At the Hunar Clinic, we offer three different non-invasive treatments for varicose veins: EVTA, sclerotherapy and phlebectomy. Find out how each of the three treatments works.
We offer three different non-invasive treatments for varicose veins:
- endovenous thermal ablation (EVTA),
- sclerotherapy, and
Find out how each of the 3 treatments works in the process tab.
When should you consider varicose veins surgery?
Varicose veins don’t always need to be treated. If your varicose veins aren’t causing you pain or discomfort, you may not want to have a treatment.
Treatment of varicose veins is usually necessary if you want to:
- ease the symptoms – if your varicose veins are causing you pain or discomfort,
- treat complications – such as leg ulcers, swelling or skin discolouration, or
- change the way your legs look for cosmetic reasons
Endovenous thermal ablation (EVTA) is a quick, minimally invasive procedure that leaves no scars and is performed using a local anaesthetic. Using an ultrasound to identify the location, the surgeon will insert a catheter into the vein to be treated. This is typically done just below the knee, or at ankle level.
Using ultrasound, the surgeon will inject a solution of saltwater and anaesthetic agent along the length of the vein to be treated. Following this, thermal ablation will be performed. The heat energy damages the vein walls, shrinking them and closing the faulty vein so that the blood cannot flow through it. This eliminates vein bulging at its source. After treatment, the blood in the faulty veins will be diverted to the many normal veins in the leg.
Sclerotherapy uses an injection of a special chemical (sclerosant) into a varicose vein with a catheter which will cause the vein to close. The catheter and sclerosant are guided to the affected vein with the help of duplex ultrasound.
The sclerosant can cause a feeling of burning or cramping for a few minutes in the area where it was injected. You may need repeated sessions and many injections each session, depending on the extent of the varicose veins and type of sclerosant used.
Phlebectomy uses tiny incisions to remove a vein. A small scalpel or needle is used to make very small incisions close to the vein. A phlebectomy hook is used to remove the veins. The hook is similar to a tiny crochet hook with a blunt tip and a straight shaft. The treatment is done under local anaesthesia and most procedures are completed in a single visit. A second visit may be required for patients who need to have multiple veins removed.
How long will it take?
- EVTA takes approximately 45-60 minutes,
- sclerotherapy takes 5 to 30 minutes, depending on how many varicose veins are treated and how big they are, and
- a phlebectomy procedure takes between 30 minutes to an hour.
Will it hurt?
EVTA, sclerotherapy, and phlebectomy procedures are carried out under local anaesthetic so you won’t feel discomfort during the procedure. Some patients may experience a little discomfort afterwards but it’s minimal.
To find out more about our varicose vein removal treatments book a consultation with our experienced vascular surgeon.
You will be able to go home a few hours after an EVTA treatment. Full recovery can take one to two weeks. Dr Kyriakides will give you specific instructions to follow after the surgery until your incision heals adequately. You can continue your usual activities, but avoid vigorous exercise for about 1 week. You will need to wear compression stockings for 1 week or more.
Walking immediately after the procedure is encouraged. There may be minor soreness and bruising. Any discomfort can be treated with an over-the-counter (non-aspirin) pain reliever as required.
After a sclerotherapy treatment, pressure is applied over the veins to prevent blood return when you stand up. You may need to wear compression stockings for several days or weeks to maintain the pressure. You will likely be able to walk immediately after the treatment. Avoid strenuous exercise for 1 week after the procedure. Walk every day for at least 10 minutes. Try not to sit or lie down for long periods of time.
Once a phlebectomy procedure is complete, a dressing is applied to the treated area, and a compression garment may also be provided. The dressing and garment promote optimal healing and recovery while also reducing swelling, bruising and any minor discomfort that can occur. You’ll need to keep the dressing on for the first 24 hours for the initial healing period. During those 24 hours, you may notice some drainage from the incisions sites. This is completely normal and typically resolves after the first day. After 24 hours, you can remove the dressing but continue to wear the compression garment for about two weeks.
We always suggest you should plan to have a relative or friend drive you home after your procedure.
The cost of varicose vein surgery is a big factor when considering a procedure, but by no means should this be the most important aspect.
Below are guide prices for treatments, Dr Kyriakides will give exact prices after the consultation assessment. He will consider which treatment or combination of treatments is best for you, the number of areas being treated and whether they can all be treated in “one sitting” when calculating the cost.
The anticipated degree of difficulty of the particular procedure is also a consideration.
EVTA from £2350
Liquid sclerotherapy from £400 per session
Foam sclerotherapy from £600 per session
Phlebectomy from £1200 per session
Is varicose vein treatment available on the NHS?
Am I too old for varicose vein treatment?
Can all of my veins be treated in one sitting?
How soon will I see the results?
Can varicose veins return after treatment?
How quickly can I return to regular activities after treatment?