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Varicose Veins and Best Treatment Options 

We discuss all you need to know about varicose veins, including varicose vein symptoms, how varicose veins develop, and why you may have them in the first place. This blog post also has you covered on how you can remove them – we lay out your varicose vein procedure options, with a particular focus on Endovenous laser treatment or EVLA (the Gold Standard treatment for removing varicose veins).

  1. About Varicose Veins

What are varicose veins?

Varicose veins are lumpy, bulging veins usually purple or blue in colour and commonly found on the leg surface, but can also be found on other regions such as the foot or around the ankle.

Before and after EVLA and Phlebectomy Treatment

What are the symptoms of varicose veins?

Varicose veins can often be diagnosed by their swollen, enlarged or twisted appearance, but other varicose vein symptoms may include the following. (Please note that symptoms experienced differ for everyone).

  • Swollen ankles and/or feet
  • Restless, heavy, aching legs
  • Dry skin around the affected vein
  • Leg cramps
  • Throbbing or burning sensation within the legs
  • Brown or purplish skin patches on your lower legs and ankles
  • Skin ulcers (uncommon)
  • A red rash usually over lower leg or ankles (venous eczema)

How do varicose veins develop?

Varicose veins occur when blood fails to flow properly through your leg veins, and this is how it works… Your veins take blood to your heart, requiring the blood to flow in an upwards direction (against gravity). This is facilitated by one-way valves and muscle contractions. If these valves weaken or break, however, they cannot properly close. Your blood then flows back to your legs, where, the veins begin to bulge, causing varicose veins. Serving no purpose, these damaged veins are perfectly safe to remove.

What causes varicose veins?

It’s not clear why some people develop varicose veins while others do not. But we do know that the following create higher risk of developing varicose veins: genetics, being overweight (due to increased pressure on your veins), being female (female hormones make vein walls more elastic), and ageing (vein walls weaken with age).

Varicose veins can additionally be secondary to other circumstances or issues. You could be more at risk if you have previously injured your leg veins, had a blood clot, are pregnant (with increased hormone levels and more blood circulating), or stand for a long time in one position (blood can pool in the leg veins, increasing pressure in the veins).

What are the complications of varicose veins?

Varicose veins can worsen gradually. Some with the condition for some time develop skin changes, usually in the ankle or lower leg, due to increased pressure within the veins. Skin could become purple or brown and could develop a rash called varicose eczema. More serious but uncommon complications include deep vein thrombosis (blood clots in the vein that can cause pain and swelling), venous ulcers (any cuts or wounds could form an ulcer), bleeding (if you bump or cut your leg) and thrombophlebitis (red, painful superficial veins due to a blood clot in the vein).

  1. Varicose Vein Treatment Options

How can I treat varicose veins?

The good news is there are a range of minimally-invasive, walk-in-walk-out safe procedures available to remove your varicose veins, not requiring general anaesthetic, and all taking under an hour to complete. In fact, at The Private Clinic, we are able to offer non-surgical treatments for varicose vein removal, to 99% of patients that visit us.

Below we’ve outlined a range of minimally invasive vein removal treatments, each recommended by NICE (National Institute for Clinical Excellence) for different eligibility, and all available at The Private Clinic:


Best for

How it works

EVLAThe Gold Standard varicose vein treatment by NICE, EVLA is the recommended treatment for all suitable patients.The affected vein is located using ultrasound technology. Laser heat is then used for collapsing the vein wall, and eliminating the cause of the problem.
SclerotherapySclerotheapy is usually used to treat thread veins (although unsuitable for patients allergic to sclerosants and for very fine spider veins). Varicose veins may also be treated with sclerotherapy, with foam sclerotherapy being most suitable. Although, sclerotherapy should only be used if the patient is unsuitable for EVLA treatment.

Sclerotherapy either liquid or foam, can also be used as an additional treatment after initial EVLA treatment.

A saline solution mixed with air which creates the foam is injected into the affected vein. This damages the vein and causes it to close off. The varicose vein progressively shrinks, and disappears being absorbed naturally by the body.


PhlebectomyThe phlebectomy technique is best for removing large varicose veins not associated with underlying venous reflux that are close to the surface of the skin. It is a good treatment to also perform alongside EVLA treatment in order to achieve the best cosmetic results, or in minor recurrence cases.


