Unsightly leg veins are unfortunately common in women, becoming more obvious after childbirth. Although many old wives tales exist as to their cause, leg veins are largely inherited. People of all shapes, sizes and colour develop veins, and nothing can be done to prevent them.

What treatments are available for leg veins?
There are a number of treatments available, depending on the size of the veins:

1. Injections
   Small spider veins are injected with special solution, which is very effective and relatively painless, compared to the older saline injections.
   
   Most people require more than one treatment, performed on an outpatient basis. Normal activities may be resumed immediately after each treatment.
   
   After treatment there is usually some visible bruising, and discolouration for at least 2 weeks but this will gradually resolve.
   
   Larger varicose veins may also be injected with a stronger solution. This is also performed on an outpatient basis, and normal activities can be resumed the following day. When varicose veins are injected, they initially form hard small lumps, which gradually disappear. These are not visible, but feel hard. Compression stockings must be worn for 2-4 weeks after injection of varicose veins.
   
2. Laser Treatment
   Small spider veins can be treated with certain lasers, especially the PHOTODERM. More than one treatment is usually needed for optimal results.
   
3. Surgery
   This is suitable for the larger varicose veins.

How successful is leg vein treatment?
The success rate is very high, with most veins responding well to treatment.

New veins can occur, and some previously treated veins may also recur.

People who have a tendency towards veins continue to develop new veins throughout life, although wearing compression stockings may help to minimise this risk.

What preparations are needed prior to treatment?
No special preparations are needed prior to treatment.

Are any special precautions necessary after treatment?
You should wear compression stockings for 2 - 4 weeks. Regular walking, 1/2 hour daily, is also helpful.

What risks are associated with leg veins treatment?
Complications are uncommon but may include:

• Pigmentation
  Temporary staining of the skin is common, but will gradually disappear. Permanent pigmentation is rare.
• Ulceration of the Skin
  This is uncommon, and may occur where a vein and artery join.
• Incomplete Removal of Veins
  Patients normally will require more than one treatment, as many veins will only be partially treated in the first treatment session.
• Recurrence of Veins
  If people are prone to veins, new veins will continue to appear. Some treated veins may also recur.
• Infection
  This is very rare and can be treated successfully with antibiotics.

Generally treatment of leg veins is a simple outpatient procedure, with a high degree of success.

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