JVAI, state-of-the-art vein center, was founded by Douglas H. Joyce DO, FACOS, FACPh Triple Board Certified Cardio-Thoracic & Vascular Surgery, General Surgery and Phlebology (Venous Disease) The professional, experienced medical and office staff at the Joyce Vein & Aesthetic Institute are committed to providing you with state-of-the-art treatments for all types of venous disease The Ulcer Center at JVAI specifically concentrates on venous ulcers which are due to chronic venous insufficiency. Patients with vein disease may present with spider veins, leg swelling or edema, varicose veins, skin discoloration, healed or open leg ulcers.