McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet.
Date posted — 7.10.24
Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet. They can be blue, purple, or flesh-coloured and are often raised, giving a bumpy or rope-like appearance on the skin’s surface. These veins develop when the valves in the veins that regulate blood flow become weakened or damaged, causing blood to pool and the veins to enlarge.
While varicose veins are generally more common in older adults, women, and those with a family history of the condition, factors such as prolonged standing, obesity, and pregnancy can increase the risk.
The symptoms of varicose veins can range from mild to severe. Some people may experience aching, heaviness, or cramping in the legs, particularly after standing or sitting for extended periods. The affected area might also feel itchy or develop a burning sensation.
In more severe cases, varicose veins can lead to swelling, throbbing, and even skin changes, such as discolouration or the development of ulcers near the ankles. The condition is not only a cosmetic concern but can also cause discomfort and, in some cases, lead to more serious circulatory problems.
The best treatment options for varicose veins depend on the severity of the condition, the symptoms experienced and the anatomy of the problematic veins. A detailed clinical review by an expert vascular surgeon, along with a detailed ultrasound scan, will delineate the optimal treatment.
For mild cases, lifestyle changes can be effective in managing symptoms. These include regular exercise to improve circulation, elevating the legs when resting, and wearing compression stockings, which help to reduce swelling and discomfort by improving blood flow in the affected veins. Weight management and avoiding prolonged periods of standing or sitting can also alleviate symptoms and prevent the condition from worsening.
For more severe cases or when lifestyle changes are insufficient, medical treatments may be necessary. Sclerotherapy is a common procedure where a solution is injected into the varicose veins, causing them to collapse and eventually fade. This is most suitable for smaller veins just below the surface of the skin.
The next level of treatment is endovenous treatment, which means operating inside the problematic veins to cause them to collapse. Traditionally, this has been done using either laser or radiofrequency energy to close the affected blood vessels down.
More recently, the VenaSeal™ procedure has been introduced. This is an even less invasive option which uses a special glue to close the veins down.
In cases where these treatments are ineffective or unsuitable, invasive surgical options like vein stripping or phlebectomy may be recommended to remove or tie off the affected veins.
Consulting with an expert vascular surgeon is essential to determine the most appropriate treatment plan based on your individual needs and the severity of your condition.
Dr Alex Vesey is our expert consultant vascular surgeon who heads up our varicose vein team. Listen to him explain your options for varicose vein treatment.
Varicose veins can theoretically happen anywhere on the body but most commonly affect the veins on the legs. Several treatments are available to target and remove varicose veins in the legs specifically.
Endovenous laser treatment (EVLT) and Radiofrequency ablation (RFA) are minimally invasive procedures that remain very popular because they avoid the need for traditional surgery. Both procedures are performed under local anaesthetic and involve inserting a thin tube inside the vein and destroying the vein by delivering heat to close the vein down. Both of these treatments offer a high success rate with less discomfort and scarring than traditional surgery.
The newer VenaSeal™ procedure causes even less discomfort by closing the vein using glue rather than heat. This allows patients an even more rapid return to normal activities without the need to wear compression stockings.
For veins that are not suitable for these treatments, sclerotherapy is a widely used option, especially for smaller varicose veins or spider veins in the legs. During sclerotherapy, a solution is injected directly into the vein, causing it to collapse and gradually be absorbed by the body. Multiple sessions may be required depending on the extent of the varicose veins.
An alternative treatment for smaller veins is a minor surgical procedure called microphlebectomy. This involves making tiny incisions under local anaesthetic to remove problematic veins. While slightly more invasive than sclerotherapy injections, microphlebectomy can be very effective because it physically removes the vessels, which means they cannot come back.
Consulting with an expert vascular surgeon is essential to choosing the most appropriate treatment based on the specific characteristics of the varicose veins in the legs.
Spider veins are small, web-like veins often associated with varicose veins. To treat these, several effective treatment options are available.
