Varicose Vein Removal

Varicose Vein Removal

Varicose veins appear as enlarged, swollen, twisted or lumpy veins most commonly found on the legs or ankles that are sometimes blue or purple in colour. The veins can be painful causing swollen feet, dry skin, muscle cramps and general discomfort in the legs.

It is the veins job to carry blood towards the heart by allowing the blood to flow upwards against the pull of gravity using a series of muscle contractions and one-way valves. When these valves become weak or break it can result in them not closing properly which allows the blood to flow backwards and cause the vein to bulge.

Untreated varicose veins increase the risk of ulcers, blood clots and other venous diseases. Although it is not possible to avoid varicose veins, there are procedures designed to reduce or remove varicose veins.

*DISCLAIMER Patient experience and results may vary. These are dependent on a number of factors such as lifestyle, age and medical history.

Varicose vein removal treatments are available at our sister clinic The Private Clinic. They have a team of experienced vascular surgeons who have carried out over 7000 varicose vein treatments.

They pride themselves on being able to offer patients the least invasive methods for treating varicose veins, focusing on the underlying causes. All patients are given a free ultrasound scan at their consultation.

Varicose vein treatments are carried out in at the London Harley Street clinic by Consultant Vascular Surgeons, Mr Constantinos Kyriakides, MD FRCS (Gen) GMC Number: 3275436 and Mr Dynesh Rittoo, MBChB, FRCS (eng), FRCS (Gen Surg) GMC Number: 3556456.

The varicose vein treatments available are:

Endovenous Laser Ablation (EVLA) 

EVLA treatment is a minimally invasive procedure performed under local anaesthetic that uses laser heat to collapse the wall of the vein which will then be gradually absorbed by the body. The National Institute for Clinical Excellence (NICE) which is a non-departmental public body that encourages the best healthcare practices across the country, names EVLA as the Gold Standard for treating varicose veins.

VenaSeal 

VenaSeal is a quick and painless treatment that is ideal for patients who may have a needle phobia as it only requires a single injection per vein. Performed under local anaesthetic; a small catheter will be guided through the affected veins using ultrasound imaging. Small amounts of medical grade Sapheon Glue is then dispensed via a VenaSeal tool to close the vein. Once the vein is closed the blood is re-routed to healthy veins deeper within the leg and the original varicose vein is gradually absorbed by the body.

Foam Sclerotherapy 

Foam sclerotherapy treatment involves injecting the veins with a solution mixed with air which creates the foam. This foamy substance coats the walls of the veins causing inflammation which results in the blood being pushed out and the vein walls becoming sticky. Eventually the veins will start to shrink and be naturally absorbed by the body. Performed under local anaesthetic this treatment can take as little as 30 minutes.

Phlebectomy 

A Phlebectomy procedure is commonly performed on larger varicose veins that are close to the surface of the skin. The procedure requires small incisions being made on the leg to remove the varicose veins via a hook. The treatment is performed under local anaesthetic and the incisions will not requires stitches.

Consultations with our surgeons cost £200 which includes a free ultrasound scan of your legs which is usually priced between £350 – £450. Consultations with our patient advisors are free of charge.

EVLA treatment prices start from £2,260 – in the majority of cases EVLA will be the best method for Varicose vein removal. With a 95.4% success rate, walk in walk out procedure, it is by far the most popular choice amongst our patients.

VenaSeal prices start from £2,960

Foam Sclerotherapy prices start from £950 for one leg and £1,750 for both legs.

Phlebectomy prices start from £997 for 1 leg and £1,350 for both legs.

Varicose Vein Removal

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* Disclaimer: Please be aware that results and benefits may vary from patient to patient taking into consideration factors such as age, lifestyle and medical history.

FAQ

Varicose Veins commonly present themselves as lumpy / bulging veins found out the surface of the legs, although they can be present in other areas such as around the ankle and foot. Varicose veins may also be dark purple or blue in colour. If you have varicose veins you may experience an itchy sensation around the site of the veins, pain after sitting or standing for extended periods of time, consistent aching feeling in the leg and burning, swelling or muscle cramping in the lower legs.

The role of veins is to carry blood towards the heart. In order to do this the blood has to flow upwards against gravity, so it is helped along by a series of muscle contractions and one-way valves. If the valves become weak or break, they do not close properly and the blood flows back to the legs where, over a period of time, the veins will start to bulge. These damaged veins serve no purpose, which means it is perfectly safe to remove them.

Varicose veins most commonly appear on the legs and thighs but can appear in other areas too.

Varicose veins are not only an unsightly nuisance but they can also pose a potential health risk. They can put you at risk of blood clots, ulcers, swelling, hyperpigmentation and venous disease.

Patients suffering with varicose veins report symptoms such as pain and discomfort in the legs, itchiness, fatigue and swelling of the skin. These symptoms can worsen with if varicose veins remain untreated. If you are currently not experiencing symptoms, these are likely to develop over time.

 

There is no age limit for Varicose Vein treatment. We can treat anyone who is over the age of 18 and is healthy.

All varicose vein consultations are surgeon-led and include a free ultrasound scan worth over £350. This ensures that your varicose veins are examined with the utmost accuracy and your treatment is tailored to you.

During your consultation, your surgeon will discuss with you exactly what the problem is, where it originates from and what the available treatment options are. You will also be given a detailed treatment plan with full cost and pricing details.

 

There is no limit on the amount of veins that can be treated on the same day; however there is a limit on the amount of local anaesthetic that can be safely used in one sitting. We also have patients who prefer to only treat one leg at a time to reduce downtime. You will be advised of the best procedure plan at your consultation.

EVLA, Sclerotherapy, VenaSeal and Phlebectomy procedures are all carried out under local anaesthetic so you won’t feel discomfort during the procedure. Some patients may experience a little discomfort afterwards but this is minimal.

Generally EVLA takes approximately 45 minutes. Sclerotherapy can take less than 30 minutes. VenaSeal can take between 30-60 minutes and Phlebectomy procedures take between 30 minutes to an hour.

You should be able to see a difference straight away after most varicose vein treatments but as you are required to wear the compression stocking for at least a week afterwards your leg will not be visible.

When you remove the stocking you will notice a big difference in the appearance of your treated leg, there will be some bruising but the visible varicose veins should have disappeared. We advise that usually you will be able to see the final results of your treatment 6 weeks post procedure.

VenaSeal does not require a compression stocking and so you may see results of the treatment much quicker.

Best results are seen after EVLA treatment where there is less than 10% chance of the veins returning. This is due to the EVLA method being very comprehensive at sealing the vein.

Although it is unlikely for the same vein to appear again after treatment we average that there is a 1% chance of new veins developing for each year after treatment.

As with any medical treatment or procedure, there are always certain risks or side effects that you should be aware of.

Common side effects from EVLA and Foam Sclerotherapy include swelling and bruising however this should subside over the following weeks.

Common side effects from VenaSeal treatment includes mild pain in the treatment area, inflammation and skin numbness. Again this should only last up to 2 weeks.

 

Varicose veins treatments are walk-in, walk-out procedures with the majority of patients able to return to everyday activities straight away.

We do advise that any strenuous exercise is avoided for at least 5 days and should be returned to at a gradual pace. This is to avoid unnecessary injury but it is recommended that you take regular walks to keep active.

We do not recommend that you drive yourself home following your varicose vein treatment.

We advise that after varicose vein treatments you wear the compression stocking for two weeks. You can remove it for showers.

We recommend that you do not travel on a plane for at least 3 weeks after your varicose vein treatment.

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