Exploring different treatments to get rid of varicose veins

Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet.

Published by Dr Alex Vesey

Date posted — 7.10.24

What are varicose veins?

Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet. They can be blue, purple, or flesh-coloured and are often raised, giving a bumpy or rope-like appearance on the skin’s surface. These veins develop when the valves in the veins that regulate blood flow become weakened or damaged, causing blood to pool and the veins to enlarge.

While varicose veins are generally more common in older adults, women, and those with a family history of the condition, factors such as prolonged standing, obesity, and pregnancy can increase the risk.

What are the symptoms of varicose veins?

The symptoms of varicose veins can range from mild to severe. Some people may experience aching, heaviness, or cramping in the legs, particularly after standing or sitting for extended periods. The affected area might also feel itchy or develop a burning sensation.

In more severe cases, varicose veins can lead to swelling, throbbing, and even skin changes, such as discolouration or the development of ulcers near the ankles. The condition is not only a cosmetic concern but can also cause discomfort and, in some cases, lead to more serious circulatory problems.

Best treatment to get rid of varicose veins

The best treatment options for varicose veins depend on the severity of the condition, the symptoms experienced and the anatomy of the problematic veins. A detailed clinical review by an expert vascular surgeon, along with a detailed ultrasound scan, will delineate the optimal treatment.

For mild cases, lifestyle changes can be effective in managing symptoms. These include regular exercise to improve circulation, elevating the legs when resting, and wearing compression stockings, which help to reduce swelling and discomfort by improving blood flow in the affected veins. Weight management and avoiding prolonged periods of standing or sitting can also alleviate symptoms and prevent the condition from worsening.

For more severe cases or when lifestyle changes are insufficient, medical treatments may be necessary. Sclerotherapy is a common procedure where a solution is injected into the varicose veins, causing them to collapse and eventually fade. This is most suitable for smaller veins just below the surface of the skin.

The next level of treatment is endovenous treatment, which means operating inside the problematic veins to cause them to collapse. Traditionally, this has been done using either laser or radiofrequency energy to close the affected blood vessels down.

More recently, the VenaSeal™ procedure has been introduced. This is an even less invasive option which uses a special glue to close the veins down.

In cases where these treatments are ineffective or unsuitable, invasive surgical options like vein stripping or phlebectomy may be recommended to remove or tie off the affected veins.

Consulting with an expert vascular surgeon is essential to determine the most appropriate treatment plan based on your individual needs and the severity of your condition.

Expert Video

Dr Alex Vesey is our expert consultant vascular surgeon who heads up our varicose vein team. Listen to him explain your options for varicose vein treatment.

Treatment to get rid of varicose veins on the legs

Varicose veins can theoretically happen anywhere on the body but most commonly affect the veins on the legs. Several treatments are available to target and remove varicose veins in the legs specifically.

Endovenous laser treatment (EVLT) and Radiofrequency ablation (RFA) are minimally invasive procedures that remain very popular because they avoid the need for traditional surgery. Both procedures are performed under local anaesthetic and involve inserting a thin tube inside the vein and destroying the vein by delivering heat to close the vein down. Both of these treatments offer a high success rate with less discomfort and scarring than traditional surgery.

The newer VenaSeal™ procedure causes even less discomfort by closing the vein using glue rather than heat. This allows patients an even more rapid return to normal activities without the need to wear compression stockings.

For veins that are not suitable for these treatments, sclerotherapy is a widely used option, especially for smaller varicose veins or spider veins in the legs. During sclerotherapy, a solution is injected directly into the vein, causing it to collapse and gradually be absorbed by the body. Multiple sessions may be required depending on the extent of the varicose veins.

An alternative treatment for smaller veins is a minor surgical procedure called microphlebectomy. This involves making tiny incisions under local anaesthetic to remove problematic veins. While slightly more invasive than sclerotherapy injections, microphlebectomy can be very effective because it physically removes the vessels, which means they cannot come back.

Consulting with an expert vascular surgeon is essential to choosing the most appropriate treatment based on the specific characteristics of the varicose veins in the legs.

Treatment to get rid of spider veins

Spider veins are small, web-like veins often associated with varicose veins. To treat these, several effective treatment options are available.

