The Vein Institute

Varicose Vein Treatment Options

At The Vein Institute, we use the latest technology from Europe and the USA to provide the most advanced non-surgical varicose veins treatment options. Our team of highly skilled doctors are passionate about getting the best possible results and ensuring a positive experience for all patients.

Non-surgical treatment options

Non-surgical or minimally invasive treatments seal the vein shut. Once blood stops flowing through it, your body starts absorbing it. Eventually, the vein will dissolve from view. We offer several vein sealing options, each designed for a certain type of varicose vein.

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Self Care

Self-care for varicose veins can help you manage your symptoms and slow the condition’s progression. However, home remedies for varicose veins are not treatments. This because they do not address the underlying issue of faulty vein valves.

Wear special compression stockings
This will help reduce swelling and improve circulation. In short, compression stockings work by gently squeezing the veins and stimulating the muscles to help veins get blood to the heart.

Avoid sitting or standing for long periods
Make sure to move frequently or take breaks. It is important because muscle movement moves the blood along the leg vein, so long periods of sitting or standing without moving can cause blood to pool – especially in unhealthy veins.

Diet
What you eat affects your veins. In that vein, following a low-salt diet can help prevent swelling caused by water retention. You should also ensure you’re getting enough Vitamins C, D, and E, as these are essential for healthy vein function.

Exercise
Exercise regularly to promote healthy circulation. We recommend doing at least 30 minutes of walking per day and going for a swim or taking a yoga class a couple of times per week.

Surgical Options

Surgical treatments for varicose veins involve removing the vein rather than sealing it. Since removal requires larger incisions and/or a greater number of them, surgeons typically perform it in a hospital under general anaesthetic. You can explore some of these surgical vein treatments below.

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Ligation and Surgical Stripping
In this procedure, a vascular surgeon makes incisions at the two ends of the vein and then cuts and ties the vein off to seal it. Once blood stops flowing through, they will ‘strip’ the vein out of your body. As it’s a more extensive and invasive procedure than Endovenous Laser Ablation, it requires general anaesthesia and sutures.

Phlebectomy
There are two types of phlebectomy: ambulatory and transilluminated. In the former, your surgeon will make incisions along the vein, break it up into segments, and pull them out with a surgical hook. In the latter, they’ll use suction instead of a hook. Phlebectomy requires sutures, but surgeons may sometimes perform the treatments with regional anaesthetic instead of general.

Compare Treatments

The table below is a simple snapshot of all the varicose veins treatment options.

For more information about our costs, visit our Varicose Vein Treatment Pricing page.

EVLA/RFA Sclero Venaseal Surgery Selfcare
To Treat
Big Straight Veins
To Treat
Small Veins
To Treat
Medium Sized Straight Veins
To Treat
Big Veins
To Treat
All
Pain Level
Similar To An Injection
Pain Level
Similar To An Injection Or Blood Test
Pain Level
Similar To An Injection
Pain Level
None during treatment due to general anaesthetic. Significantly more post treatment.
Pain Level
No pain associated with self care
Success Rate
95 - 98%
Success Rate
65 - 80%
Success Rate
92 - 95%
Success Rate
80 - 90%
Success Rate
Used to minimise symptoms not to fix the issue
Down Time Period
Usually None
Down Time Period
Usually None
Down Time Period
None
Down Time Period
2 - 4 Weeks
Down Time Period
N/A
Anaesthetic
Local at incision point
Anaesthetic
None
Anaesthetic
Local at incision point
Anaesthetic
General anaesthetic or spinal anaesthetic
Anaesthetic
N/A
Appearance
60-80% shrinkage post treatment. Bruising <1 weeks. No visible scars.
Appearance
Immediate bruising before improving in 6 weeks. No visible scars.
Appearance
Improvement usually within fortnight
Appearance
Bruising < 6 weeks. Pain intense for 2 weeks. Minor scaring at each incision point.
Appearance
Appearance will not change
Aftercare
Compression Stockings for 5 days. 30 mins walk a day for 2 weeks.
Aftercare
Compression Stockings 5 days. 30 mins walk a day for 2 weeks.
Aftercare
30 mins walk a day for 2 weeks
Aftercare
Compression stockings for 2 weeks, 30 mins walk a day for 2 weeks, bed rest, high fiber diet, avoid driving for minimum of 2 days.
Aftercare
N/A
No of treatments required
1 Per Leg
No of treatments required
2 - 3 Per Leg on Average
No of treatments required
1 Per Leg
No of treatments required
1 Per Leg
No of treatments required
Use as needed
Recurrance Rate after 5years
<5%
Recurrance Rate after 5years
28%
Recurrance Rate after 5years
10%
Recurrance Rate after 5years
35%
Recurrance Rate after 5years
N/A
Risks
Pigmentation, Nerve Damage, DVT (<1%), Pulmonary Embolism (<1%)
Risks
Pigmentation, Allergic Reaction to solution
Risks
Allergic reaction to glue, phlebitis, thrombosis, pulmonary embolism, hematoma or infection
Risks
Allergic reaction to anaesthesia, infection at the incision sites, nerve injury, heavy bleeding, blood clots.
Risks
Risks associated with not treating varicose veins include: bleeding, venous ulcers, blood clots and DVTs.
Remove/Close
Close
Remove/Close
Close
Remove/Close
Close
Remove/Close
Remove
Remove/Close
N/A

Have questions about the treatments available at The Vein Institute?

