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Varicose Veins

Varicose veins are swollen and enlarged veins that are usually blue or dark purple. They may also be lumpy, bulging or twisted in appearance.

Varicose veins develop when the small valves inside the veins stop working properly. In a healthy vein, blood flows smoothly towards the heart. The blood is prevented from flowing backwards by a series of tiny valves that open and close to let blood through. If the valves weaken or are damaged, the blood can flow backwards and can collect in the vein, eventually causing it to be varicose (swollen and enlarged).

For most people, varicose veins do not present a serious health problem. They may have an unpleasant appearance, but they should not affect the circulation or cause any long-term health problems.For this reason many people are seeking a cosmetic treatment to remove unsightly veins.

It is not a cosmetic surgeon who carries out these procedures it is a Vascular consultant. We have two Vascular consultant working alongside our team at Nuffield Health Glasgow Hospital, Mr Domanld Bain and Mr Paul Tennan.

An Initial Consultation is required to see which procedure will be suitable for your veins.

An Initial Consultations is £150. 

There are now a number of different procedures to remove varicose veins. The following treatments for varicose veins are available at our clinic


VNUS Closure
Radiofrequency (RF) endovenous ablation is a minimally invasive procedure for treating venous reflux disease, using RF to heat and seal diseased veins thereby reducing or eliminating existing varicose veins. With the VNUS® ClosureFAST™ catheter, the only RF ablation device on the market today for the treatment of venous reflux, radiofrequency energy is delivered through a heating element 7 cm long to heat the collagen within the vein walls and cause the shrinkage and collapse of the vessel.

The procedure is generally performed using local anesthesia, although may be done under general anaesthetic, typically in a hospital theatre or an outpatient facility. The ClosureFAST catheter is inserted into the vein through a tiny incision below the knee. Guided by ultrasound imaging, the vascular surgeon treats each 7cm. segment of vein with a 20-second burst of RF energy, causing the vessel to shrink around the catheter. The vascular surgeon withdraws the catheter, treating each segment until the entire vessel has been sealed. An average 45cm length vein can be treated in this manner in three to five minutes.

Prices:

Radiofrequency ablation of varicose veins (VNUS) £2,420
Radiofrequency Bilateral Ablation (VNUS) £2,910

EVLT
EVLT™ is used to treat patients with lumpy varicose veins in the legs. It cannot be used to treat very small veins which are often called ‘spider veins’, ‘broken veins’ or ‘flare veins’. The procedure begins with an ultrasound scan to mark the position of the vein in the leg to be treated. An injection of local anaesthetic is then given to freeze the skin over the vein

A small needle is inserted into the vein at this point and a flexible wire is passed up the vein toward the groin. You will not feel this
A fine tube is then passed over the wire into the vein and the laser fibre is threaded up this tube. The position of the laser fibre is checked with an ultrasound scan and more local anaesthetic is injected around the vein to minimise any discomfort when the laser is turned on. The laser is turned on and the laser fibre slowly withdrawn from the vein. As it moves the laser fibre closes up the vein from the inside.

When the whole vein has been sealed up the laser fibre is removed and bandages applied to the leg you should keep the bandage on for 7 days and then wear a support stocking (which we will give you) for a further week. During this time it is advisable to walk as much as possible. 

Prices:

 Endovenous laser treatment (EVLT) £2,500
 Endovenous laser treatment (EVLT Bilateral) £3,390

Sclerotherapy
Sclerotherapy, or injection therapy, is one minimally-invasive alternative to surgery. Sclerotherapy exists in two forms: liquid sclerotherapy and ultrasound guided foam sclerotherapy. They both use an irritant chemical which when injected into a varicose vein, can cause it to disappear. Liquid sclerotherapy is typically used to treat small calf varicose veins which may persist after varicose vein surgery. Ultrasound guided foam sclerotherapy uses a foam form of the same agent and allows accurate placement of the foam directly into the problematic vein. This particular form of sclerotherapy is now used extensively across the UK and in addition to treating calf veins, is now used to treat larger varicose veins in the leg. It is a relatively painless treatment and does not usually require any anaesthetic. Complications are rare although a little skin staining can occasionally result.

Foam sclerotherapy of varicose veins under US Guidance £870
Foam sclerotherapy of varicose veins under US Guidance-Bilateral £1,130
Bilateral Varicose Veins Injection Sclerotherapy £460
Unilateral Varicose Veins Injection Sclerotherapy £340
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