Sclerotherapy is the most common and widely used method. In this procedure, a solution is injected directly into the spider veins, causing them to collapse and fade over time. The body gradually absorbs the treated veins, leading to an improved appearance. Sclerotherapy is minimally invasive, typically requires no anaesthetic, and can be done in the outpatient clinic. Multiple sessions may be needed depending on the size and number of spider veins.

Another popular treatment for spider veins is laser therapy. This approach uses focused light energy to target and heat the affected veins, causing them to collapse and eventually disappear. Laser therapy is particularly effective for small, delicate veins that may not be suitable for sclerotherapy. The treatment is non-invasive, and while some patients may experience mild discomfort during the procedure, it generally requires no downtime. In addition to these treatments, maintaining healthy lifestyle habits, such as regular exercise, weight management, and avoiding prolonged periods of standing, can help prevent the development or worsening of spider veins.

Interested in treating varicose veins?

If you’d like to find out which varicose veins treatment is the right treatment for you, the first step is to fill out our online consultation form. From there, our team will be able to arrange an initial consultation and ultrasound scan, and we can work together to create a treatment plan that is tailored to your needs.

Dr Alex Vesey

Our vascular surgery service is led by Dr Alex Vesey. Alex is a highly skilled vascular surgeon with extensive experience in diagnosing and treating a wide range of vascular conditions. With a focus on minimally invasive techniques, Dr. Vesey is dedicated to providing patients with the most advanced and effective treatments for venous diseases, with a particular interest in the treatment of varicose veins.

Related Articles

Varicose veins

Everything you need to know about VenaSeal™ vein treatment

When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...

Varicose veins

RFA vs EVLA treatment for varicose veins

Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but...

Varicose veins

Foam Sclerotherapy: Why choose this for treating varicose veins?

Foam sclerotherapy is an advanced form of sclerotherapy used to treat larger varicose veins, particularly those that may not respond...

This patient had deep lines and folds in her face which she wanted to address as naturally as possible, so went for our signature volumetric facelift - a fully non-surgical approach but can have significant results.

With this, we want to restore natural lift, structure and definition to her face and by carefully rebuilding volume where it’s been lost, we softened her folds and lines while maintaining a completely natural expression.

The patient is delighted is really pleased with her result so far - what do you think?
Here's another fabulous result from our amazing consultant vascular surgeon, Dr Alex Vesey. 

This patient was bothered by visible varicose veins around her knee. After treatment with foam sclerotherapy the veins have been cleared, leaving behind smoother, and healthier-looking skin.

If you have varicose veins that have been bothering you, now is a great time to have them treated. We use the minimally-invasive techniques to treat both the cosmetic and medical aspects of varicose veins, and can offer effective treatments with little to no downtime. 

If you’d like to know more about how we can help with varicose veins, check the link in our profile.
Thank you to this lovely patient for allowing us to share her results. 

She wanted some help with her jowls, so we used some filler to restore structure in her cheeks, chin and jaw. She was delighted with the immediate improvement. 

What do you think?

If you'd like to know more about how we can address jowls, visit the link in our profile.
When four become five! The newest Cronin-McKeown decided she was so excited to meet her daddies and big sister that she arrived a month early. Despite almost giving her daddies a heart attack with her premature appearance, Ottilie is absolutely thriving and Ophelia already loves being a big sister ❤️
Thank you so much to our incredible patient for allowing us to share her results with you. The patient was bothered by the appearance of her jowls which were, predominantly, the result of volume loss from the face. 

We restored volume in all the key areas of the face to give her a nice, subtle rejuvenation. She is over the moon with her results. What do you think?
I am VERY excited to let you know about the newest recruit to the Dream Team - Dr Kavita Sharma. Kavita is a fully qualified consultant plastic surgeon who specialises in breast reconstruction for cancer patients in the NHS, as well aesthetic surgery of the breast. 

She is going to be performing predominantly breast and body surgery with us (including gynaecomastia surgery for men with enlarged chests!). Aside from being a highly technically-skilled plastic surgeon, what is exciting about Kavita is that she is one of the few female plastic surgeons performing aesthetic surgery. 

She has an excellent intuitive understanding of aesthetics as well as the needs and wants of aesthetic surgery patients. 

I am sure you are all going to love her as much as we do!

Join us on Instagram to keep up with the latest results and expert insights from the clinic team.