This is a simple and pain free procedure which involves injecting the troublesome vein with a harmless liquid or foam sclerosant. When injected, the foam causes the vein to contract and close up. Eventually the vein becomes a thin fibrous strip before finally disappearing for good.
This technique will deal with most veins except the very large ones and can be used to tidy up the leg after vein surgery or thermal procedure. Using foam instead of liquid, this new technique is able to treat large varicose veins.
Once the initial treatment has been carried out, we recommend a top up treatments a year to maintain trouble free legs. It will avoid the need for major treatments at a later date.

Particularly recommended for medium and big varicose veins
The procedure, similar to the previous one, uses the same sclerosing
product in foam form rather than in liquid form.
It is suitable for treating varicose veins of varying depths.
The needle used for the sclerosing injection is guided under ultrasound
control to the targeted area.
The result is a more powerful action, particularly useful when the varicose
veins are large. Efficacy and safety are enhanced

Microsclerotherapy is one of the best techniques for the treatment of thread veins (or spider veins or dermal flares). It is extremely quick, painless and a cost effective way of treating such conditions.
Very fine needles are used to inject a sclerosing solution causing the vein to contract and disappear gradually
This procedure is very effective but must be carried out by an experienced angiologist.
A precise protocol must be followed in terms of injection strategy and dosage to obtain the optimum result without the risk of residual discoloration.
It is not always easier to treat these small varicosities than large varicose veins. An aesthetic result is always expected.
Several injections are performed during the same session
Several sessions may be necessary depending upon the extent of the dilated network.
There is no need in wearing elastic support after microsclerotherapy

Endo-Venous Laser Therapy
(EVLT) Available in the UK, endovenous laser therapy (EVLT) delivers laser energy (heath) through a small puncture in the leg, usually around the knee, to close the affected vein. EVLT is suitable for the main superficial veins (saphenous veins) and is performed using ultrasound guidance and a local anaesthetic; It allows a less invasive approach to the treatment of varicose veins. The procedure can be undertaken in less than an hour and patients are encouraged to return to their daily routine as soon as possible afterwards. Any post-operative discomfort can usually be remedied with painkillers.
VNUS Closure
Very similar to the EVLT, VNUS Closure is also a very effective non surgical
treatment for large varicose veins, offering less pain, excellent cosmetic
results and no scarring. It provides a very quick return to normal
activities, with very low reoccurrence rates. VNUS Closure delivers radio
frequency heath through a small puncture in the leg and is performed
using ultrasound guidance under local or general anaesthetic.

Surgery is no longer considered the best method for treating big varicose veins. Anaesthesia, recovery period, scars, pain can usually be avoided with the modern techniques such as Thermal ablation or Ultrasound guided foam sclerotherapy.
However, there are still some indications for operating on the most complex varicose veins. It may be necessary to combine surgery with one or other of the thermal methods.