Varicose veins are a common complication that are both a health risk in your daily life and look unpleasant. The side-effects of this disease are extremely painful and avoiding treatment could lead to a dangerous venous disease called Chronic Venous Insufficiency (CVI). There are multiple treatment methods for this complication that are recommended based on the severity of your case. One of them is varicose vein surgery which at Estetikcentrum is done under the supervision of leading practitioners.

Before and after:


Types of varicose veins:

There are different varicose veins which require different treatments.

  1. Spider veins or telangiectasia are small and dilated blood vessels that appear on the skin as spider webs in red, blue, or purple. These veins are flat and look like bruising on the skin.
  2. Reticular veins are larger dilated veins that are located deeper in the skin compared to spider veins. They’re usually blue and flat and seen on the back of the leg (especially behind the knee).
  3. Varicose veins are enlarged and bulgy veins that may be blue, purple, or flesh-colored, and look like a bumpy twisted cord. Varicose vein surgery is a necessary procedure to treat these kinds of veins.

What is the cause of varicose veins?

These abnormal veins and venous disorders are caused by an accumulation of blood within the vein. Veins that are most commonly affected are either the vena saphena magna (great saphenous vein) located along the leg, or saphena parva (small saphenous vein) located in the calf. The valve inside the abnormal vein doesn’t function correctly, so blood isn’t being pumped and as a result, more blood stays in the vein than it is necessary. This causes the vein to dilate, leading to discoloration and bulging.

Varicose veins are usually found in the lower section of the leg because the veins have to pump blood upwards against gravity and the body’s weight. This causes these veins to become damaged in time. After becoming damaged, pressure on the veins increases causing them to become swollen. The issue is exacerbated once the painful symptoms of varicose veins start showing themselves.

There are different reasons for why this phenomenon occurs:


As you age, your vein walls decrease in elasticity. So your vein becomes dilated and its valve weakens. Your blood flow is interrupted as a result.


During pregnancy, the amount of blood in your body increases by about 2 liters but blood circulation to the legs decreases. This change is necessary for the fetus’s growth but causes an increase in varicose veins. This complication usually resolves itself after pregnancy. But if it were to be combined with the other causes of varicose veins then it might become permanent and require varicose vein surgery after delivery.


Obesity is one of the main reasons of this complication which happens due to an increase in the amount of pressure on your legs and weakened vein valves.

Lack of exercise and movement:

Your current occupation is a catalyst in getting this complication. Leading a sedentary life or standing for long periods of time decreases blood circulation in the legs, which can cause the blood to pool in the veins. Walking, bicycling, and lunges are great exercises to maintain a healthy blood circulation.

Other causes:

History of varicose in the family and being a woman are also highly impactful which in some cases necessitate varicose vein surgery.

What are the side-effects of varicose?

Varicose veins are not only an aesthetics issue but also a general health issue for those affected. Some of the complications associated with this disease include:

  • Intense pain
  • Fatigue
  • Your legs feel heavy after exercising and at night
  • Profuse bleeding in case of minor damage to the area affected by varicose
  • Muscle cramp
  • Itching where the varicose vein is located
  • Thrombophlebitis (formation of blood clots in the varicose vein)
  • Swollen ankles and inflammation
  • Spider telangiectasia in damaged leg
  • Significant skin changes near the varicose veins, usually discoloration in brown or blue
  • Venous eczema (red, dry, itchy skin around the damaged area)
  • Having restless leg syndrome in a high percentage of the afflicted people
  • Atrophie blanche (irregular white patches that appear like scars on the ankles)

In some patients, none of the above symptoms occur yet they become afflicted with varicose veins which requires medical attention.

Non-surgical treatments:

Varicose vein surgery is always the last resort for treating this condition. Non-invasive treatment options are used first depending on the condition’s severity which is as follows:

You’re initially recommended to not stand on your leg for prolonged amounts of time. Resting your leg and exercising moderately help in treating this condition. If your occupation forces to stand for long hours, then learn helpful exercises and repeat them daily.

If you’re overweight, you have to lose weight. Weight loss alleviates pressure from your feet.

One of the most famous varicose treatment options is the use of special compression stockings which remedy blood circulation to treat varicose veins. But if you’ve got a problem with circulation in your legs (for example peripheral artery diseases) then refrain from using these stockings. Therefore, it is necessary to be examined by a vascular specialist to determine whether you need special compression stockings or not. The above mentioned prevention methods help avoid varicose vein surgery in most patients.

