Find a Treatment

Select from the drop down list, to locate treatments and procedures for different vein conditions.

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Varicose veins
Thread/spider veins
Hand arm and foot veins
Varicose Veins in Pregnancy
Operation on Veins
VNUS Closure Procedure
Laser Vein Treatment (EVLT)
Foam Sclerotherpay
Veinwave Treatment


Varicose Vein Treatments

Why should varicose veins be treated?


Varicose veins do not get better by themselves; indeed they get worse slowly and progressively. These damaged veins serve no useful purpose.


Early treatment often prevents the symptoms developing and, of course, removes the unsightly appearance. In fact, the earlier you receive specialist treatment the better the long term clinical and cosmetic results.


doppler imageThe British Varicose Vein Centres perform treatments that have been developed by world expert vein specialists in London. This is the result of extensive research. The excellence of these methods has been confirmed in treating thousands of patients with venous diseases.


Treatment is designed for each patient based on the results of the vein test. Everyone is different, so individual tailoring of treatment is essential.


It is safe to say varicose vein treatment is now becoming a local anasesthetic procedure where hospital admission is rarely required.  At the British Varicose Vein Centre we have pioneered some of these new methods.  These have now been approved by the National Institute of Clinical Excellence (NICE) and most major insurance companies.




Laser Treatment

The ELVeS™ and EVLT™ are varicose vein treatments that are quick, minimally invasive procedures that offer an effective alternative to the old fashion surgical stripping of veins. They are performed under local anaesthetic and are highly effective with over 99% of first-time treatments being successful. Local anaesthetic is administered. Under ultrasound guidance, a thin fibre-optic probe is inserted through a tiny entry point, usually near the knee. Laser energy is delivered in short pulses to seal the faulty vein so that blood cannot flow through it. This eliminates unsightly bulging that causes discomfort and embarrassment. After treatment, the blood in the faulty veins will be diverted to the many normal veins in the leg. Walking immediately after the procedure is encouraged. Normal daily activity can be resumed.


At the British Varicose Vein Centre we have pioneered a new ELVeS Painlesstm  laser treatment of varicose veins that causes less pain and bruising when compared to the standard laser.  Currently we are one of a few centres worldwide able to offer this treatment.

Highlights of Laser Treatment

The ELVeS™ Laser Procedure


Please click here to visit our sister website dedicated solely to this new technique.



VNUS Closure Procedure

The VNUS Closure Fasttm procedure, is an alternative treatment option to traditional vein stripping surgery.  This brings state of the art technology to an age old disease.

BVVC Pre and Post Leg-Op


The Closure procedure is an outpatient (day surgery) treatment. A thin catheter is inserted into the vein through a small opening, using only a single needle stick.The catheter delivers radiofrequency energy to the vein wall, causing it to heat, collapse, and seal shut.


Once the diseased vein is closed, other healthy veins take over and empty blood from your legs. As normal return flow is re-established, your symptoms should improve noticeably.


Following the procedure, the catheter is removed, a bandage is placed over the insertion site and your leg may be wrapped typically for 1 day to aid healing.


Our vascular specialist may ask you to walk, wear compression stockings, and to refrain from long periods of standing for a period of time following the procedure to help speed your recovery. Many patients resume normal activities within 1-2 days.


Highlights of the Closure Procedure

British Varicose Vein Centre Cather Diagram

Relief of Symptoms

Ultrasound-Guided Foam Sclerotherapy

In this treatment sclerosant foam is injected into the affected varicose veins using ultrasound monitoring. The foam causes an inflammation in the vein wall.  The reaction in the vein wall, destroys the central canal of vein and thus blocking the vein. Compression bandages are applied after the procedure More than one vein may be treated during the same session. If any vein is incompletely treated, further injections may be given in the same or subsequent sessions.  All this treatment is performed under local anaesthetic in the out-patient setting.


This treatment at the British Varicose Vein Centre is used as a useful compliment to other forms of varicose vein treatment.  On its own however, and in terms of results, ultrasound-guided foam sclerotherapy for varicose veins is not as good at treating primary main-stem varicose veins compared to laser ablation and VNUS closure.


Operation on Veins

With new techniques available, operations for varicose veins are now becoming less frequent although about 60% of surgeons in the UK still use this.  Surgery is usually performed under general anaesthesia, a spinal anaesthetic is an alternative. The varicose vein operation involves tying off the source of any veins in which the valves have failed through incisions 3-4cm in length. These are made either in the groin or behind the knee depending on which veins are diseased. Where a large vein inside the leg is affected, that vessel is removed by a technique known as "inverted stripping".


To do this special instruments developed in Switzerland are passed along the vein and then the entire length of the diseased vessel is inverted and removed through a tiny incision in the skin. This method causes less bruising and pain. Smaller varicosities are usually removed by a technique called "hook phlebectomy".


Tiny incisions are made in the leg (not more than 2mm in length) over the varices. Again special Swiss hooks and forceps are used in order to avoid the need to make large incisions. These tiny incisions usually require no stitches, and they need only be covered by small plasters. The long term results of varicose vein surgery are excellent both commercially and clinically. The tiny scars fade to white marks in a few months and are hardly noticeable.




For further information or to arrange a consultation with one of our vein specialists to discuss your needs, please call:


Telephone: 0207 286 7274

Or click here for contact information.




contacts St John and Elizabeth Hospital

For further information or to arrange a consultation contact us by the following ways:

Head Office.
The Hospital of St Johns and St. Elizabeth,
Grove End Road,
London. NW8 9NH.

0207 286 7274
0207 078 3877

Medical Director:
Mr David Greenstein MD BSc FRCS
Consultant Vascular Surgeon


St John and Elizabeth Hospital

Click here for information.