Your surgeon makes tiny incisions. A hook is inserted into the incision, hooking onto part of the vein, and then vein is then removed. Incisions are so small that stitches are not required, and recovery is quick.
VenaSealVenaSeal is the method of choice for needle-phobic patients, the procedure is a ‘lunchtime treatment’ allowing immediate return to work. Treats varicose veins without the risks associated with thermal injury to tissues. There is also no need to wear support tights for a period of time post treatment and patients are able to return to exercise a lot sooner.The leg is numbed with local anaesthetic and a small catheter is inserted. An ultrasound then guides the catheter through the vein, and the catheter subsequently dispenses small amounts of the medical adhesive glue, which closes off the varicose vein.


  1. EVLA Gold Standard Treatment uncovered

EVLA stands for Endovenous Laser Ablation and is a varicose vein removal procedure using laser heat to target, and break down veins. EVLA is considered by NICE to be the best treatment for varicose vein removal. We also always typically favour EVLA as it has a higher success rate. NICE findings actually show that EVLA’s success rate five years post procedure is 95.4%.

To give more detail on what happens in EVLA, an ultrasound scan marks the veins position prior to the injection of local anaesthetic around the area. A fine catheter is inserted via a small incision, typically close to the knee. Laser energy is transported via the catheter, in short pulses, closing up the damaged valve so blood is unable to flow through and the vein walls collapse. The procedure stops the reflux occurring from the damaged valve, producing the varicose vein, addressing the route of the problem, instead of only the symptoms.

Endovenous laser treatment for varicose veins



  1. Why Choose The Private Clinic?
  • We offer the least invasive method for varicose veins and thread veins removal treatment for your legs, body and face.
  • Our Consultant vascular surgeons are pioneers in EVLA(Endovenous Laser Ablation) and have treated thousands of patients.
  • No lengthy downtime or recovery required.
  • The NICE (National Institute for Clinical Excellence) Gold Standard for treatment of Varicose Veins findings show that the success rate after five years for EVLA is 95.4%.
  • A consultation with one of our Consultant Vascular Surgeons costs £150, including a free ultrasound scan of your legs (usually priced between £350 and £450 at most clinics and private hospitals).
  • We focus on the underlying cause of your veins and you will only see a Consultant Vascular surgeon for varicose veins.
  • We have treated thousands of patients who have regained their confidence whilst avoiding health issues.
  • Treatment takes one hour, you can go home shortly after being treated.
  • Owing to our success, we have been featured on Channel 4’s Embarrassing Bodies TLC’s My Naked Secret and featured in Harper’s Bazaar’s Cosmetic Tweakment Trends for 2019.
  • We have carried out over 7,000 procedures in treating Veins.
  • View our varicose vein before and after photos
  • Read our extensive varicose vein FAQs
  • Hear from previous patients in our varicose vein patient stories
  • Find out more information in our varicose vein blogs
  • Download our varicose vein treatment brochure

“…  I couldn’t have wish for better. I was made to feel at ease, safe and was confident that after the consultation I would be pain free. I have a terrible phobia of needles so the non invasive procedure was prefect. Honestly fantastic from start to finish.” Justin

“EVLA and Ambulatory Phlebectomy for Varicose Veins Excellent service and customer care from Mr Rittoo, Stefanie and all the team at The Private Clinic, Glasgow. I’m delighted with the results. A quick, efficient and pain free treatment. Wish I had done it sooner as I can now show off my legs after years of hiding them.” Joanne

Expert Vascular Surgeons at The Private Clinic

We’re proud to offer Consultant Vascular Surgeons who are pioneers in the Gold Standard EVLA treatment and have treated the veins of thousands of patients.

Varicose vein consultations with our expert Consultant Vascular Surgeons can be booked by calling 0333 920 2471 or via our website. Consultations involve a free ultrasound scan of your legs (typically costing between £350 and £450 at the majority of clinics and private hospitals).

Varicose vein removal consultations are available in our clinics in Harley Street London, Birmingham, Bristol, Leeds, Northampton, Manchester, Bexhill and Bournemouth

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