• Treatment Options

    Leg Veins

To understand more about leg vein treatment using laser and sclerotherapy, please take the time to look at Dr Hussein’s lecture included in this section.

Following a consultation, history and examination. Dr Hussein will undertake the treatment of uncomplicated Telangiectasia (spider veins) and Reticular veins at his sk:n clinic. Depending on the size and distribution of the veins he will use a combination of Sclerotherapy and Long pulsed Nd-YAG laser to clear as many veins as possible.

Number of treatment sessions that are required depends on the extent, size and distribution of leg veins. This typically varies from 1-3 sessions to see an 80% improvement in veins.

Varicose veins need to be dealt with in a slightly different way. The interventions require image guidance with ultrasound and more invasive methods. Dr Hussein works in partnership with The Harley Street Vein clinic where patients can undergo ultrasound and Endovenous Laser Ablation (EVLA) of varicose veins as a day case procedure.

Leg veins are tough to treat. This is due to vein recovery potential. Legs are slow to heal as well so when planning a treatment make sure it is done several months prior to summer holidays. To reach optimal results can take as long as three months post treatment. Winter treatment for the following summer is advised.

Selection of appropriate cases is important. Attempts to treat very fine spider veins of 0.3mm diameter and below are often futile because it is quite simply not possible to get the sclerotherapy needle into the vessel. Laser is also difficult for very small vessels as they require high fluence treatment with short pulse widths. Put simply the potential side effect risk when using laser for very fine vessels of 0.3mm and below would result in an unsatisfactory outcome and potentially worse cosmetic outcome when compared to the pre-treatment appearance.

In short if you have good eyes and you have to look at your legs up close (less than 30cm away) then it is too early to come and see Dr Hussein for leg vein treatment. Wait until they become more visible!

Laser in Vein Treatment

Many patients assume that laser treatment is the same. However there are multiple different types of laser & light devices that are used to treat (or attempt to treat) leg veins. Now if you happen to be an expert in cutaneous laser surgery such as Dr Hussein then rest assured the most appropriate devices will be selected. The most effective laser in treatment of leg spider veins is the long pulsed NdYAG. This is because it has a wavelength (1064nm) that will penetrate deep enough to seal the spider vein. Diode lasers (810-940nm) can also be reasonably effective but carry a slightly higher risk of skin pigmentation change. Pulsed Dye Laser (585-595nm) and KTP (532nm) are useful in treating very fine superficial vessels but usually insufficient for most leg spider veins. Intense Pulsed Light devices (usually falsely called Laser) are low powered devices that are not highly effective in the treatment of leg veins. Dr Hussein has access to all wavelengths as he has multiple devices. Due to the high cost of lasers many clinics will try and adopt a one machine fits all approach.