Sclerotherapy is a safe and well-established treatment for the removal of thread veins on the legs. Tried and tested, it has remained the most popular vein removal treatment even as other techniques have been developed.

Making sure your veins are suitable for Microsclerotherapy vein removal

First of all, we need to make sure that your veins are suitable for treatment.  Our Nurse Practitioner will carefully assess the deep veins of your legs, using doppler ultrasound. If we detect varicose veins with leaking valves, small thread vein treatment will not be successful, due to back pressure in the venous system.  Also, veins in the feet and ankles are not suitable for microsclerotherapy treatment due to increased risks of complications. Veins which are suitable for treatment have a diameter of less than 4mm and are not lumpy or painful to the touch.

How microsclerotherapy works here at Bellissima

The nurse practitioner will inject a sclerosant solution called Fibro-vein 0.2%, using a fine needle. The solution is injected very superficially into the thread veins, causing the lining of the vein to swell and become sticky.  When this treatment is complete, you’ll need to wear graduated compression hosiery to close the veins – these will be fitted before you leave the couch.

What you should bear in mind when planning microsclerotherapy treatment

Microsclerotherapy involves a period of downtime, so some forward planning is needed to allow for recovery time before going away on holiday for example.  Please bear in mind that, after treatment the veins will look substantially worse before they look better. The appearance is quite like that of insect bites, with some inflammation and itchiness usually present. Some bruising can also occur. The compression stockings which you will need to wear are of a hold-up design, with tights available as an alternative if you prefer.  The stockings/tights are tight fitting to provide a therapeutic graduated compression of 18-21 mmHg.  You will need to wear them for 72 hours continuously (they can be worn in the shower) after treatment, and then during the daytime only for another three weeks. Over a period of 4 -12 weeks, the treated veins will close up and fade away.

Ensuring your microsclerotherapy works to its best effect

The results achieved after one treatment vary considerably from one client to another. It may be necessary to have up to 4 treatments, 4 -16 weeks apart. We would anticipate a 60-80% improvement in the appearance of the treated thread veins. For more information on using microsclerotherapy to treat thread veins in the legs, and to discuss medical suitability – please book a free consultation with Caroline Mertens, our Aesthetics Nurse Practitioner.


*Disclaimer: All treatments are based on suitability, medical questionnaire and consent. We can't guarantee the results of our treatments. Results differ from person to person and the likely effectivity will be discussed with you during your initial consultation. Permanence of results is not guaranteed.

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