What are there different types of treatment options? - Skin Medical
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What are there different types of treatment options?

Historically, sclerotherapy treatment was the method by which veins were hardened by administering an injection of foam directly into the varicose vein. The vein then shrank and disappeared over time.

Vein stripping was the only other option available before modern techniques were developed. Vein stripping required a general anaesthetic and was fairly brutal.

New and improved methods are now being used to treat varicose veins, with these newer methods being more effective and efficient than sclerotherapy and vein stripping. One option uses radiofrequency ablation (RFA) and another used is endovenous laser ablation (ELA). Each of these methods uses intense and localised heat to treat the vein, having previously placed local anaesthetic around the vein prior to the devise being fired, closing the vein permanently.

Radiofrequency Ablation (RFA) of varicose veins
RFA technique has been use as the preferred method of varicose vein treatment by vascular surgeons for several years. The VNUS® Closure® Fast device proved to be highly successful in removing most varicose veins using keyhole surgery, whilst presenting minimal aftercare incidents.

For more challenging varicose veins another RFA device called RFiTT® has proven to be equally effective for a wider range of more complex varicose veins.

Endovenous laser ablation (EVLA) of Varicose veins
Endovenous laser ablation of varicose veins also uses keyhole procedure similar to RFA as they both require a tiny ‘keyhole’ incision into the lower leg vein. The device is carefully passed up the vein as guided by the consultant’s ultrasound scan.

However, unlike RFA, EVLA can have the side effect of causing holes in the vein that it treats, causing blood to escape resulting in pain and localised bruising.

British Association Of Cosmetic Nurses Three Best Rated PIAPA Care Quality Commission NHS


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