Dr. Menzies and Dr. Simmons have treated vein disease across the DFW Metroplex for over a decade. Two offices, board-certified physicians, ultrasound-precise diagnosis, in-office care. No theatrics — just steady work.
Fellowship-trained at the same demanding hospital. Practicing across the DFW Metroplex for over a decade. Now, working together to treat vein disease the way it deserves to be treated — with patience and ultrasound precision.
UC Irvine, then medical school at UT Houston, then two fellowships — sports medicine and pain medicine — at John Peter Smith Hospital, where he became Medical Director of pain management. Voted Fort Worth Top Doc for fifteen consecutive years.
U.S. Army and Army Reserve for a decade before medical school. Intern of the Year at John Peter Smith, then built and directed the ACGME-accredited UT Southwestern Pain Medicine Fellowship there. Faculty at Texas A&M, UNT HSC-TCOM, and UT Southwestern. Practicing since 2005.
Southwest Vein & Leg Center helps hundreds of patients each year treat varicose veins, spider veins, bulging veins, leg pain, restless legs, and the venous reflux underneath them — the quiet cause behind most adult leg-vein symptoms.
Dr. Menzies and Dr. Simmons trained at the same demanding hospital and have served the DFW Metroplex for over a decade. Between them: extensive ultrasound diagnostic expertise, two fellowships, faculty appointments, and a combined refusal to over-treat.
"I find fulfillment in enhancing the quality of life of patients who may have been suffering from vein disease for many years."
— Dr. Robert D. Menzies, MD
Every image here is from the practice itself: their exam room, their ultrasound mapping, their monitoring equipment.
Vein disease is one of the most under-treated, most treatable conditions in medicine.— The premise of our practice
Most of what we treat has been told to a patient as inevitable. It usually isn't. The first step is an honest diagnostic — not a sales pitch.
Failing one-way valves let blood pool. Often runs in families. More than cosmetic — heaviness, swelling, and skin changes follow if left untreated.
Small dilated capillaries close to the skin's surface. Often cosmetic — but in some patients they're the surface signal of deeper insufficiency.
Many cases have a venous component. Worth a screening before adding medication.
Pressure builds in the deep veins, the legs feel heavy, skin discolors at the ankles. Treatable. Frequently missed.
Acute DVT is an emergency — go to a hospital. We help with the long-term venous care patients need after one.
Wounds that refuse to close are usually caused by underlying reflux. Treat the vein, and the wound finally heals.
Some patients have layered conditions. We help untangle which is which — and which we can treat in-office.
Most are done in-office, under local anesthesia, in under an hour. Walking out the same day is the expectation, not the exception.
A laser fiber, threaded under ultrasound, seals the diseased vein. Local anesthesia. In-office. Most patients walk out the same day.
A cousin to EVLA. The choice between the two is made case-by-case based on vein anatomy and patient comfort.
A specialized solution collapses the vessel wall. The body reabsorbs it over several weeks. No anesthesia required.
A microfoam injected under ultrasound, ideal for veins too winding for a catheter. No thermal energy.
Adhesive is delivered into the diseased vein and seals it closed. Minimal bruising. Discussed during consultation.
Stubborn varicosities removed through incisions so small they don't usually require stitches. Often paired with EVLA.
For many patients, compression hosiery, weight, and activity changes are enough — or the right starting point.
The screening is free. Diagnosis is by ultrasound, not guesswork. Treatment is recommended only when it is genuinely indicated and your insurance benefits are clear.
A 20-minute, no-cost visit with our team. We listen, examine, and tell you whether a deeper workup is warranted.
A diagnostic ultrasound to identify which veins are refluxing and which are healthy. This is what insurance authorization is built on.
A written plan that explains exactly what we recommend, why, and what your out-of-pocket cost will be — before anything begins.
Most procedures send you home walking. We schedule short follow-ups by ultrasound to confirm the vein has closed cleanly.
Medically necessary vein treatment is covered by most major plans and Medicare. Our team verifies benefits before scheduling — no surprises.
We accept most major commercial plans, Medicare, and many Medicare Advantage plans. If your plan isn't listed, call us — we likely still accept it.
Our team verifies your benefits before treatment. You receive a clear, written estimate that lists deductible, coinsurance, and any out-of-pocket cost. We do not begin anything you have not approved.
Coverage varies by plan and diagnosis. Cosmetic-only treatments (such as isolated spider veins) are typically out-of-pocket. We will tell you which category your case falls in.
If you would like to see results before your screening, we will show you anonymized clinical photos in office and discuss the range of outcomes for someone with your specific anatomy. Most patients tell us this is more useful than a website gallery anyway.
A small, verbatim selection from Google and Birdeye. The names patients keep mentioning — Brad, Autum — are real members of the team.
"Oh my, where do I start. Dr. Menzies and his entire staff are wonderful. Dr. Menzies has done a total of three procedures and I couldn't be happier with the results."
"Dr. Simmons and Brad are wonderful! They are very comfortable to speak to and have a calming demeanor during the procedures. They explain everything."
"Amazing service and impressive results! I took my mom for a cosmetic vein removal and the whole team went above and beyond to make sure she was comfortable."
Reviews quoted verbatim from public platforms. Full review counts and ratings at Google and Birdeye.
We don't do hair transplants or Botox. Vein care is what we do — every day, all day. The depth shows in the diagnosis.
Most procedures are done in our office under local anesthesia. No hospital, no general, no overnight.
Benefits verified up-front. A written estimate before anything begins. Cosmetic and medical clearly separated.
Same physicians, same approach, easier parking. Choose the office closest to you, or whichever can see you soonest.
Walking distance from the Texas Health Harris Methodist and JPS hospital campuses.
A quieter satellite office for Greater Granbury patients who'd rather not drive into Fort Worth.
A free screening is the smallest, most informative step you can take. No referral required. Most patients leave with a clearer head than they walked in with.