We have listed some of our most asked questions to the right. If you would like to speak to someone please contact us on 13 83467 or make an appointment.

What type of non-surgical treatment options do you offer?

Ultrasound Guided Sclerotherapy: This treatment is non-surgical, doesn’t cause visible scarring, and requires virtually no downtime. We inject a specialised medication into the diseased veins to collapse it and allow the body to absorb it. After the procedure, the vein’s appearance usually improves over a few weeks and continues to improve for about three months.

Endovenous Therapy: Also known as endovenous laser ablation or radiofrequency ablation. We perform these treatments comfortably in our clinic with regional anaesthetic. They are minimally invasive methods to treat larger varicose veins and are considered the gold standard – requiring no hospitalisation or general anaesthetic.

Venaseal “Medical Super Glue”- Venaseal is a modern, non-surgical treatment. Specialists use a medical adhesive to treat varicose veins. As the medical superglue sets within minutes, there is a faster healing process than is sometimes associated with other treatments.

ClariVein: This is a special catheter with a 360 degree rotating tip. It delivers sclerosant deeper into the varicose vein wall, allowing us to use it on larger veins than traditional sclerotherapy allows.

Do you treat spider veins?

We do not treat spider veins. Instead, we specialise in varicose veins. However, if you do have spider veins, we have a sister clinic called Spider Veins Australia that can remove them for you.

What about traditional remedies or vitamins?

Supplements, while they may help alleviate the symptoms, they can’t fix the underlying issue of faulty valses. So, by extension, they can’t treat varicose veins. To actually eliminate varicose veins, there are a number of highly effective, minimally invasive treatments available today that require virtually no recovery time.

Do I need to prepare for the procedure?

There are a few steps you should take to prepare for treatment. First, be sure to eat something. Coming in on an empty stomach can make you feel faint.

Second, take any of your normal medications – unless your doctor specified otherwise.

Third, drink at least 2 glasses of water (around 500 ml). Staying hydrated will reduce the risk of blood clots and minimise common symptom side effects like aches and swelling.

Fourth, you should wear loose-fitting pants because we will wrap compression bandages after the procedure.

Lastly, avoid shaving your legs the morning of the treatment.

How long will the laser procedure take?

The procedure takes about 40 minutes to an hour, after which you can return home or work.

Will the laser procedure be painful?

We take every precaution we can to minimise pain. In fact, many patients state that treatment isn’t painful, but may be a bit uncomfortable. You may feel a pinch as we inject the regional anaesthetic. If you are anxious about treatment, you should discuss your concerns with your doctor. We can arrange a medication for you prior to the procedure to reduce anxiety. Just keep in mind that if you take this medication, you’ll need someone to take you home.

What is the recovery plan?

  • Minimal to no downtime or time away from work. Your doctor may advise you to take a few days off if your job if it involves heavy lifting or long hours of standing.
  • You can drive after the procedure if you haven’t taken any medications to reduce anxiety.
  • We advise against long distance (5+ hours) travel for around 4 weeks after treatment.
  • We recommend that all patients wear compression stockings or bandages for a minimum of five days after treatment to assist the healing process.
  • If there is any discomfort following the treatment, your doctor may recommend pain reliever medications.

Do I need to follow up after treatment?

All patients must have a review scan within four weeks of the laser procedure to ensure that the laser treatment was successful in sealing the diseased veins.  Following the laser treatment, a few sessions of sclerotherapy injections may be required to treat the more superficial veins.

Can I continue to train at the gym?

We recommend avoiding strenuous activities for 2-5 days after treatment. That includes weightlifting, running, and CrossFit. However, we do recommend continuing with mild to moderate intensity exercise such as yoga, swimming (after the injections/incision points heal), and walking.

Will I have to take time off work or will it affect my duties?

Generally, you can get back to work the same day. However, if your job requires long hours of standing or heavy lifting, your doctor may advise against it.

What about flying?

You should not travel long distances (5+ hours) for around 4 weeks after your treatment. Please make sure to discuss any travel plans with your doctor during your consultation.

Will my private health cover the treatment?

Unfortunately, Private Health does not cover varicose vein treatment. Depending on your insurance policy and level of cover, you may be able to claim for general consumables. However, Medicare does offer rebates for consultations and treatments. Since all our doctors have GP qualifications, so you can access your rebates without a referral as long as you’re a Medicare card holder. We also offer a number of payment plans for the gap fee, which we would be happy to talk you through.
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