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...
Last week marked a huge milestone for us at McKeown Medical.
Our first full lists of major surgical procedures - something we’ve been carefully building towards for several years - and I couldn’t be prouder of this team.
Led by Dr Kavita, we treated patients for breast augmentation (using both implants and fat transfer), breast reduction, uplift surgery and intimate female procedures, with every case approached thoughtfully, calmly and with meticulous care.
What meant the most to me wasn’t just the surgery itself - it was the experience our patients had.
Thanks to Dr Rob and his modern anaesthetic techniques, patients were comfortable, clear-headed and walking around within an hour of surgery - no nausea, no vomiting, just smooth recoveries.
Our wonderful nursing team cared for everyone before and after, and Lorraine kept the entire day running like clockwork behind the scenes.
Moments like this remind me why we’ve taken our time to grow these services properly. We could have rushed this process, but we’ve taken our time to get it right. I never wanted to simply add surgery to the clinic - I wanted to rethink how patients experience the surgical process.
We’re only just getting started, and I’m incredibly excited about what this means for the patients across Scotland and beyond who choose to trust us with their care.
As all of our patients know, the neck is the one part of the anatomy we always struggle to treat without surgery.
This patient underwent CoolSculpting to reduce some of the excess fatty tissue under her chin, followed by @sofwave.uk to tighten the skin. This is still early days for her, but we can see she is already well on her way to a great result.
When it comes to the neck, combination treatments are usually the answer to the best results.
What do you think?
We have an exciting new addition to the clinic - Visia skin analysis.
We’ve had a growing focus in the clinic on skin quality and skin health over the years with more and more investment in lasers and devices that improve skin quality as the foundation of what we do in aesthetic medicine.
The Visia is a great tool for helping us to analyse the skin and track progress of treatments over time. As well as doing a thorough analysis of all the components of sun damage and skin health, it also gives us an estimate of our ’true age’, which is a reflection of the condition of our skin compared with average for our age.
This is one of my own analysis images. It got my ’true age’ pretty much spot on with my chronological age, which is perhaps surprising given that I spent most of the 90s lying under a sun bed. What was interesting is that I scored really well on superficial pigment and redness, which is consistent with the fact that I love BBL and have a treatment a few times per year. I scored less well on deeper pigment and texture issues, which I guess is consistent with the fact that I’ve not had a Halo laser for nearly 4 years now. So I guess I will be booking another Halo for myself very soon!!!
We`re offering the Visia skin analysis free as part of our laser consultation process. If you`re interested in laser treatment, come in for a consultation with Dr Sharon and you’ll have your analysis done as part of planning your treatment strategy.
You’ll also be scanned again after your course of treatment so we can track your progress.
What do you think of this new addition to the practice?
I am very humbled to share these incredible reviews from our patients.
We are very fortunate to have a team who LOVE their work and will always go the extra mile to ensure our incredible patients are properly taken care of at every step of their journey with us.
We couldn’t do what we do without our incredible (and growing!) team and I am so proud of every one of them.
We have some very exciting developments on the horizon, so keep watching this space!
Laser eye rejuvenation! Thank you to our lovely patient for allowing us to share her photos, just one week after her laser eyelid rejuvenation.
Crepe skin, loose skin, wrinkles are all common signs of ageing around the eye which do not respond well to surgery. The optimal treatment for these problems is laser resurfacing - which is exactly what this patient had.
We’ve been performing these treatments in the clinic for several years, although I’ve recently modified the technique to achieve incredible results with less downtime.
What do you think?
Here’s another fantastic result from our phenomenally talented plastic surgeon, @bramhallplasticsurgery .
As we age, the eyebrows naturally descend which allows excess skin to fall into the upper eyelids. The two main surgical options to address this are a brow lift, an upper eyelid lift (upper blepharoplasty) or both, but for many patients the most appropriate option is also the simplest: to leave the brows exactly where they are and address the excess skin at the eyelids alone.
Upper blepharoplasty is a straightforward procedure with scars hidden in the natural eyelid crease, making them very hard to see once healed. Brow lifts are usually more involved, often require a general anaesthetic, and tend to create a more noticeable change to the face.
The aim with upper eyelid surgery is subtle improvement - looking fresher and more rested, without it being obvious that you’ve had anything done.
This 42-year-old gentleman had a bilateral upper blepharoplasty under local anaesthetic and is shown here six months after surgery.
What do you think?
With darker evenings and fewer social engagements, January is a great time to think about treatments which benefit from a little down time or those that will deliver their best results by spring.
Here’s Dr Darren with his top recommendations for treatments to have over the winter months, including Sofwave, HALO, full-field resurfacing and varicose vein treatment, all of which will deliver beautiful results in time for the weather getting better and social calendars filling up!
Which treatments are you planning?
Another year, another round of incredible transformations from our team at McKeown Medical!
Eye bags banished, jowls lifted, skin refined, veins gone. Thank you so much to all of our patients who have allowed us to share their photos with you and thank you to our incredible team who work so hard to take care of every patient who trusts us with their care.
Here’s to 2026 and another year of incredible transformations!
“But Daddies, WHEN is Santa coming? I want to wait up for him!”
Happy Christmas to all, and to all a good night 🎅🏻