Varicose vein surgery

Varicose vein surgery

There are three types of abnormal, prominent veins in the legs:

  1. Spider veins, also known as telangiectasias, are small and dilated blood vessels that look like red, purple or blue small spider webs on your skin. They are flat and can look like bruises.
  2. Reticular veins are larger dilated veins that are located deeper than spider veins. They’re usually blue and flat, found on the back of the leg (especially behind the knee).
  3. Regular varicose veins, also known as varicosities, are enlarged veins that bulge. They may be blue, purple or flesh-coloured, and look like a bumpy twisted cord.

All of these abnormal veins and venous disorders are caused by a pooling of blood within the vein. Veins that are most commonly affected are either the vena saphena magna (great saphenous vein) located along the entire length of the leg, or saphena parva (small saphenous vein) located in the calf. The valve inside the affected vein doesn’t function properly, so blood isn’t being pumped up. Because of this, there’s more blood in the vein than there should be. This causes the vein to dilate and enlarge, leading to discolouration and bulging.

Examples of the before and after varicose vein surgery.

Varicose vein surgery at Estetikcentrum

Whether caused by aging, pregnancy or genetics, these unsightly veins can be embarrassing. You may insist on wearing long pants and skirts to keep them covered up, and avoid certain social events so people won’t see them. Varicose veins can also be itchy and painful. They may develop into a more serious health condition that can be debilitating. Because varicose veins often get worse when left untreated, it’s better to get them removed sooner than later.

Get rid of your spider veins and varicose veins now. Spider vein removal and varicose vein treatment can remove those unsightly and/or painful veins without lengthy downtime.

6 Reasons Why Your Spider Vein Removal and Varicose Vein Treatment in Malmö is Better at Estetikcentrum

1. Your Varicose Vein or Spider Vein Treatment is Performed by a Vascular Surgeon.

The elimination of varicose veins and spider veins has become so popular that many clinics offer the treatment. However, at other clinics, the procedure may be performed by a surgeon who is not formally trained in issues affecting the vascular system. But you should know that these surgeons do not have the same level of knowledge or experience dealing with your blood vessels as a vascular surgeon does. A vascular surgeon is a specialist in the circulatory system.

At our clinic, your varicose or spider vein removal treatment is performed by our talented vascular surgeon, not any other type of surgeon. Dr. Tobias Kühme specializes in vascular anomalies, venous reconstructions and endovascular treatments.

After all, the blood vessels in your body are crucial to your existence, so wouldn’t you want someone who is a specialist in treating any issues related to them?

2. You’ll Get an Ultrasound First to Ensure Your Varicose Veins Can Be Treated.

Not all veins can be treated safely. Veins located deep in your body carry the majority of your blood. Aptly called deep veins, these cannot be safely treated with surgery because any treatment will interfere with vital blood circulation. In addition, deep veins that aren’t functioning properly can negatively impact varicose veins that are located closer to your skin (known as superficial veins). If you get superficial varicose veins treated but your deep veins aren’t functioning well, the risk of reoccurrence in varicose veins is high. For this reason, you’ll get an ultrasound first so we can examine the state of your deep veins to make sure your veins can be treated effectively.

If you find out that your deep veins aren’t working well, you may be advised to wear compression stockings. This may help improve their condition.

3. We Offer Radiofrequency Ablation Technology, Not Lasers.

The removal of a varicose vein involves gently warming the vein. This is done by making a small incision behind or just below the knee, through which a catheter is inserted so that the vein can be targeted. The catheter, measuring just a few millimetres in circumference, may contain a radiofrequency ablation (RFA) fibre or laser fibre, and this is used to gently warm the offending vein to destroy it.

While both RFA and Endovenous Laser Ablation (EVLA) use based on cauterization and can achieve long term results, we have found that endovascular radiofrequency ablation is a superior method of varicose vein treatment for one vital reason: you’ll feel less pain and discomfort after the treatment. This is primarily because RFA delivers less heat than a laser, so it’s potentially less traumatic. Less pain and discomfort make it an easier treatment for you. Not only do our patients find this to be true, but it has also been scientifically proven.

In the 2010 study , Laser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm), patients with varicose veins on both legs were treated on one side with RFA and on the other with EVLA. After the procedure, patients experienced “significantly less pain” in the leg treated with RFA, as well as less bruising.

Although the cost of the RFA catheter is more expensive for us, we don’t believe that you should undergo an inferior treatment if there is an alternative that is more comfortable!

4. You’ll Be Able to Go Back to Work Right After Your Treatment.

For a long time, varicose veins were treated with an invasive surgical procedure. In this traditional method of treatment, the varicose vein was removed by basically stripping it or pulling it out from your leg. The risks and complications related to this method were high, and we’re sure you can imagine how intense and long the recovery period was. Fortunately, our more advanced varicose vein treatment is far less invasive, with far fewer related risks. On top of that, the pain and discomfort associated with radiofrequency ablation is so much lower that you can get this done without returning home to recover. Many of our patients go right back to work and other regular daily activities immediately after their treatment. In fact, we recommend that you not lie around and remain sedentary for prolonged periods of time on the day of your procedure because it could interfere with your recovery.

5. We Reduce the Risk of Spider Vein and Varicose Vein Reoccurrence.

Spider veins are treated with sclerotherapy, a treatment that involves injecting a type of solution in the veins. This solution closes the vein long enough that blood no longer flows through it, eventually leading to its collapse. Once it’s no longer being used, the vein gets absorbed by the body. Only an almost invisible scar is left behind. However, it is not uncommon for spider veins that have been treated to appear again. This is caused by the blood pumping through the veins, reopening them. To minimize the risk of this happening, we advise our patients to put pressure on the treated spider veins, as well as the rest of the affected leg, for a period of time as they recover. This is achieved by wearing a compression stocking constantly for 2-3 days after the treatment. By applying pressure, the spider veins remain sealed so blood cannot pump through to reopen them, dramatically lowering the risk of reoccurrence.

