Services & Treatments


Our patients are pleasantly surprised at the simplicity of the treatment process. It’s easy and affordable to go from painful, unattractive legs to healthy, great looking legs. We want you to understand the process every step of the way.


All patients receive a screening evaluation during which we tell them about our practice and treatments available and perform a brief exam of their legs. It is our goal for patients to feel comfortable and informed before proceeding with treatment.

We will conduct a brief, visual examination of any varicose or spider veins that may be visible on your legs. We will ask you a series of questions regarding your symptoms, health history and even how it affects your daily life. This screening helps us to determine if you are likely a candidate for further diagnostic testing and to determine a specialized treatment path.

Treatment Options


Ultrasound imaging or scanning, involves exposing your leg to high-frequency sound waves which then produce a picture of the inside of the leg. This image shows the details of the venous system and the blood flow.


Sclerotherapy is the gold-standard treatment for small to moderate sized spider or varicose veins (according to the American College of Phlebology).


The procedure uses a thin catheter, usually through a needle stick in the skin, into the damaged vein around the knee level to treat the underlying cause of the varicose vein. Endovenous Ablation is less painful, minimally invasive and has fewer complications than the traditional surgical alternatives.

Aesthetic Vein Treatments

(Available in IVC Norwalk Office Only)

Topical Laser For Spider Veins
Topical laser therapy is used alone or in conjunction with sclerotherapy to treat unsightly spider veins. The laser delivers short pulses of light to the targeted vein. This eventually eradicates the vessel. The laser has a cool tip providing an extremely gentle treatment with effective results.

Facial Veins and Rosacea
Laser treatments are the safest and most effective way to reduce rosacea and decrease the appearance of facial veins. Rosacea is a common chronic skin condition which often begins as redness on the face. The redness will often come and go becoming more persistent over time. Visible veins and redness are typically seen around the nose, cheeks, chin and forehead, as well as on the neck and chest (poikiloderma). The non-ablative laser will gently heat the upper dermis well below your skin’s surface breaking down damaged capillaries and dissipating trapped blood and redness with very little to no downtime.


Cosmetic Treatments

(Available in IVC Norwalk and Old Lyme Offices Only)

Benign Pigmented Lesions (Lentigines), Age/Sun/Brown Spot Removal
Laser treatments will target and eliminate the unsightly hyperpigmented spots returning the skin to its natural color and tone with very little to no downtime. The lasers adjustable spot size allows for precise and effective treatment. This procedure can be performed on all skin tones.

Facial Rejuvenation & Laser Genesis
Facial rejuvenation is an innovated technically advanced way to help restore the skin’s youthful glow and vibrancy. This noninvasive laser treatment will heat the upper dermis well below your skin’s surface stimulating collagen regrowth. This will effectively treat fine lines and smooth out uneven tone and texture caused by aging and sun damage. Large pores are minimized and scarring and minor imperfections are diminished. You can expect to see subtle results after just one treatment with little to no downtime. The overall effect of multiple treatments can be dramatic.

Laser Hair Removal
Through the use of a cosmetic laser, we are able to offer hair removal procedures for our patients. This treatment is utilized by patients who wish to have unwanted hair from the legs, underarms, bikini line, upper lip, or other areas of your body, removed. Our laser hair removal is cleared by the U.S. Food & Drug Administration (FDA) for permanent hair reduction. Due to the 3 stages of hair growth and development (growth, regression and resting), it usually takes approximately 6 treatments to disable all hair follicles in a given area.

BOTOX Cosmetic™ is a safe purified protein that is used to minimize frown lines between the eyes, horizontal forehead lines, and crow’s feet. With a fine needle, small amounts of BOTOX Cosmetic™ are injected directly in to the facial muscles that are responsible for causing wrinkles. It works by blocking the nerve impulses allowing the injected muscle to relax. This will smooth your skin restoring a youthful appearance to your face. Results can be seen in as little as a few days and will last 3-4 months. Individual patient results will vary and each treatment will be customized to meet your beauty needs.

Contact us today with your questions, or for any information you need about scheduling vascular therapy or surgery at any of our locations.

I was referred to Dr. Muhs from a lower extremity specialist regarding an injury I had to my foot and ankle. We needed to determine if there were any circulation issues. Dr. Muhs was very thorough and kind. Quite knowledgeable in his field! His staff is also wonderful and caring. I highly recommend this practice.

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Contact Us

Patients can be seen at any of our office locations.

Please indicate which office you would like to be contacted from initially:

  • Vein Treatment
  • Varicose Veins
  • Vascular Disease