Varicose Veins Treatment | Melbourne Vascular Associates

Understanding Varicose Veins

Varicose veins are enlarged, twisted veins that appear blue or dark purple. They occur when faulty valves in the veins allow blood to flow in the wrong direction or to pool.

These veins commonly appear in the legs and feet because standing and walking increase pressure in the lower body veins. For many people, they're simply a cosmetic concern. For others, they can cause aching pain and discomfort, and sometimes lead to more serious problems.

Types of Vein Conditions

  • Spider veins (Telangiectasia) - Small, thin lines (less than 1mm) that appear red or blue
  • Reticular veins - Flat blue veins (1-3mm) visible beneath the skin
  • Varicose veins - Enlarged, bulging veins (greater than 3mm) that may be raised above the skin surface
Legs with varicose veins

Benefits of Modern Treatment

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Minimal Downtime

Return to normal activities within 24-48 hours, compared to weeks with traditional surgery.

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Less Pain

Minimally invasive procedures cause significantly less discomfort than traditional vein stripping.

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Excellent Results

High success rates with improved appearance and relief from symptoms like pain and swelling.

Treatment Options

At Melbourne Vascular Associates, we offer a range of treatment options tailored to your specific condition. Our specialists will recommend the most appropriate treatment based on your vein size, location, and symptoms.

Treatment Best For Procedure Time Recovery
Radiofrequency Ablation (RFA) Large varicose veins 30-60 minutes 1-2 days
Ultrasound Guided Sclerotherapy Medium to small veins 15-30 minutes Immediate
Endovenous Laser Ablation (EVLA) Large varicose veins 30-60 minutes 1-2 days
VenaSeal Medium to large veins 30-45 minutes Immediate
Compression Therapy Early stage or mild cases N/A N/A

According to the latest Cochrane Review (Whing 2021), minimally invasive treatments like radiofrequency ablation show comparable or better long-term results compared to traditional surgery, with significantly less recovery time and discomfort.

Radiofrequency Ablation (RFA)

Radiofrequency Ablation is a modern, minimally invasive treatment that uses controlled heat to seal off problematic veins. This redirects blood flow to healthy veins, improving circulation and reducing symptoms.

The RFA Procedure

  1. A small incision is made near the affected vein
  2. A thin catheter is inserted into the vein using ultrasound guidance
  3. The catheter delivers controlled heat to the vein wall
  4. The vein collapses and seals shut
  5. Blood is naturally redirected to healthy veins

Advantages of RFA

  • Performed under local anesthesia in our office
  • Typically takes less than an hour
  • Return to normal activities within 24-48 hours
  • Excellent success rates comparable to traditional surgery
  • Minimal discomfort during and after the procedure

How RFA Works

Radiofrequency Ablation Procedure Diagram

Ultrasound Guided Sclerotherapy

How Sclerotherapy Works

Sclerotherapy Procedure Diagram

Sclerotherapy is a non-surgical treatment that involves injecting a solution directly into the affected veins. This solution irritates the vein lining, causing it to collapse and eventually fade away as the body naturally absorbs it.

The Sclerotherapy Procedure

  1. The treatment area is cleansed
  2. A specialized solution is injected into the vein using ultrasound guidance
  3. The solution causes the vein to collapse and stick together
  4. The vein eventually scars and fades from view
  5. Blood flow is redirected to healthy veins

What to Expect

We use a foam solution that acts like a detergent, injected directly into the vein under ultrasound guidance. The procedure is quick, typically taking 15-30 minutes, and you can resume normal activities immediately afterward.

Potential Side Effects

While sclerotherapy is generally safe, potential side effects may include:

  • Temporary skin discoloration (hyperpigmentation)
  • Mild discomfort at injection sites
  • Rare complications such as ulceration or nerve injury

We use safe doses and precise techniques to minimize any risks.

Treatment Results

Our advanced treatments provide excellent cosmetic and symptomatic relief. Below are examples of typical results our patients experience.

Before and after varicose vein treatment

Patient treated with Radiofrequency Ablation

Frequently Asked Questions

Are varicose vein treatments covered by insurance?

Many varicose vein treatments are covered by Medicare and private health insurance when they're deemed medically necessary. This typically requires symptoms like pain, swelling, or skin changes. Our team can help determine your coverage eligibility during your consultation.

How long do the results last?

Once a vein is treated, it's permanently closed. However, new varicose veins can develop over time. Most patients experience long-lasting results, especially when following post-treatment recommendations like regular exercise and wearing compression stockings when indicated.

Are the procedures painful?

Most patients report minimal discomfort during and after minimally invasive procedures. RFA and sclerotherapy are performed under local anesthesia, and any post-procedure discomfort is typically mild and can be managed with over-the-counter pain relievers.

How do I know which treatment is right for me?

The best treatment depends on the size and location of your veins, your symptoms, and your overall health. During your consultation, our vascular specialists will perform a thorough assessment, including ultrasound imaging, to recommend the most appropriate treatment plan for your specific condition.

How soon will I see results?

Many patients notice symptomatic relief almost immediately after treatment. Visual improvements typically develop over several weeks as the body absorbs the treated veins. Complete results are usually visible within 1-3 months, depending on the treatment and the severity of the condition.