For varicose veins, compression stockings are also worn after the procedure to prevent reopening of the treated veins.  However, the stockings are worn for a few weeks since varicose veins are larger and more complex.

6. Local Anesthesia is Used.

For the treatment of varicose veins, local anesthesia is pumped into the muscle in the target area. This anesthesia is injected all along the vessel so that you won’t feel any discomfort during the treatment. It also helps to protect the surrounding tissues.

Anesthesia is not necessary for spider vein removal because the treatment is not painful. The injections feel much like pin pricks. However, if you are sensitive, topical numbing can be provided.

Your Consultation

You’ll meet with our vascular surgeon to discuss your concerns. Our vascular surgeon will examine your veins and review your medical history as part of your assessment. You’ll also find out details about your treatment so you can feel more comfortable with the process.

For varicose vein removal, an ultrasound will be performed to make sure the treatment is safe and effective for you.

Your Treatment

Spider veins

Sclerotherapy is a relatively simple treatment. A number of injections are made into your spider veins, then the sites are covered up with bandages and compression stocking is worn. You may need more than one treatment to remove all of the spider veins you want to get rid of.

Varicose veins

Local anesthesia is administered. An incision is made in the area of your knee and local anesthesia is injected along the vessel. A catheter is inserted so that it can be pulled along the vein, cauterizing it. Once the vein has been treated, the catheter is removed and the incision closed. Bandages and compression are applied.

Some clinics perform sclerotherapy on varicose veins. We do not do this because the risk of reoccurrence is too high.

Spider Vein and Varicose Vein Removal Recovery

Spider vein removal with sclerotherapy does not require a lengthy recovery period. The only thing you’ll need to do is to wear compression stockings for 2-3 days after the procedure. This will help prevent the risk of reoccurrence. You can go back to work and other daily activities as usual.

For varicose vein removal, you’ll need to wear a bandage for 2-3 days, then switch to compression socks for a few weeks after that. This helps keep pressure on the treated veins to prevent reopening. While you’ll be able to go to work as usual and walk around, vigorous physical activity (such as running and strength training) should be avoided for 3 weeks.

Some bruising and tenderness may develop but will disappear in the days and weeks following. If you need to stand or sit for long periods of times while you recover, it’s a good idea to activate your leg muscles periodically to help with circulation. For a few weeks, avoid wearing anything too restrictive around your mid-section, as this can block the flow of blood through your veins and delay your recovery. Avoid wearing high heels for the same reason.

Your Results

Swelling and bruising will gradually disappear over the weeks and months after your surgery. At three months or so, most of it should be gone. At that time, you’ll finally see the results of your surgery. You’ll be leaner and more toned, with a smoother shape that is in better harmony with the rest of your appearance.

Our patients enjoy heightened self-confidence. Like them, you’ll be so much happier with your appearance!


What is varicose vein treatment? How are varicose veins treated?
Varicose veins are treated with radiotherapy frequency ablation (RFA). This technology involves exposing the affected vein with a cannula through which an RFA fibre is threaded. The procedure usually takes under an hour and you can return to regular activities immediately afterward. You don’t need time off from work.

What causes varicose veins?
Varicose veins happen when the vein doesn’t properly pump blood through it. The blood collects and pushes out against the vein walls, making it larger and discoloured. There are several causes of varicose veins, with the most common being the following:

Aging: Aging reduces the elasticity of vein walls so they stretch out, weakening valves. This allows blood to flow backward.

Pregnancy: Pregnancy increases how much blood a woman has in her body, while at the same time decreasing the amount of blood circulating through her legs to the pelvis. While these changes help the fetus grow, it also increases the risk of varicose veins.

Obesity: With obesity, the amount of pressure on your legs increases. This pressure causes the valves within the veins to weaken and fail.

Lack of exercise and movement:  Leading a sedentary lifestyle or standing for long periods of time decreases circulation in the legs, which can cause the blood to pool in the veins. Walking, bicycling and lunges are great exercises to keep your blood flowing.

What is spider vein treatment?
Spider veins can be removed with a number of options. One of the most common options is sclerotherapy. Sclerotherapy involves injecting the spider vein with a solution that collapses its walls, cutting off blood flow to it so that it turns into an invisible scar. It is a relatively painless procedure with very little downtime.

Another common treatment for spider veins is with laser technology.

Which is better sclerotherapy or laser?
Sclerotherapy is considered the gold standard of spider vein removal, particularly when treating those on the legs. A number of studies prove that when targeting the legs, sclerotherapy consistently achieves better results.

Are spider veins serious?
Spider veins are more of a complexion issue than serious health problem. They do not cause itchiness or pain, unlike varicose veins.

Are spider veins permanent?
Spider veins may be permanent or temporary. They may appear then gradually fade completely with time. Women who develop spider veins during pregnancy may find that some disappear after delivery.

Varicose veins, on the other hand, tend to be more permanent. While they can improve with time, they may not entirely disappear. More often than not, varicose veins get worse if not treated and may also lead to more serious health conditions, including Eczema, Leg ulcers, Chronic Venous Insufficiency (CVI) and even Congestive heart failure.

You can book a time here online for consultation with our specialists.
You can also call us at 040-65 66 660.

We wish you a very warm welcome to visit us at Estetikcentrum!

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