ALAIN SHAB M.D. Vascular Surgery · Beirut العربية +961 81 663 350
Vascular Surgery · Beirut

Heavy legs aren’t just tiredness.

Varicose and spider veins, treated by injection — not surgery. No general anaesthetic, and you walk out the same day.

4.9 from 75 Google reviews
Close-up of a leg showing a cluster of spider veins before treatment
Spider veins · before treatment
4.9/575 Google reviews
ClemenceauVascular Surgery, Beirut
No general
anaesthetic
Walk out the same day
Duplex scanEvery leg scanned before treatment
What patients say

75 reviews. 4.9 average.

Quoted verbatim, names and all. The trait they raise most often is not a technique — it is that the case gets explained before a decision is asked for.

I had a map of veins on my legs after 2 pregnancies. This gave me pain with heavy feeling, and aesthetically not so cute. I saw multiple doctors to treat them but I had no result. When I visited Dr Alain Shab I had two treatment sessions and a minor surgery. Now I’m vein free. Rasha Ammoura · Google review
★★★★★

I came all the way from Dubai to Lebanon to do the procedure with him because a friend recommended him, and I am so glad I did. The care, precision, and outcome truly exceeded my expectations.

Randa SemaanGoogle review
★★★★★

Had two sessions of foam sclerotherapy which went very well. The procedure was very smooth. He took the time to explain the procedure and possible complications. As a fellow Physician I highly recommend him!

Jumana S MajdoubGoogle review
★★★★★

He did my surgery and after one session my leg felt better and lighter after years of having a huge varicose vein. Highly recommended for being both professional and trustworthy

Louanne Abou NabhanGoogle review
★★★★★

Yesterday, I underwent endovenous laser treatment for my varicose vein, and he made the whole experience smooth and easy. He was knowledgeable and made sure I understood everything before I made my decision. The procedure itself was quick and almost pain-free.

Fatima SalamGoogle review
★★★★★

I went to dr Alain shab crying from severe pain and heaviness in my legs. Varicose veins restricted my daily living activities. He did sclerotherapy for me, this relieved my pain about 90%.

Tala ElbastGoogle review
★★★★★

I initially thought I would need two visits, but it was completed in one. He scanned my veins and then performed the procedure. His office was lovely and the price was affordable.

Renée De Beer SaabGoogle review

Reviews are quoted verbatim from the practice’s Google listing, which holds a 4.9 average across 75 reviews. Read all reviews on Google.

Written and medically reviewed by Dr. Alain Shab Vascular Surgeon, Clemenceau Medical Center · Last reviewed 5 August 2026

Self-check · 30 seconds

Are these your legs?

Vein disease is not only about how a leg looks. These are the five signs that bring most patients in. If two or more sound familiar, the leg is worth scanning.

01

Bulging blue or purple veins

Twisted, rope-like veins that show through the skin on the calves or thighs. They stand out more after standing and settle when the legs are raised.

عروق بارزة زرقاء أو بنفسجية
02

Heavy, swollen legs by the evening

A dragging heaviness that builds through the day, often with swollen ankles after long standing, a long flight or a long shift.

ثقل وتورّم بالساقين آخر النهار
03

Itching or burning over a vein

Skin that itches, stings or burns directly above a visible vein. Frequently mistaken for dry skin.

حكة أو حرقان حول العروق
04

Night cramps and restless legs

Cramping in the calves at night, or the need to move the legs to get comfortable enough to sleep.

تشنّجات ليلية وتململ بالساقين
05

Brown patches near the ankles

Darkening or hardening of the skin above the ankle. This is a late sign that the vein problem has been running for a while — it should be looked at promptly.

بقع بنية فوق الكاحل

Two or more of these?

Bring the leg in for a duplex ultrasound scan. It is painless, takes minutes, and it is the only way to know whether the veins underneath are actually failing — and which treatment the leg needs. Call +961 81 663 350.


Expectations

Every case tells a different story.

Two legs that look the same from the outside can need very different work, and can end up with different results. Anyone who promises you an outcome before scanning the leg is guessing.

What actually decides how much a leg improves, and how many sessions it takes:

  • Which veins are involved. Fine surface threads behave differently from a failed trunk vein under pressure.
  • How long it has been left. Longstanding disease with skin changes takes more work than the same problem caught early.
  • Whether the source was treated. Clearing the surface while leaving the vein feeding it is the most common reason people arrive here already treated elsewhere, without lasting result.
  • Your body. Reabsorption speed genuinely varies between people, and so does bruising.

