McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Date posted — 2.10.24
If you’re struggling with the discomfort, swelling, or unsightly appearance of varicose veins, Radiofrequency Ablation (RFA) could be the solution you’ve been looking for. This minimally invasive procedure uses radiofrequency energy to target and close off problematic veins, providing long-lasting relief with less discomfort and downtime than traditional surgery.
In this guide, we’ll explore everything you need to know about RFA – from how it works to what you can expect during the procedure, what the recovery is, and the benefits it offers over other treatment options and the benefits some newer treatments like VenaSeal™ might have over RFA. Ultimately, there are lots of choices when it comes to treating varicose veins.
RFA is a minimally invasive medical procedure used to treat varicose veins by using radiofrequency energy to heat and close off the affected veins. It is part of a group of techniques referred to as ‘endovascular’ procedures because they involve operating inside the vein rather than outside of it in the traditional approach. RFA involves inserting a small catheter into the vein, where radiofrequency energy is delivered, causing the vein walls to contract, collapse, and eventually be absorbed by the body.
RFA was introduced in the late 1990s and early 2000s as an alternative to more invasive surgical treatments like vein stripping. Around the same time, another option known as endovenous laser ablation (EVLA) was also developed.
EVLA employs a very similar technique by delivering heat to destroy the inside of the problematic blood vessels, although it uses laser energy to deliver the heat. Both RFA and EVLA are similarly very effective, although RFA is associated with fewer side effects and is generally considered to be the superior method.
Dr Alex Vesey is our expert consultant vascular surgeon who heads up our varicose vein team. Listen to him explain the RFA treatment.
Before: Before the procedure, you’ll first have a consultation with a specialist vascular surgeon who will assess your varicose veins from taking a medical history, performing a thorough examination and an ultrasound scan to assess the anatomy of your veins. This helps determine the best veins to treat and ensures that RFA is the right option for you. On the day of the procedure, you’ll be asked to wear loose-fitting clothing and underwear that you don’t mind getting antiseptic on. You will be asked to sign an informed consent form before you go into the treatment room (a copy of this will be emailed to you in advance so you have plenty of time to read before you sign).
During: The procedure begins with the patient lying down on the treatment table and the affected leg is then cleaned and sterile drapes are applied. The doctor then makes a small incision near the knee or lower leg to insert a thin catheter into the problematic vein, guided by ultrasound imaging for precise placement. The doctor then injects a high volume of dilute anaesthetic – known as tumescent anaesthetic – along the length of the vein to be treated. As well as providing anaesthesia, this also helps to absorb the heat that is delivered to the vein during the procedure and reduces the chances of injuring surrounding tissues, like nerves. The catheter position is then rechecked and radiofrequency energy is delivered through the catheter, heating the vein walls and causing them to collapse and seal shut. This process is repeated along the length of the vein, effectively closing it off. The procedure typically takes about 30 to 60 minutes.
After: After the RFA procedure, a compression bandage or stocking is applied to the treated leg to help reduce swelling and promote healing. Most patients can stand up and walk immediately after the procedure, which is encouraged to help circulation. You may experience some discomfort, bruising, or swelling, but these symptoms usually subside within a few days. It’s generally recommended to avoid strenuous activities for about a week, but most people can return to their normal routines within a day or two. We will arrange to see you back in the clinic to assess the results, typically a few months after treatment since this is how long it takes for the veins to be reabsorbed by the body and for us to be able to assess the outcome.
Endovascular treatment with RFA offers significant benefits over traditional surgery for treating varicose veins.
One of the main advantages is its minimally invasive nature, which involves only a small incision and causes far less trauma to the surrounding tissues compared to traditional vein-stripping surgery. This leads to a quicker recovery time, allowing patients to return to their normal activities, often within a day or two, as opposed to the longer downtime required after surgery. RFA also typically results in less pain, bruising, and scarring, which improves patient satisfaction both during and after the procedure.
Additionally, because RFA uses radiofrequency energy to precisely target and close off the affected veins, it reduces the risk of complications such as nerve damage, which can be more common in traditional surgical approaches. Not everyone is suitable for RFA – which is why your initial consultation and ultrasound scan assessment are so important to make sure you get the best treatment option for your particular condition.
VenaSeal™ is a more recent innovative and effective option for the endovascular treatment of varicose veins, gaining FDA approval in 2015. VenaSeal™ uses a medical adhesive instead of heat to close off problematic veins.
The procedure involves inserting a small catheter into the vein and applying the adhesive, which bonds the vein walls together, causing the vein to seal shut and be gradually absorbed by the body. Compared to RFA, VenaSeal™ offers several advantages: it requires no heat or tumescent anaesthetic injections, which can reduce discomfort and eliminate the need for compression stockings after the procedure.
Additionally, VenaSeal™ has an even quicker recovery time – often allowing patients to resume normal activities almost immediately. While RFA remains a highly effective treatment with a proven track record, VenaSeal™ offers the same levels of effectiveness with less pain, inconvenience and downtime which is why it now accounts for around 50% of varicose vein treatment in the USA.
We are the first clinic in Scotland to introduce what is now considered to be the gold standard treatment for varicose veins.
If you’d like to find out if Radiofrequency Ablation (RFA) 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.
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but...
When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...
Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet.
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Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but...
When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...
Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet.
So here she is! The one we’ve all been waiting for 😍 This is Lorraine 5 days after her Quantum lift. She’s still at home recovering because she had her body done too (more on that soon), so she’s not been back in the clinic for proper after photos yet. But she’s already delighted and sending the dreamteam these selfies from home. She’s obviously still very early and a bit swollen, but I think we can all see where this is heading already! I’m very excited for Lorraine… and for all of our lovely patients who are already booked for Quantum. This is a game changer for loose skin!
