estimate a budget from the current price list and prepare a brief description of your symptoms to discuss with the doctor.
What budget should I plan for?
Choose one service from the price list. You may add a separate consultation with ultrasound. This is a planning guide, not a treatment recommendation.
Ultrasound-guided closure of the main vein with a Lasotronix Smart 1940 nm laser and a radial fiber. The doctor confirms the treatment plan after examination.
Estimated amount from the price listFrom 36,000 UAH
The estimate covers one price-list item. It does not determine the number of legs, sessions or additional services and is not an individual treatment quote. Your doctor confirms the treatment plan and cost after examination and ultrasound.
What should I tell the doctor about my legs?
Select the symptoms that trouble you and how they affect your daily life. You will receive a brief summary to discuss possible signs of chronic venous insufficiency at your consultation.
0 · No impact10 · A major impact
This describes your answers. It is not a medical scale, a CVI diagnosis or a procedure recommendation. Your doctor establishes the cause and whether treatment is needed after examination and, when indicated, duplex ultrasound.
Your answers remain only on this page. They are not stored or sent to the doctor or analytics. When booking through the separate form, you decide what to share.
Equipment
World-class technologies
Diagnosis and treatment use equipment from General Electric, Medtronic, Nouvag and Lasotronix, as well as single-use MedFibers fibers.
RFA · MEDTRONIC
ClosureRFG™ generator
Radiofrequency ablation with temperature and tissue resistance control in real time. Made in USA.
EVLA · LASER
1470 nm laser
A 1470 nm laser for endovenous ablation. A radial fiber distributes laser energy around the vein.
MEDICAL ADHESIVE · MEDTRONIC
The VenaSeal™ System
Closes the vein without thermal impact. Often without compression stockings after the procedure.
ANAESTHESIA · SWITZERLAND
Nouvag DP 30 pump
An infiltration pump for controlled delivery of tumescent solution during vein treatment.
Ultrasound · GENERAL ELECTRIC
GE LOGIQ e
All procedures are performed under ultrasound guidance, providing a precise map of the veins.
EVLA · MEDFIBERS
MedFibers radial laser fiber
A single-use radial fiber delivers laser energy around the vein during endovenous laser ablation.
EVLA · LASOTRONIX
Lasotronix Smart laser · 1940 nm
A 1940 nm laser generator for endovenous laser ablation. The procedure is performed under ultrasound guidance.
How treatment works
From your first visit to healthier legs
01
Consultation
A discussion of your symptoms, a clinical examination and answers to your questions.
02
Ultrasound assessment
Duplex vein ultrasound on GE LOGIQ e. The consultation and ultrasound together usually take around 20 minutes; the time varies with individual circumstances.
03
Procedure · 30–90 min
Minimally invasive treatment under local anaesthesia or medication-induced sleep. The doctor selects the anaesthesia individually; procedure time depends on the method and treatment area.
Home in about 30 min
You can usually leave around 30 minutes after the procedure, once the team has assessed your condition. Observation may take longer when medication-induced sleep is used.
Support after the procedure
Treatment does not end with discharge
Alexandru Tatarin supports each patient through recovery, stays available for questions and checks the result.
Book a consultation→Follow-up ultrasound scan
We check the result with ultrasound to confirm that the vein is closed and blood flow has been redirected appropriately.
Direct communication with the doctor
We stay in touch by messenger, so you can ask questions after the procedure without waiting for another appointment.
Personal recommendations
Personal guidance on care, activity and prevention to reduce the risk of further varicose veins.
The results
Photos "before" and "after"
Drag the slider to see the difference. These are real cases treated by Alexandru Tatarin.
Reviews
Patients about treatment
4.9
★★★★★
48 reviews · top20.ua
“I had been afraid of surgery for ten years. It took 40 minutes under local anaesthesia, and I walked home by myself the same day. No scar.”
“I chose the doctor based on his credentials: PhD in Medicine and Medtronic trainer. He explained everything during the ultrasound and showed me on the screen. The result was as promised.”
“I had sclerotherapy for spider veins before summer. My legs looked great and I was wearing dresses within a week. The care was very gentle.”
“I brought my mother because her legs and knees had troubled her for years. Oleksandr Tatarin examined her carefully, calmly explained the cause and prepared a plan. A very considerate doctor.”
“I came in with a growth on my leg and was very worried. Everything was explained clearly, I was reassured and helped. I am grateful for the compassionate and professional care.”
“An honest doctor: he did not recommend anything unnecessary. Instead, he explained the contraindications and advised me to wait. That honesty is invaluable.”
“I came on friends' recommendation. The consultation was professional and everything was explained calmly, clearly and without rushing. I now recommend Oleksandr Tatarin myself.”
Prices
Transparent prices
You will know the cost before treatment begins, with no hidden charges.
Consultation + ultrasound
from
1,300 UAH
Sclerotherapy
from
6,000 UAH
Endovenous laser ablation (EVLA)
from
36,000 UAH
Radiofrequency ablation (RFA)
from
40,000 UAH
Consultation + ultrasound from 1,300 UAH
What is included in the consultation
Phlebologist examination
Discussion of symptoms and clinical vein examination
Doppler ultrasound scan of the veins
Precise assessment of blood flow and valve function
Individual plan
A treatment plan matched to the condition of your veins
Honest recommendations
No pressure to undergo unnecessary procedures
0% extra chargesTreatment can be paid in instalments with no interest or extra charges.
Find out the conditions →Question
Frequently asked questions
Where the doctor practises
Appointments at Medilux Medical and Diagnostic Centre
Consultations, ultrasound assessments and minimally invasive procedures take place at Medilux Medical and Diagnostic Centre in Vinnytsia, a clinic equipped with world-class technology, a laser system, expert ultrasound and a sterile operating theatre.
1470 nm laserGeneral Electric ultrasoundSterile operating room
Procedure room at Medilux
Alexandru Yefymovych performs minimally invasive procedures with ultrasound guidance. The photo shows the doctor and medical team working in the procedure room.
Booking
Book a consultation
Take the first step towards healthier legs. Leave your name and phone number, and we will call you during the working day to arrange a convenient time.
Phone+380 63 450 10 72
Appointments at Medilux Medical and Diagnostic Centre5 M. Lytvynenko-Volhemut Street, Vinnytsia
Hours08:00-20:00
Useful information about vein health
All articles →Articles about varicose veins
Simple answers to questions that patients ask most often. Are you preparing for a visit? Start here.
Varicose veins
How to prepare for minimally invasive varicose vein treatment
What to discuss with your doctor, how the necessary tests are selected, and what to bring on the day of your procedure.
Read →Varicose veinsHow varicose veins develop
Why venous valves gradually weaken, how to notice the problem in time and why modern treatment is no longer a major operation.
Read →Spider veinsSpider veins: a cosmetic concern or a warning sign?
When fine veins on the legs are only a cosmetic concern, and when they may indicate deeper changes worth checking with ultrasound.
Read →ComplicationsSuperficial thrombophlebitis associated with varicose veins
A painful lump along a vein: why a blood clot forms and why prompt assessment matters.
Read →