The doctors at Central Vein and Cosmetic Medical Centre do not believe it necessary to surgically strip or pull out (using ambulatory phlebectomy) any varicose veins. Surgical ligation and stripping often involves placing a tie around the important junctions between the superficial saphenous veins and the deep veins. Our doctors believe that this procedure tends to cause new veins to arise from these junctions, leading to recurrence of varicose veins. Surgery also has increased risks, increased pain post treatment and inevitable scarring. The latest techniques using laser and ultrasound guided injections are less painful, have lower rates of severe complications and do not cause scarring.
Guidelines for the modern treatment of varicose veins from the UK and US have put the non-surgical treatments of Endovenous Laser and Ultrasound Guided Sclerotherapy as preferred options over the old stripping procedure.
NICE Guidelines from the UK
Society of Vascular Surgery and American Venous Forum recommendations.
No vein is too large to be treated non-surgically.