Sclerotherapy is the most common and widely used method. In this procedure, a solution is injected directly into the spider veins, causing them to collapse and fade over time. The body gradually absorbs the treated veins, leading to an improved appearance. Sclerotherapy is minimally invasive, typically requires no anaesthetic, and can be done in the outpatient clinic. Multiple sessions may be needed depending on the size and number of spider veins.
Another popular treatment for spider veins is laser therapy. This approach uses focused light energy to target and heat the affected veins, causing them to collapse and eventually disappear. Laser therapy is particularly effective for small, delicate veins that may not be suitable for sclerotherapy. The treatment is non-invasive, and while some patients may experience mild discomfort during the procedure, it generally requires no downtime. In addition to these treatments, maintaining healthy lifestyle habits, such as regular exercise, weight management, and avoiding prolonged periods of standing, can help prevent the development or worsening of spider veins.
If you’d like to find out which varicose veins treatment is the right treatment for you, the first step is to fill out our online consultation form. From there, our team will be able to arrange an initial consultation and ultrasound scan, and we can work together to create a treatment plan that is tailored to your needs.
When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but...
Foam sclerotherapy is an advanced form of sclerotherapy used to treat larger varicose veins, particularly those that may not respond...
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When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but...
Foam sclerotherapy is an advanced form of sclerotherapy used to treat larger varicose veins, particularly those that may not respond...
Once again, the combination treatment wins the day!
This patient came to us hating her neck and jowls, but she would not consider anything invasive. Treating the neck is always a challenge especially with non-invasive treatments only.
For this patient we first of all reduced the fat under the chin using CoolSculpting, then we did some hyaluronic acid under the mandible to define the jaw and finally we did some Sofwave to tighten the skin.
The patient is over the moon with her results. What do you think?
There is no single "best" facial rejuvenation treatment - only the treatment that`s right for the individual patient.
For patients with more advanced facial ageing, significant jowls and loose skin of the neck, a deep plane facelift remains the gold standard. In the right hands, it can achieve results that more significant than what we can do with less invasive treatments.
This is one of our recent patients following deep plane face and neck lift surgery, performed by the incredibly talented @bramhallplasticsurgery. It`s always a privilege to work alongside Russell and see the exceptional results he consistently achieves.
One of the things I`m most proud of at McKeown Medical is that we`re a genuinely multidisciplinary team. We don`t believe every patient needs fillers. We don`t believe every patient needs surgery either. We offer injectables, lasers, minimally invasive procedures like the Quantum Lift, and facelift surgery because different patients, at different stages of the ageing process, need different solutions.
Our job isn`t to sell you a procedure - its to help you choose the right one.
If you want to have a conversation about which option is right for you, you can send us some pics by PM.
#DeepPlaneFacelift #Facelift #NeckLift #FacialRejuvenation #PlasticSurgery #AestheticMedicine #NaturalResults #McKeownMedical #Glasgow #PlasticSurgeon
I genuinely think the Quantum Lift is changing what is possible for patients who want to improve their jawline and neck, but do not want to undergo facelift surgery.
I have used earlier generations of skin-tightening technology and, honestly, I was often underwhelmed by the results. This is different.
By combining precise power-assisted liposuction, targeted treatment of the neck muscle where needed, and QuantumRF skin tightening, we can address the three things that most commonly age the lower face and neck: muscle, fat and skin.
This patient is shown just 24 hours after treatment. There is still swelling to settle, but the early change in her jawline and neck contour is already clear.
I have also included clips from the procedure for anyone who likes seeing the technical side of what we do.
Would you consider a minimally invasive alternative to facelift surgery for your jawline or neck, or would you rather go straight to surgery?
And this is why we LOVE combination treatments in the clinic!
Different parts of the face age in different ways. And even different layers of the same part sometimes age differently, which is why we often need to combine treatments to achieve the best overall effect for each patient.
This lovely patient first underwent some laser resurfacing to her eyelid area to take away the lines and wrinkles and tighten the skin. Then we used some HA to blend the contour below the eye and cheek. Finally, we addressed the lower part of the face and neck with some Sofwave to tighten the skin and Sculptra to give her more connective tissue support.
