Varicose Veins treatment

At the initial consultation for leg vein removal, you will be seen by an expert vascular specialist with many years of experience in treating all types of varicose veins. The specialist will begin by carrying out a detailed clinical examination followed by a colour duplex ultrasound scan of both legs. This is a specialised type of ultrasound scan which focuses on the identification of the root cause of the abnormal veins by visualising any areas of abnormal valve function in the affected segment of the vein. Any other areas where blood seems to be stagnating will also be assessed on the ultrasound scan. The vascular specialist will want to learn about your ideas concerns and expectations for treatment and will take this information into account alongside the findings from your medical history and examination. The range of treatment choices available for varicose vein removal will then be discussed with you to allow the selection of the most appropriate vein removal technique.

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Varicose veins form when venous reflux develops in veins which have developed valve dysfunction. The damaged or weakened vein allows blood to flow in the reverse direction to the normal flow and pooling of blood then occurs in the diseased vein. Over time, the veins begin to increase in size and bulge outwards leading to them becoming highly visible through the skin. Endovenous laser ablation also known as EVLA, is the most commonly used varicose vein treatment to fix the faulty veins that are often found at a deeper location inside the leg. Foam sclerotherapy is used for the treatment of larger veins that may not be amenable to treatment with EVLA.

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For patients who are concerned about the cosmetic appearance of thread veins which are smaller, more superficial veins that are located close to the skin surface, we offer two highly effective treatments including microsclerotherapy and laser thread vein removal. Your varicose vein specialist will be able to determine the most appropriate treatment for you after assessing the results of the colour duplex ultrasound scan of your legs.

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After successful treatment with EVLA or foam sclerotherapy, many patients will achieve significant clearance of unsightly looking veins. In many cases even after correct treatment of the underlying cause, there may be a number of smaller residual veins which tend to branch off from the vein that has been treated. These smaller veins can be easily treated at a follow-up appointment to reduce the visibility of these veins which commonly arise from the main vein that was previously treated with EVLA.  The vast majority of patients will require step three for optimum clearance of their prominent leg veins. Your specialist will make use of sclerotherapy techniques which include both foam sclerotherapy and microsclerotherapy as follow-up treatments to address the residual veins. In some cases, patients who have residual veins that bulge outwards may be better served with a phlebectomy procedure. Step three of our treatment protocol can be successfully carried out in combination with endovenous laser ablation used during step 2 or it can be carried out approximately two months after EVLA treatment based on your individual preferences for treatment.

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EVLA treatments for varicose veins have been a hugely successful treatment for patients who have had to endure symptoms from varicose veins for many years. Although most patients will have achieved outstanding results during step two and step three, a smaller number of patients will require touchup treatments to treat both thread veins and spider veins. The most commonly used treatments include microsclerotherapy and laser thread vein removal which are both easily carried out by one of our experienced vascular nurses using state-of-the-art gold standard technologies available at our 106 Crawford Street clinic in Marylebone, central London.

At Centre for Surgery in London, we pride ourselves on offering the most competitive prices for varicose vein treatment. The total cost of your treatment includes both the diagnosis and treatment of varicose veins whether EVLA or foam sclerotherapy is chosen for treatment.

We offer fixed prices and full details are available upfront before committing to any treatment. Varicose vein prices are based on treatment per leg and not per each individual vein treated which can significantly increase treatment costs unnecessarily for many patients. We do not do guide prices for any type of vein treatment and there are no hidden costs. Your vascular specialist’s fee and all clinic fees are included in the total cost of varicose vein treatment. We can also guarantee that prices will never change once you have attended the initial consultation. For patients who have private medical insurance, please get in touch with our patient coordinator team to learn about the options available for you.