Varicose Veins

We are one of the UK's most recognised Varicose Veins treatment centres

With over 30 years' experience in offering the most advanced and effective minimally invasive laser treatments for all types of veins, we are one of the UK's most recognised, specialist varicose vein clinics with nationwide locations.

Our consultant vascular surgeons were amongst the first and very few in the UK to pioneer the EVLA (Endovenous Laser Ablation) method, now considered the NICE (National Institute for Clinical Excellence) Gold Standard for treatment of Varicose Veins. Vein stripping, currently the most widely available method, is not recommended by NICE, who have called for its use to be stopped due to its painful nature, risk of scarring, and lengthy recovery time.

As well as EVLA (also known as EVLT) treatment, we offer Sclerotherapy (liquid and foam) and Phlebectomy for those who have less severe varicose veins. Our treatment focuses on the underlying cause of your veins and we provide free ultrasound scans to all patients in our surgeon-led consultations to ensure we do just that. Our Consultant Vascular Surgeons have helped thousands of people regain their confidence whilst avoiding the health issues associated with varicose veins and, owing to their success, our vein treatments have been featured on both Channel 4's Embarrassing Bodies and TLC's My Naked Secret.

Varicose Veins Treatment on Channel 4's Embarrassing Bodies

 

We have clinics all over the UK - North, South East and London, Midlands and South West and our medical team comprises senior Consultant Vascular Surgeons, each with over 15 years' experience in the NHS. We specialise in offering minimally invasive treatments and our patient satisfaction rates speak for themselves - we are proud to have a success rate of over 95%.

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What is EVLA?

EVLA is a minimally-invasive method of permanently destroying varicose veins. The procedure is performed under local anaesthetic and yields speedier recovery times, as well as better success rates, than traditional vein stripping. The treatment locates the damaged vein with ultrasound, before using radiofrequency energy to collapse the wall of the vein and destroy the cause of the problem.

EVLA is considered the Gold Standard of treatment for varicose veins by the National Institute for Clinical Excellence (NICE), a non-departmental public body whose aim is to encourage the best healthcare practices across the country. The most recent NICE guidelines outlined that, despite the fact that 50% of varicose veins are still surgically stripped, Laser Thermal Ablation was a far more effective and safe method, and stripping should no longer be considered except in exceptional circumstances.

Our EVLA treatment is:

  • a competitively priced,  walk-in walk-out procedure
  • performed by some of the Country's top Consultant Vascular Surgeons
  • carried out under local anaesthetic in one of our widely recognised in-house clinical facilities
  • completed in under 1 hour, which means you can head home shortly after
  • aimed at tackling the actual cause of the problem, which is why we offer all patients a free ultrasound scan 

Our surgeons have performed amongst the highest number of EVLA treatments in the UK, and have helped develop the procedure into the safe and highly recommended method it is today.  

Here's what one patient had to say about her treatment: 

“I began to hate my legs as my varicose veins became progressively worse, all knobbly and unsightly. I stopped wearing skirts. I didn’t want to look at them myself, let alone have anyone else see them. Three days after the EVLA procedure with Mr. Kyriakides, the bandages came off and I was so relieved to see only some bruising and that those horrible gnarled veins had gone. I can now wear what I want and I am actually quite proud of my legs.” - Sarah, London

Our consultation and treatment prices:

  • are all inclusive 
  • are highly competitive
  • include a free ultrasound scan worth over £350
  • include no theatre rental fees - we have our own facilities
  • involve absolutely no hidden costs

A consultation with one of our Consultant Vascular Surgeons costs £150. This includes a free ultrasound scan of your legs – normally priced from £350 – to allow the surgeon to map your veins and pinpoint the exact problem areas and defective valves.

After assessing the severity of your Varicose Veins and the best form of treatment for you, we can offer a very competitive pricing structure and quote.

As reassurance for our patients we also offer 0% (interest free) APR loans for the treatment of Varicose Veins. 

Our Medical Team

We are the UK’s leading authority in non-invasive and minimally invasive procedures, and have some of the most experienced doctors in the industry working with us. All our varicose vein removal procedures are performed by highly qualified senior vascular surgeons and we have carried out amongst the highest number of EVLA procedures in the UK. Our success rate of over 95% has earned us a reputation as one of the leading clinics in our field for the treatment of varicose veins. During your assessment we will go through the various veins treatments available to you, and advise which treatment will give you the best results.

FAQs

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  • What will happen during my consultation?

    Our surgeon-led consultations include a free ultrasound scan worth over £350 to ensure that your varicose veins are examined with the utmost accuracy and your treatment is tailored to you. Your surgeon needs to know what your veins look like and how they are they are working to make sure your results are permanent.

    During your consultation, your surgeon will discuss with you exactly what the problem is, where it originates and what treatments are suitable. You will be given a detailed treatment plan with full cost and pricing details so there will be no surprises when it comes to payment.

    Your personal Patient Coordinator will also attend the consultation with you to ensure all your questions are answered and you are fully informed on the procedure. They will be on hand following the consultation to help you with anything you might need, and will answer any further questions you may have. Having attended your consultation, they will know your case and requirements and will always be there to guide you throughout your treatment.

  • What Varicose Vein Treatments Do You Offer?