She is over the moon with her improvement. What do you think?
The biggest mistake I see after weight loss? People choose a treatment before understanding what`s actually causing their loose skin.
Not all "loose skin" is the same, which is why the right treatment for one person can be completely wrong for another.
If you`ve lost weight and aren`t sure which option is right for you, the first step isn`t choosing a device. It`s getting the right diagnosis.
Looking for some advice? Send us a DM to get started.
The Quantum Lift!
We introduced this new technique only a few weeks ago and, well, it’s going even better than expected. This is one of our patients before and immediately after. I always warn my patients that I cannot give them a surgical facelift result with a procedure that doesn’t involve cutting but honestly, in this case, I think we got pretty close to a facelift result and closer than I was expecting.
First we remove some fat from under the chin and jawline before the quantum goes in to tighten the skin. I have included a picture of the neck after the we had removed fat from both sides, but only applied the quantum to her right side. You can see how much difference there is when I try to pinch the skin. In the non-treated skin I skin still pinch an inch (or two) but on the treated side there is very little to pinch, because the tissues have shrunk down so much.
The patient tolerated the procedure very well under simple local anaesthetic without sedation and we had a nice chat throughout. Afterwards she had a cup of tea and then went home with her husband half an hour later.
I have been very excited about The Quantum Lift for a while, but I’m only getting more excited the more I do. I really believe this is a massive step towards an effective way to rejuvenate the lower face and neck whilst avoiding traditional facelift scars.
Everyone knows we do lots of sophisticated facial work in the clinic. But did you know we also now do a lot of breast work too?
This is one of our patients who wanted breast augmentation. She specifically wanted more upper pole fullness so Kavita selected a 325cc high profile implant from Mentor, but placed them under the muscle to give a more natural take off. Mentor are considered the gold standard for breast implant quality and we only use their implants in the clinic.
The patient is just a few weeks post-op, so there is still a little bit of settling to go but she is already delighted with the shape and size. The key to breast surgery is listening to the patients concerns and then tailoring the procedure to get them the result they want - which is something the very fabulous Miss Kavita excels at.
What do you think?
The SMAS Facelift is back at McKeown Medical!�
Patients tell us all the time that they want to get rid of their jowls and facial sagging, but are hesitant about a lengthy surgical procedure or taking several weeks away from work and social commitments. The SMAS Facelift is an excellent alternative for patients who want meaningful improvement without the bigger commitment. �
It`s a technique that lifts and repositions the deeper tissues of the face while removing excess skin. Until Deep Plane became more popular in the last 10 years, SMAS was the gold standard. Compared with Deep Plane, it takes about 3 hours instead of 6-8, can be done under local anaesthetic, has a shorter recovery, and lower risk of nerve injury. For many patients with moderate facial ageing, it produces excellent, long-lasting results at £12,000, all performed by the phenomenal @bramhallplasticsurgery.�
This is one of our patients who had a SMAS Facelift with eyelid surgery five years ago. She`s maintained her results with HA fillers, like many of our surgical patients do, but otherwise her results are still going strong. That`s what SMAS can give you.
Every face ages differently and every patient has different circumstances. Some need the extensive correction of Deep Plane, especially if they have a heavy neck. Others are better suited to SMAS, particularly if you want a less invasive option with quicker recovery.
The right choice depends on your anatomy, your concerns, and your lifestyle. If you’d like to know more about the SMAS facelift, drop your questions in the comments or send us a DM!
So here she is! The one we’ve all been waiting for 😍 This is Lorraine 5 days after her Quantum lift. She’s still at home recovering because she had her body done too (more on that soon), so she’s not been back in the clinic for proper after photos yet. But she’s already delighted and sending the dreamteam these selfies from home. She’s obviously still very early and a bit swollen, but I think we can all see where this is heading already! I’m very excited for Lorraine… and for all of our lovely patients who are already booked for Quantum. This is a game changer for loose skin!