Thread Vein Removal (Microsclerotherapy)

With Dr Martina Pirklova

Thread vein removal at Bare Essentials with Dr Martina Pirklova

WHAT IS MICROSCLEROTHERAPY?

Microsclerotherapy is the treatment designed to manage problem veins from telangiectasia to small reticular veins. The best treatment for these small veins is using a sclerosing agent such as Fibrovein. Lasers are sometimes used to treat thread veins in the legs, but comparative trials show microsclerotherapy to be superior. (Laser is superior for the face.) If you also have larger varicose veins, then treating these is often also necessary to control the appearance of more thread veins.

WHICH PARTS OF BODY CAN BE TREATED?

Your initial consultation is very important for assessment of veins you are concerned about but we can generally treat any minor thread veins on the body and legs (microsclerotherapy is not indicated for any veins below your ankles and on your feet).

WHAT IS FIBROVEIN?

Fibrovein is the trade name of a detergent based chemical called sodium tetradecyl sulphate and is licensed for treatment of varicose veins and thread veins.

HOW DOES FIBROVEIN WORK?

Fibrovein blocks the veins by irreversibly damaging the blood vessel walls. The solution irritates the lining of the vein causing the walls of the vein to stick together. Blood stops flowing through the veins which are then absorbed by the body’s natural defence mechanism.

WHAT IS THE PROCEDURE?

The area of thread veins to be treated is cleaned with an alcohol or antiseptic.

An ultra fine gauge needle is inserted into the lower layer of the skin. Once a vein has been entered the solution is injected slowly for 15 – 20 seconds until the area of thread vein disappears or skin bleeding / or a visible pink reaction occurs.

The needle is removed and pressure applied to the injection site with sterile gauze . The process is repeated on other areas of thread veins in the same leg. Once the procedure is complete, compression stockings are applied.

The procedure takes approximately 45-60 minutes.

WHAT SHOULD I DO AFTER MY TREATMENT?

· Take a brisk walk immediate post treatment

· Wear the compression hosiery day and night for first 3 days and daytime only for 2 weeks

· Avoid extreme temperatures avoid sun exposure

· Avoid flying for 4 weeks

· No leg waxing for 6 weeks

· Avoid high impact exercise for 2 weeks

· Keep mobile encouraging daily walking

WHEN CAN I RETURN TO WORK?

You will be able to return to work almost immediately.

WHEN CAN I DRIVE?

You can commence driving as long as the discomfort allows.

WHAT RESULTS AM I LIKELY TO GET?

Some bruising may appear and can last anything from two weeks to three months depending on the size of the blood vessels treated. The treated areas can look worse before they improve as a result of the bruising. With patience a good result is achieved. .

Some patients need more than one treatment to get the best results. I would recommend further treatment after three months if any remaining veins have not disappeared.

Whilst there are no perfect results, 60% of people experience a very good result cosmetically. Patients find that over time a few more thread veins may appear and it is common for an annual or bi-annual tidy-up visit.

The common side effects and complications are:

Bruise, Raised Red areas, Aching in the leg, Brown lines or pigmentation marks on the skin, Matting

Very rare complications associated with this treatment are allergic reaction, ulcers, migraine, deep vein thrombosis, inflammation and stroke.

IS THERE ANY REASON WHY I WOULD NOT BE SUITABLE FOR MICROSCLEROTHERAPY?

Careful consideration is given if you have any of the following problems:

· Presence of varicose veins

· immobility

· uncontrolled diabetic

· pregnancy and breastfeeding

· known allergy to Fibrovein

· history of deep vein thrombosis

· ischemic heart disease and arterial disease.

· thrombophlebitis

· varicosities caused by pelvic/abdominal tumours

· patients on warfarin

· patients with pacemaker

· infectious skin conditions

· obesity

· planned long flights

HOW MANY SESSIONS WILL I NEED AND HOW MUCH DOES IT COST?

Generally speaking, we recommend to plan for 2-3 treatment sessions approximately 2-3 months apart. It takes up to another 3 months after your visit before you see the final result.

1. ASSESSMENT

This is simply 15 minutes long appointment when we carefully assess those veins your are concerned about and advise you whether this treatment will give you a good results. We also measure your legs for your hosiery provided after the first treatment. There is no charge for your consultation.

2. 30-60 MINUTE TREATMENT SESSIONS

The length and the number of treatment sessions required is very individual and we will try to create a treatment plan based on your needs. Please try to be prepared for 2-3 treatments as a minimum. These appointments are typically 2-3 month apart.

1ST SESSION (including high quality hosiery) from £300

ANY ADDITIONAL SESSIONS from £250