Thank you to this lovely patient for allowing us to share her upper blepharoplasty results, by the phenomenal @bramhallplasticsurgery .
This patient is 62 and came to us feeling self-conscious about the heaviness and puffiness of her upper eyelids. She`d found herself regularly raising her eyebrows just to lift the skin away from her eyes and had noticed a shadow appearing when she looked upwards and outwards, which was beginning to affect her peripheral vision.
Heavy upper eyelids can really knock people`s confidence, especially in social situations and in photos, and yet it`s one of the most straightforward areas to address.
The procedure itself takes around 45–60 minutes and is carried out while patients are awake under local anaesthetic. The scars sit within the natural crease of the eyelid, making them almost impossible to spot once healed
This is just 2.5 months post-surgery, and her scars are already settling beautifully. They`ll continue to fade over the next 12 months.
What do you think?
Yesterday was a big day in the clinic! We officially launched the game changing Quantum RF technology in the clinic. Quantum allows us to take liposuction to another level. We’ve got power assisted lipo which allows us to sculpt more, we’ve got ultrasound assisted lipo which allows us to melt the fat for more gentle removal. Now we’ve got quantum that allows us to follow this up with a treatment to shrink the skin down. It means patients who may previously have needed excisional surgery - like tummy tuck, or arm lift or thigh lift or even facelift - can be successfully treated without long scars. This is truly game changing technology and we are so excited to be the first in Scotland to introduce it. Can you guess who our first patient was? 👀
Here`s a wee update on this lovely patient who is now further along in her Regenerative Facelift journey.
We have combined Juläine PLLA and Sofwave ultrasound skin tightening, and you can see exactly what that pairing delivers: softer contours, improved structure, and a natural-looking result that`s still continuing to develop.
Juläine works by stimulating the body`s own collagen production, gradually restoring structure and support from within. Sofwave works alongside that by firming and lifting the skin at a deeper level. Together, they address the scaffold and the skin.
She`s looking fresher and is absolutely delighted. What do you think?
And if you`ve been thinking about a non-surgical approach to facial rejuvenation, what questions do you have? Drop them below.
Thank you to this lovely patient for allowing us to share her results!
The deep plane face and neck lift is one of the most technically challenging procedures in plastic surgery. It takes 6-8 hours of painstaking dissection to carefully release the retaining ligaments of the face so the face can be properly lifted and repositioned, rather than simply pulled tighter around the edges.
Few surgeons have the technical skill to pull this off - and we are very proud of @bramhallplasticsurgery for being one of them. It’s a challenging procedure to get right, but when the results are this good, it’s definitely worth it!
What do you think?
Thank you to this lovely patient for allowing us to share her results.
Varicose veins are something we see a lot of in the clinic, and they can have a real impact beyond how they simply look - aching, heaviness and discomfort are common reasons for patients deciding to come and get them fixed. Now that summer is approaching, this our peak time of year for patients coming to look for a fix.
This patient was treated by the wonderful Dr Alex Vesey using a combination of Radiofrequency Ablation (RFA) and microphlebectomy. RFA works by delivering targeted heat energy to close off the affected vein from the inside, while microphlebectomy allows the smaller surface veins to be removed through tiny incisions. Together, they address both the underlying cause and the visible result. Both procedures are done under local anaesthetic, which means you can get up and walk out immediately after surgery.
The patient is absolutely delighted with her outcome. What do you think?
Hey everyone! We’ve had loads of people messaging asking about the Quantum Lift and I wanted to make this video to give you so more details.
Totally non-invasive procedure for skin tightening - like Sofwave - are a huge part of what we do in the clinic. We also do a lot of deep plane face and neck lifts, which are the gold standard way to improve the jawline and neck.
But there is a big group of patients who need more than Sofwave, but aren’t ready for surgery. Or do need surgery, but don’t want to commit to the expense or invasiveness of surgery. These are the patients The Quantum Lift is for.
Let us know what you think in the comments below. And if you have any questions, send a pic by DM or email and we can give you an opinion 😍
Quantum Liposuction! I am SUPER excited to let you know we will be the first in Scotland to offer what is now regarded internationally as the new gold standard technique in liposuction.
We are making a big investment to bring a whole range of cutting edge technology to the clinic to allow us to take our liposuction and body contouring work to the next level.
First we melt the fat using ultrasound. Next we use power assisted liposuction to remove the fat. Finally, we use Quantum RF to tighten the skin. Quantum RF is the new innovation that is taking the body contouring world by storm. It’s an excellent option for patients who need more than a bit of liposuction, but aren’t quite ready for full tummy tuck or arm lift or thigh lift.
Dr Kavita will be doing all of the body contouring procedures under sedation, which means you will be asleep throughout. I will also be using the technology to help shape the jawline and chin and lift the jowls. You can read more about the treatment at the link in our bio.
Let us know what you think in the comments below!
Let`s talk about Mounjaro / Ozempic face!
It feels like everyone is on weight loss drugs right now, and they`re incredible for transforming bodies and health, but rapid weight loss has a real impact on the face.
This lovely patient lost an incredible 6 stones in just twelve months on Mounjaro and loved the results, but felt the life had been sucked out of her face. She naturally had a fuller, more plump face that looked youthful but the rapid weight loss diminished that.
There`s a lot of conversation right now about the best way of tackling it aesthetically and there are different options available. However, since loss of volume is the key driver of the changes, restoring the volume needs to be a central component of how we treat it - which is exactly what we did here.
This is the patient a couple of weeks after 10mls of HA filler in the mid and lower face. She is over the moon that she now has the body and health profile she wanted, but got her face back too!
The best of both worlds. What do you think?