Treatment can clear the veins that are treated. It cannot stop the body from forming new ones later, particularly through pregnancy or with a strong family history. That is what follow-up is for.


The appointment

What actually happens.

The part most people are anxious about is the part that takes the least time. Here it is, start to finish.

Before the footage below: this is a fine needle and most patients describe a small sting. No general anaesthetic, nothing cut, and you walk out afterwards. The video is muted and only plays if you press it.

01

The leg is scanned

A duplex ultrasound maps which veins have failed and where. Painless, takes minutes. Nothing is treated before this is done.

02

You are told what it needs, and why

Which technique, how many sessions, what it will cost, and what to expect. Questions first, decision after.

03

The vein is closed from the inside

A fine needle delivers a solution that seals the damaged vein. Blood immediately reroutes through healthy veins.

04

You walk out

No general anaesthetic, no hospital stay. A compression stocking, and back to a normal day. Mild bruising for a week or two is normal.

05

The body clears it

Over the following weeks the sealed vein is reabsorbed and fades from the surface. Follow-up checks the result.


Straight answers

The questions everybody asks.

Will the veins come back?

A vein that has been properly closed does not come back.

Once it is sealed, the body reabsorbs it over the following weeks and the blood is redirected through healthy veins. That vein is gone. What can happen is that the body forms new varicose veins somewhere else — which is why follow-up matters, and why pregnancy is one of the most common reasons veins reappear in women who were treated years earlier.

Does it hurt?

It is a fine needle. Most patients describe a small sting.

No general anaesthetic is used and nothing is cut. Afterwards, expect mild bruising over the treated veins for one to two weeks — that is normal and it fades. Patients regularly describe the procedure as “quick and almost pain-free”.

Do I need surgery?

Not every varicose vein requires surgery.

Many cases are treated with injection therapy — sclerotherapy or foam sclerotherapy — or with endovenous laser, all of which close the vein without an operation. Surgery is reserved for the cases that genuinely need it. Which category a leg falls into is decided by the duplex ultrasound scan, not by looking at the skin.

How much does it cost?

It depends on what the leg actually needs, and that is only known after the scan.

The number of sessions and the technique — injection, foam or laser — are what move the price (more on what treatment costs), and both are established at the consultation. You are given an exact figure before anything is decided or booked. For current pricing, call +961 81 663 350.

Do creams, sprays or supplements work?

No. Nothing applied to the skin can close a damaged vein.

Products sold online promising to remove varicose veins do not work, and the time spent on them is time the vein spends getting worse. A failed vein has to be closed or removed by a qualified vein specialist. If a product claims otherwise, that is the tell.

How long until I see results?

Weeks, not months — and the symptoms usually improve first.

Spider veins generally clear over about four weeks. Larger varicose veins take longer, because the body has to reabsorb more. The heaviness and aching often ease much sooner, sometimes after the first session.

I’m travelling to Lebanon for this. Can it be planned?

Yes. Patients regularly travel in from the Gulf, Europe and the United States.

Send photographs of the legs and a description of the symptoms by WhatsApp beforehand, and the likely plan — how many sessions, over how many days — can be discussed before you book flights. The scan on arrival confirms it. Message the clinic on WhatsApp.


Portrait of Dr. Alain Shab
The doctor

Dr. Alain Shab

General and vein surgeon. Listed under Vascular Surgery at Clemenceau Medical Center, Beirut, and consulting at Beirut Symposium, Sin El Fil. Full profile.

The thing patients write about most often is not the technique. It is that the case gets explained — what is wrong, what the options are, what each one involves — before any decision is made. Several reviews are from patients who had been treated elsewhere without result, and one is from a fellow physician.

Specialty
Vascular Surgery · Phlebology
Clinic
Beirut Symposium, Sin El Fil
Treats
Varicose veins, spider veins, venous insufficiency
Techniques
Sclerotherapy, foam sclerotherapy, endovenous laser, phlebectomy
Languages
Arabic, English, French
Book a consultation

Bring the leg in.

The consultation includes the ultrasound scan, the diagnosis and an exact quote. You decide after that, not before.

+961 81 663 350
Clinic
Beirut Symposium, Sin El Fil, Beirut
Hospital
Clemenceau Medical Center, Beirut
Hours
Monday to Thursday, 10:00 – 18:00
Instagram
@dralainshab
Call the clinic WhatsApp