In case none of the above mentioned methods help remedy this complication, you have to undergo varicose vein surgery. At Estetikcentrum, we help you achieve the best results with the least amount of side-effects.

Varicose Vein Surgery at Estetikcentrum

Regardless of what causes this condition, aging, pregnancy, or genetics, it’s still a very unpleasant sight to behold. As a result, many people feel forced to wear long pants or skirts and tend to avoid going to the beach or swimming pool so that no one sees their legs. These veins cause itching and pain and in more advanced stages lead to dangerous disorders. It is important to remove these veins as soon as possible because not treating them could exacerbate the situation.

Get rid of your spider veins or varicose right away. Varicose vein surgery can remove the unpleasing look or any pain you’re experiencing without the need for a long recovery.

Reasons why varicose vein treatment is better at Estetikcentrum in Malmö


1-Treating varicose or spider veins can only be done by a vascular surgeon.

Removing varicose and spider veins is a common treatment that is performed in many clinics. But in most of those clinics, this surgery is performed by a surgeon who is not trained in regard to the vascular system.  These surgeons don’t have the same vital experience and knowledge of vascular surgeons. Vascular surgeon is specialist in blood circulation system.

At our clinic, our varicose and spider vein surgery is done by an experienced vascular surgeon and no one other than that. Doctor Tobias Kühme is a specialist in vascular anomaly treatment, venous reconstruction and endovascular treatments. All blood vessels are necessary for continuing life; therefore, this surgery must be done by someone who specializes in that regard.

2-First off, an ultrasound is taken of the varicose veins to make sure they’re treatable.

Not all varicose veins can be treated. Veins that are deeper in the body cannot be treated through surgery because it could interrupt vital blood circulation. Additionally, deep veins that don’t work properly can have a negative effect on varicose veins closer to the skin (also known as superficial veins). When deep veins don’t function properly, treating superficial veins has the risk of the varicose reoccurring. Therefore, deep veins are first examined to determine the effectiveness of varicose vein surgery.

In case your deep veins don’t function properly, wearing compression stockings is recommended to improve the veins’ condition.

3-We use radiofrequency ablation technology instead of lasers.

The vein is heated to remove varicose veins. To do this, a small incision is made on the back of the knee or a bit below it then a catheter is inserted to reach the intended vein. The catheter is only a few millimeters thick so radiofrequency or laser fiber ablation can be used to heat and destroy the vein.

Both, radiofrequency ablation and endovascular laser ablation heat the vein and lead to long-lasting results. However, we believe endovascular radiofrequency ablation is superior for one reason: less pain and discomfort after the surgery. This is because radiofrequency ablation creates less heat. This method has been proven to be scientifically more advantageous than other methods.

In the 2010 study, radiofrequency ablation was used on one of the patients’ legs and endovascular laser ablation on the other leg. The results indicated that less pain, discomfort, and bruising were experienced in the leg with radiofrequency ablation.

4-You can return to your job right after surgery.

Before this procedure, varicose vein surgery used to be very invasive. In that method, all varicose veins were removed completely. The risks and complications of that method were extremely high and accompanied by a long convalescence period. Our treatment procedure is luckily very delicate and includes low risk and complications. Additionally, the pain and discomfort of endovascular radiofrequency ablation are so insignificant that some patients return to their job or other activities right after the surgery without any down time recovery at home. We honestly recommend that you don’t sit or lie down for an extended amount of time to not disrupt the healing.

5-We reduce the chances of varicose and spider veins reoccurring.

Spider veins are treated using sclerotherapy. In this procedure, a chemical is injected into the vein which closes it to prevent blood circulating in it and finally fades away and is absorbed by the body, leaving behind an invisible scar. Still, there are instances were spider veins reoccur even after treatment because blood is pumped in them again and they re-open. To reduce the chances of this occurring, we recommend patients to continuously wear compression stockings for 2-3 days. The pressure from these stockings causes the spider veins to remain closed so that blood cannot circulate in them and re-open the veins. As a result, the chances of them emerging again are drastically reduced.

Using compression stockings is always recommended after varicose vein surgery to prevent the veins from re-opening but since these veins are larger and more complex, it is suggested to wear the stockings for a few weeks.

6-Local anesthesia is used

Local anesthesia is also used on the intended muscle during varicose vein treatment. The anesthetic affects the whole vein so you won’t feel any irritation or discomfort during the surgery. Additionally, the surrounding tissues are also protected.

Removing spider veins is painless and does not require anesthesia but if you’re sensitive, local anesthesia can be administered.

