Spider Veins and Thread Vein treatment

Microsclerotherapy is an increasingly popular low cost, treatment designed to manage the problem of telangiectasia, small unsightly, very common, tiny leg veins on the skin’s surface. It involves the injection of a sclerosant called fibrovein into the lumen of the vessel, to cause an occlusion and venous wall damage. The vein then becomes inflamed, or hardens, before being reabsorbed by the body.

What causes spider veins?

Before commencing treatment, it is important to determine the cause of these veins which can be hereditary, due to age, gender, pregnancy, occupation, prolonged standing, topical steroids, obesity, trauma, underlying varicose veins, caused by the pill or many other reasons. If there are underlying varicose veins, you may need to be referred to a vascular surgeon to have these treated first, otherwise the results of your spider vein treatment will be sub-optimal.

What do I consider before treatment?

Prior to your treatment and to assess your suitability for treatment, there will be a full consultation, to discuss your medical history, including any current medications, followed by a physical examination. Looking for varicose veins, skin changes, and swelling. There are a few contraindications to treatment which will be discussed with you such as previous blood clots, previous vascular disease, allergies, pregnant/breastfeeding or taking certain medications, this list is not exhaustive.

How many sessions will it take and how long will the treatment last?

Microsclerotherapy is not a quick fix and usually requires more than one session. The veins will fade with each treatment, however depending on the original cause, the veins will return in a few years.

What is the aftercare?

Medical grade compression stockings must be worn, the treated areas will look worse before they improve and may take 8 -12 weeks between treatments.

Side effects include, bruising, swelling, tenderness, itching, no treatment effect, haemosiderin-hyperpigmentation/discolouration, other side effects that may occur will be discussed at your consultation.

Your aftercare should include taking brisk walks, wearing compression stockings for up to 6 weeks, avoiding extreme temperatures and flying for 4 weeks, avoid high impact exercise for 2 weeks, but keep mobile.

What are the treatment success levels?

Most vessels treated during a course of microsclerotherapy can be expected to disappear – on average, approximately 50% disappear with each treatment. Patients find that, over time, a few more thread veins appear, and it is common for patients to return occasionally for a general ‘tidy up’. The time taken for further veins to appear varies greatly and ranges from 1 – 10 years. Microsclerotherapy remains effective when further veins appear. Wearing compression stockings on a daily basis has no proven long-term benefit in preventing more thread veins or varicose veins appearing.

Microsclerotherapy is a very successful treatment for surface veins and a good outcome can generally be expected, but realistic expectations will avoid disappointment. Continuous discussion with Amanda will ensure the best outcome.

Together We Can Make A Difference!

Amanda Azzopardi – Advanced Nurse Practitioner – RM, RN, INP, DIP, BHS

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What Clients Are Saying

“Amanda’s professionalism and product knowledge are excellent. My first session with her was in November in my own home. The treatments offered were excellent and the products do exactly as promised. My skin has never looked or felt better. What do I recommend about Amanda? Everything.”


“Amanda is so friendly and professional and I was so pleased with the results. My skin has improved so much from Profilo and skin booster. Will definitely be having more treatments from Amanda and would highly recommend her work.”


"Wow! What an impression Amanda made on me! I’ve never had any treatments before but I chose Amanda and serene aesthetics after much research. From first point of contact I was put at ease. On consultation I instantly felt I had a made the right choice and after my first treatment it was confirmed! This lady is the best in the business just look at her qualifications! Thank you again. Recommend a 100%."


"Amanda knows her stuff, really friendly , takes time to find out what you need individually and tailors everything to your requirements/needs. Was always on hand and Happy to answer questions / concerns day and night post treatment and keen to ensure happy with service and offers top ups/appointments to suit when required."