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Thread veins are small blood vessels that run close to the surface of the skin and have the appearance of fine red, or purple squiggles. Other names are ‘spider veins’ or ‘broken veins’, the veins are infact not broken but just enlarged. They may appear on the face of legs.

EA Clinic offers 4 main modalities to remove thread veins.
1. Thermocoagulation (face)
2. ND Yag lasering (face, body & legs)
3. IPL (face)
4. Microsclerotherapy (body & face)

Thermocoagulation is specifically for the treatment of fine thread veins on the face, telangiectasia (Spider Veins), psoriasis and rosacea. This technique can be used on any skin type and causes no bruising, or need for any type of bandages. It utilises an ultra fine insulated sterile needle that allows accurate application of the treatment whilst protecting the skin and the surrounding tissue.

ND Yag lasering can be used all over the body and usually requires the use of topical anaesthetic cream 45 minutes before treatment. We often use it with intraocular light shields when working on the eyelids to remove the vessels to improve the dark circles around the eyes.

IPL therapy provides a long term solution to facial problems such as red flushing (Rosacea), thread veins and red spots (Campbell de Morgan). The thread veins that make up redness, are heated by the energy from the light, causing the body to reabsorb the veins. Additionally, the light energy warms the collagen fibres in the skin, which stimulates new collagen and collagen re-modelling, helping to reduce further blood vessel dilation which causes redness. The size of the head is large and so it can cover a large area within a short period of time and is ideal for scattered threadveins covering a large area on the face.

Microsclerotherapy is mostly used to treat spider veins or thread veins on the legs. It is a simple procedure which involves injecting a liquid into the veins that destroys them and causes them to disappear over time. It is suitable for use on thread veins on the legs or body, provided they are beneath the heart. We do not use it on the face. Microsclerotherapy is the most preferable treatment for thread veins below the heart and we often combine it with ND YAG lasering to get the best results.

Thread veins on the face are better treated with Electro Surgery, Intense Pulsed Light (IPL) or laser.


What are thread veins?

They are small blood vessels that run close to the surface of the skin and have the appearance of fine red, or purple squiggles. Other names are ‘spider veins’ or ‘broken veins’, the veins are infact not broken but just enlarged. Telangiectasia is the medical terminology.

Who gets them?

The majority of us as we age. Approximately one in every five women in their 20’s will have thread veins, thus sum increases to roughly 50% by the age of forty and continues to increase. By the age of 70 over 70% of female will have thread veins.

How does Thermocoagulation therapy work?

It is unique in its use of energy to heat vessels/veins, utilising a very high-frequency energy, resulting in the instant disappearance; a process known as “Thermo-Coagulation”. As Thermo-Coagulation uses a selective controlled energy, which preserves the epidermis, there are no risks of burns or necrosis. It uses high frequency energy through an ultra-fine insulated needle that heats the vessels in the skin, which creates a thermal lesion that destroys the vein. This allows accurate application of the treatment, whilst protecting the skin and surrounding tissue.

What are the benefits of Thermocoagulation therapy?

It is a relatively painless procedure that can be applied to all areas of the body, including difficult to treat areas, such as the knee and ankle. There is no risk of bruising, scarring or pigmentation. No bandages are required, and the patient may resume everyday activity 15 minutes after their treatment session.

Are there side-effects?


What can I expect?

Often there are small areas of “scabbing” that drop off and leave no permanent marks and a significant reduction in thread veins

Do I need to take special precautions before and after treatment?

Pre-existing suntans do not affect or prevent the Thermocoagulation therapy treatment but is adviced that sun bathing could be detrimental for a 6 week period after the treatment.

How many treatments will I need?

This will depend on how many spider veins have appeared. Each session involves nearly 250 pulses which treats and 30-50cm of spider veins. Most of our clients can be treated in 2 to 4 sessions making it a fast, effective and inexpensive treatment.

The results will be obvious in most patients after 6 weeks but for some people, it can take longer for the treatment to work.

How long does one session of Thermocoagulation Therapy last?

One treatment session usually lasts around 10-15 minutes, representing approximately 200-250 pulses, and the results, due to the vein collapsing and instantly disappearing, can be seen immediately.

Why choose Thermocoagulation therapy?

• Instant results
• Simple and affordable procedure
• Any part of the body including
• face ankles and knees
• For men and women
• Relatively painless
• No side effects
• No bruising
• No bandaging
• No pigmentation
• No scarring
• Immediate sun exposure

Does Thermocoagulation therapy work on all spider veins?

The procedure is relatively painless and unlike any other treatment, can be applied to all areas of the body, even to the knee and ankle which are otherwise too difficult to treat. The client can resume everyday activity immediately after their 15 minute treatment session.

How safe is microsclerotherapy treatment?

There are minimal side effects to using it. Larger thread veins of the legs may be more effectively treated using microsclerotherapy. Unlike laser treatment, protection from the sun is not necessary. If the treated area is a little sore or dry, then the application of aloe vera gel may help.

There is no evidence that the treatment can lead to skin disorders, nor an increased risk of cancer. However, treatment is not suitable during pregnancy, or for patients with epilepsy or a pacemaker. Only qualified and fully trained staff may carry out treatment.

Are there risks with microsclerotherapy?

Brown stains may occur but these tend to occur in those who remove their stockings before the recommended 6 weeks.

Very rarely, patients may get an ulcer. This occurs when some of the sclerosant enters into a microscopic artery.

Red stains Telangetic Matting tends to occur on those with underlying, hidden untreated varicose veins.

Will I need a Duplex Ultrasound scan before Microsclerotherapy?

Yes, we will arrange this for you.

How does Nd: Yag laser thread vein removal work?

Nd: Yag laser for thread vein removal sends pulses of light energy along the veins causing the vein to collapse and the excess blood will be absorbed by the body. In some slight bruising following treatment may occur but this is usually short term. The bruising should disappear within a week of the treatment taking place.

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