    EVLA (Endovenous Laser Ablation)

    EVLA is a minimally invasive and highly effective varicose vein treatment, and is considered by the National Institute for Clinical Excellence to be the best method for vein removal. It eliminates the reflux from the faulty valve creating the varicose vein and addresses the cause of the problem, rather than just the symptoms.

    During your procedure, an ultrasound scan will mark the position of the vein before local anaesthetic is injected around the area and a fine catheter is inserted through a small incision, usually near the knee. Laser energy is delivered through the probe in short pulses to seal the faulty valve so blood cannot flow through and the vein walls collapse. The leg is then bandaged to reduce swelling and bruising, and to aid recovery.

    Sclerotherapy (liquid or foam)

    For very small veins where it is not possible to put a catheter in, the issue can be addressed by sclerotherapy.  The treatment involves injecting a chemical into your varicose vein which damages it and causes it to close. Liquid sclerotherapy is often used to treat smaller varicose veins and spider veins. For larger veins, foam sclerotherapy is sometimes used.

    You may have thread veins (or spider veins) which are characterised by fine dilated marks that appear under the skin - they may look like a web of very thin red or blue lines and can cause aching and itching. These can be removed through microsclerotherapy which is similar to foam sclerotherapy, but on a much smaller scale.

    The procedures take less than 30 minutes and are done under local anaesthesia meaning you will not feel any pain during treatment.

    Phlebectomy 

    Phlebectomy is a method of removing varicose veins and spider veins on the surface of the legs. The name comes from the Greek terms "phleb" which means vein, and "ectomy" which means removal.

    The procedure is performed under local anaesthesia and involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small that no stitches are required and recovery is speedy.

    During your consultation, your vascular surgeon will explain your options to you and help you decide which treatment is best for you. As per NICE guidelines, we do not offer vein stripping, which requires a lengthy recovery period and does not yield as effective results.

  • How Long Does the Procedure Take?

    EVLA takes approximately 45 minutes. Schlerotherapy can take less than 30 minutes.

  • How Soon Will I See the Results?

    You will see results instantly.

  • How Long Will the Results Last?

    Results are permanent.

  • Will I Be Able to Fly Immediately after My Treatment?

    Your consultant will be able to advise you on this. It will depend very much on the severity of the veins removed but we usually recommend that you avoid flying for 3-4 days.

  • What Are the Common Side Effects of Varicose Veins Treatments?

    Common side effects include swelling and bruising, however both should reduce over 1 to 2 weeks.

  • Do Varicose Vein Treatments Hurt?

    EVLA, Sclerotherapy and Phlebectomy procedures are carried out under local anaesthetic so you won’t feel discomfort during the procedure. Some patients experience a little discomfort afterwards but it’s minimal.

  • How Do Varicose Veins Develop?

    The role of veins is to carry blood towards the heart. In order to do this the blood has to flow upwards against gravity, so it is helped along by a series of muscle contractions and one-way valves. If the valves become weak or break, they do not close properly and the blood flows back to the legs where, over a period of time, the veins will start to bulge. These damaged veins serve no purpose meaning it is perfectly safe to remove them.

    Around one in five people will develop varicose veins as they get older, and women are affected more than men. Risk factors include age, gender and being overweight, but genetics are the biggest cause.

    Although most people seek treatment for cosmetic reasons, varicose veins can also cause aching, itchiness, a feeling of heaviness in the leg, and night cramps. Varicose veins do not tend to get better and can actually worsen with time if not treated.

  • What Is Vein Stripping?

    At The Private Clinic we do not use (and do not recommend using) vein stripping for the treatment of varicose veins. The National Institute of Clinical Excellence (NICE) suggest that stripping should no longer be used except in exceptional circumstances, and that minimally-invasive options far outperform the older technique. Simply put, there are much better treatments available.

    Vein stripping is a major surgical procedure usually performed under general anaesthesia. Incisions are made either in the groin or behind the knee, through which an instrument is passed to invert and remove the entire length of the vein. 

    The procedure is not only painful, but also requires unnecessary time off work (anywhere from 14-21 days) and can cause extensive bruising with a lengthy recovery time. 

    Despite this, 67% of NHS patients are still treated with vein stripping. Local health authorities claim that varicose veins are a cosmetic problem, but at least 40% of patients with varicose veins experience significant discomfort. Varicose vein treatment on the NHS is largely confined to patients with more severe complications like phlebitis and ulcers but, even in these cases, minimally invasive treatments can be a better option than vein stripping.

  • What does ‘Gold Standard’ mean?

    The ‘Gold Standard’ is part of a system developed by NICE to grade different procedures, and means that a treatment is one of the best recommended options for that particular condition. NICE guidelines, set up to address the shortcomings of other healthcare grading systems, assess the safety and effectiveness of medical treatments through solid evidence and thorough reports.

    Their findings for varicose veins show that the success rate after five years for EVLA is 95.4%, compared to only 75.7% for vein stripping, and their grading decisions are based on statistics like this alongside how invasive the procedure is, possible complications, and recovery periods. 

  • Is Removing Veins Safe?

    Removing veins is perfectly safe and does not affect blood flow as damaged veins serve no purpose. Their role will have been taken over by other veins (in particular deep veins).