Laser treatment of varicose veins
Laser technology can now be used for treatment. The consultants can offer a one-stop diagnosis using a Duplex scanner which means only one visit to the clinic is necessary before treatment. Most patients will be suitable for laser treatment which can be performed under local anaesthetic and involves a much shorter recovery time. A general anaesthetic under theatre conditions can still be used, if preferred by the patient.
VNUS Closure of Varicose Veins
The principle is exactly the same as for laser treatment except that a gentler heat is used - it is generated by radiofrequency waves.
"Traditional" Open-type Varicose Vein Surgery
When carried out by an experienced surgeon and with intra-operative ultrasound guidance, this is still considered by most experienced vascular surgeons to be the gold-standard.
Micro-Injection-Sclero-Therapy of Thread Veins
In micro-injection sclerotherapy (MIST) an irritant solution is injected into the thread veins - also called spider veins and telangiectasias. This causes inflammation and destruction of the venule and, with time, the body's scavenging cells - the macrophages - clear the area leaving a very gratifying cosmetic result - as soon as six weeks with the fine thread veins but, occasionally, with the larger thread veins or reticular veins, there may be brownish skin-staining which can take up to two years to clear. Indeed, with larger varicose veins, the staining may never clear completely.