Indications

Although the presence of varicose and thread veins is usually obvious, a thorough, sensitive and honest consultation with a specialist is of paramount importance in order to establish if microsclerotherapy or diathermy would be the right treatment for your venous problems. SFMedica has been treating telangiectasia, thread and reticular veins with great success.

The long term success of the treatment depends on a thorough consultation, an individualised treatment plan for your venous problems and adherence to the aftercare instructions.

Your first consultation will last at least 30 minutes with your doctor asking questions about your medical history to ascertain the underlying cause of your venous problem and identify any potential contraindications that would render microsclerotherapy and/or diathermy the wrong treatment choice for your prominent veins. You will also be physically examined as part of the pre-treatment assessment.

It is vital to inform your doctor if you are pregnant or breast feeding, take any blood thinning medication or steroids, have a past history of deep vein thrombosis (DVT), suffer from any blood disorder such as thrombophilia, are diabetic or immunocompromised. You should also notify your doctor of any allergies to foods or medicines. A test dose may be required 24 hours prior to your treatment.

Consultation and pre-treatment assessment are free of charge and take place at the London Slimming & Cosmetic Centre.

Pre-treatment assessment consists of

  • Medical history – you will be asked to fill in a medical questionnaire in addition to a thorough investigation into the cause of your prominent veins including any risk or precipitating factors.
  • Physical examination (for leg veins) - the extent of your varicose or thread veins will be assessed followed by a physical examination checking your pulses and any swelling or skin changes associated with your prominent veins. Finally a Doppler will be used to detect venous blood flow in major veins of the affected leg(s) - please wear ‘large knickers’ and/or a long T-shirt as a proper physical examination and assessment of your venous flow cannot be achieved if clothing is in the way. This is a very important step in identifying any potential venous reflux in the presence of thread and varicose veins. Reflux is abnormal retrograde flow of blood in the veins. Reflux occurs if vein valves are absent or incompetent. Patients with suspected venous reflux are not good candidates for sclerotherapy and should be referred for more comprehensive vein imaging by Duplex ultrasound.
  • Consent – you will be asked to sign a consent form following a detailed explanation of the recommended treatment as well as all possible benefits and complications.
  • Measure of your hosiery (for leg veins) – Graduated Compression Hosiery is an integral part of the aftercare following leg vein treatment with sclerotherapy. Graduate medical grade, measured and fitted compression hosiery applies a precise amount of pressure greatest at the ankle and gradually decreases that pressure toward the top of the stocking. External compression can augment the body’s natural muscle pump, improving venous flow by returning distended veins to normal size and restoring the competency of the valves. In addition, appropriate hosiery is associated with less complications post-sclerotherapy.
  • Q&A – You will be given plenty of time to ask any questions and discuss your concerns and expectations with Dr S. Foutsizoglou.

For more information on leg vein sclerotherapy you can also download the FAQ PDF. For answer to some of your questions regarding short wave diathermy for facial veins please download the Facial Red Veins PDF.