Consultation before varicose vein surgery:

You’ll meet our vascular surgeon before treatment so that you can discuss any potential questions and worries. They will examine your veins and review your medical history. They will also explain the finer details of the treatment to you.

An ultrasound is taken from the veins to ensure whether they are treatable or not.

Before surgery, you’ll have to notify the doctor of your prescription or over-the-counter medication. It is possible that your doctor might ask you to temporarily stop using some of your medication, because some medication has a blood thinning effect and exacerbate bleeding while performing the varicose vein surgery.

Treatment methods:

Spider veins:

Sclerotherapy is a simple treatment. A few injections will be made to the spider veins and you will be bandaged, then you have to wear compression stockings. Depending on the number of spider veins that you wish to treat, you might need more treatment.

Varicose veins:

Local anesthesia is used in treating these veins. An incision is made on the knee and local anesthesia is injected. A catheter is inserted in the vein to burn it. The catheter is taken out and the incision is closed. The area is bandaged and you’ll have to wear compression stockings.

Some clinics also use sclerotherapy to treat varicose veins. However, we refrain from using it due to the high chances of the condition reoccurring.

Convalescence period of spider vein treatment and varicose vein surgery:

Removing spider veins through sclerotherapy does not require a long convalescence. But you have to constantly wear your compression stockings for 2-3 days to reduce the chances of it re-emerging. You can immediately return to your daily activities after the treatment.

After the surgery your wound needs to remain bandaged for 2-3 days; afterwards you need to wear your compression stockings for a few weeks so that the pressure prevents the veins from opening again. Even though you can return to work and walk, you have to avoid physical activities such as intense sport and running.

By physical activity, we don’t mean jogging. A 100 meter jog done three times a day is enough to reach the desired result. Your speed increases as your leg’s stiffness and dryness reduces.

Wait for your wounds to fully heal before taking a bath or going to the pool.

Avoid driving for at least 48 hours after the surgery.

After varicose vein surgery, you will experience bruising or stiffness in your leg. All these conditions will go away within a few days or a week at most. If you need to stand or sit down for long hours during convalescence, then make sure to move your muscles constantly to facilitate blood circulation in them. You have to refrain from wearing clothes that are tight around the waist or high heels because they interrupt blood flow which delays your recovery.

Complications of varicose vein surgery:

This surgery is very safe and low risk. But like any other surgery it involves risks:

  • Nerve damage
  • Bleeding
  • Blood clotting
  • Bruising
  • Scarring
  • Wound infection
  • Chances of discoloration around the varicose vein, but this is a temporary complication.

First results and their longevity after varicose and spider vein surgery:

Swelling and bruising gradually fade away in a few week or months. All these symptoms go away in three months and you’ll finally be able to enjoy the final results. Your legs will have a better form and be more harmonious to the rest of your body.

This issue has a very low chance relapsing but in some cases, it might happen after around 10 years. To prevent varicose veins from reoccurring, the patient must maintain a healthy weight, consistently exercise and use compression stockings.

You’ll feel more confident after your varicose vein surgery and your legs will regain their attractive look.

Frequently asked questions:

How is varicose vein surgery done?

Varicose veins are destroyed through endovascular radiofrequency ablation. This technology uses an endovascular radiofrequency ablation fiber inside the vein. The treatment takes less than an hour to perform and you can immediately return to your activities.  You don’t need to take time off from work.

How is spider vein surgery done?

Spider veins can be removed through various means. One of the most common methods is sclerotherapy. A chemical is injected into the vein which destroys the vein walls and stops blood circulation in the vein until it turns into an invisible scar. This method is painless and without any risk.

Using laser technology is another common method in treating spider veins.

Is sclerotherapy better or laser?

Sclerotherapy is the best solution for removing spider veins. Studies have shown that sclerotherapy yields the best results in terms of leg veins.

Are spider veins a serious health risk?

In contrast to varicose veins, spider veins don’t cause any pain or itching and are not a serious health risk.

Are spider veins permanent?

Spider veins can be permanent or temporary. They can fade away gradually. Spider veins appear during pregnancy but disappear after delivery.

But varicose veins are permanent. Even though they get better in time, they don’t go away fully. In most cases, if left untreated, varicose veins would get worse and could lead to diseases, such as eczema, foot ulcer, vascular failure, or even heart failure.

You can book a consultation session with our professionals online. You can also call us at 040 – 65 66 660.

We look forward to seeing you at Estetikcentrum.

This article is intended to promote understanding of and knowledge about professional plastic surgeries. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your surgeon or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.