Varicose Veins

Varicose veins surgery

Oaklands Hospital offers the latest in varicose vein treatments for both medical and cosmetic reasons.

Varicose vein treatment for cosmetic reasons is rarely available on the NHS. We understand the distress that unsightly varicose veins can cause and we regularly treat patients with varicose veins for cosmetic reasons.

Mr Asad Rahi offers convenient appointments to discuss your individual varicose vein treatment options with the choice of modern walk in walk out procedures.

More information on Mr Rahi can also be found here.

What is varicose veins surgery?

Varicose vein surgery treats varicose veins for medical or cosmetic reasons. We offer a range of treatment options to relieve pain or complications and, to improve the appearance of these enlarged blood vessels.

Varicose vein surgery involves closing off your problem varicose vein so that your blood re-routes through a healthier vein.

Your varicose vein treatment choice will depend on the type of varicose veins you have, why you are seeking treatment, your personal preferences and, your general health.

We will discuss with you the option that is best for you at your initial appointment with your consultant.

What causes varicose veins?

Varicose veins are very common. They are enlarged, sometimes lumpy and twisted veins, usually in your legs. They can be dark purple or blue and often unsightly.

Varicose veins are caused by the one-way valves in your veins, that help the upward flow of blood back to your heart, stopping working properly. Your blood then flows the wrong way and your veins swell and form varicose veins.

They can often run in families and women are more likely to develop them. Hormonal changes during puberty, pregnancy and, menopause and when using birth control pills and HRT, ageing, long periods of standing, obesity, and leg injuries are related to the onset of varicose veins.

One Stop Walk-In Walk-Out Varicose Vein Service

This innovative and modern service is provided by Consultant Venous Surgeon. Highly experienced Vascular surgeon provide one stop consultation and clinical examination and venous duplex scan in the outpatient. Patient is explained regarding the causes of varicose veins and multiple treatment options discussed based on NICE guidelines and patient preference

Consultant vascular surgeon will recommend “ personalised treatment plan” after full discussion. Consent process will be completed on the day and based on patient preference proposed theatre booking can be arranged on the same visit. There is single direct contact to facilitate the whole process through Oakland's Private Patient Manager.

Ramsay Oakland Hospital is the only Manchester Hospital who is providing “Complete One-stop varicose vein service” in collaboration with Mr Rahi, who has 20 years expertise in all modalities of modern venous surgery under LA including RF ablation, EVLA, MOCA, Vein glue, foam/ injection sclerotherapy and complex varicose vein surgery under GA.


A non-surgical option performed under local anaesthetic that is usually used for smaller veins. A special foam is injected into your varicose veins using a fine needle under ultrasound guidance and this causes them to scar and seal closed. More information can be found here.

Endovenous laser treatment (EVLT)

A minimally invasive technique performed under local or general anaesthetic. A thin tube is inserted into your vein through a small cut and laser energy is passed through to burn and close your varicose veins under image-guidance. Treatment takes up to an hour. More information can be found here.

Endovenous radiofrequency therapy (VNUS Closure)

A keyhole option that is usually performed under local anaesthetic on a walk-in walk out basis. A catheter is inserted into your vein using ultrasound guidance. Radio energy is then gently delivered to heat and close your varicose veins. The VNUS Closure® procedure generally takes around 30 to 40 minutes and is thought to result in minimal pain and bruising

Ligation and Stripping

Traditional varicose vein surgery that involves making an incision in your groin and the back of your knee or ankle. Your vein is then tied off (ligated) and removed (stripped). This procedure is usually recommended if the other options aren’t suitable for you.

Venous Duplex Scan Service

Venous duplex scan of the leg veins is performed to have detailed knowledge of superficial and deep venous system of legs. It can be per-formed by the vascular technologist, sonographer, vascular radiologists or by a consultant vascular surgeon in One-stop varicose vein clinics. More information can be found here.

Single visit Radiofrequency Ablation Treatment

Radiofrequency ablation (RFA) is a minimally invasive procedure performed under local anaesthetic, which uses the application of heat to minimise or completely stop pain transmission. The nerve causing the pain is burned, or ablated, using an electrical current to target a specific area. This ablation stops the transmission of nerve signals to the brain, thus providing relief. Patients who suffer from chronic pain, or conditions such as arthritis and spondylosis, may benefit from immediate pain relief with little to no recovery time. RFA is performed as a day case so there is no need for overnight hospital stay. It can provide relief to those with neck, back, knee, pelvic, and nerve pain. Pain can be debilitating and RFA allows increased function, meaning the patient’s quality of life is significantly improved. More information can be found here.


Walk-in Walk-out Clarivein Ablation, MOCA system (Non-thermal)

Clarivein is a minimally invasive pain-free treatment for varicose veins. It is carried out as a walk-in walk-out treatment and is highly successful and is very safe. This technique is non-thermal, that means no energy is used to close the vein. It is considered safer and has no risks of nerve damage, and after the treatment, there are no pain killers required. It is also called a mechanical chemical-ablation (MOCA). More information can be found here.

Modern Bio-adhesive Super Glue Vein Treatment (VenaSeal Closure system)

The Venaseal™ or “superglue” treatment is a new way of closing the main vein in the leg that causes varicose veins (usually either the great saphenous vein GSV or the small saphenous vein SSV or both). When the Venaseal™ or “superglue” treatment is performed, only one needle hole is needed per vein treated as there is no need for the additional injections of local anaesthetic around the vein – unlike endovenous laser ablation or radiofrequency ablation. More information can be found here.

What are the benefits of varicose veins surgery?

Varicose vein surgery removes varicose veins that are unsightly or causing discomfort.

It allows you to feel better about your appearance so that you can wear what you want without worrying about your varicose veins being visible.

It can also eliminate the pain that varicose veins may cause and allow you to sleep better and may increase your mobility.

New therapies are effective in removing varicose veins, have few complications and minimal pain during recovery and, leave virtually no scars.

What is the cost of varicose veins surgery?

The cost of your varicose vein surgery will depend on the exact procedure you have. Following your consultation process, you will be advised of the guide package price.

We offer a number of finance options to pay for your surgery, including: All-inclusive Total Care where a single one-off payment at a pre-agreed price delivers direct access to all the treatment you need for complete reassurance, pay as you go and, medical finance loans.

We offer walk in, walk out procedures with the following prices:

One leg Radiofrequency Ablation with Endovenous Ablation under LA Nerve block - £3088.00

One leg Radiofrequency Ablation with Endovenous Ablation and Multiple phlebectomies under General Anaesthesia - £3313.00

One leg High tie strip to knee and multiple avulsions with Multiple phlebectomies under General Anaesthesia - £3057.00     

One leg Injection Sclerotherapy & Foam Sclerotherapy for Thread Veins - £835.00

One leg Vein Glue Ablation with Vena-Seal System - £3688.00

Varicose veins surgery recovery and aftercare

Your recovery and aftercare following varicose veins surgery will depend on the exact procedure you have had. Your healthcare team will advise you of this before you go home.

Most patients go home on the same day. You will usually be given compression stockings and advised how long to wear them.

After varicose vein treatments we recommend that someone drives you home.

Sclerotherapy and endovenous patients can resume normal daily activities once home and drive again when comfortable.

If you’ve had Ligation and stripping surgery, you should be able to get back to most activities after three to four weeks, as long as your wounds have healed, although this will depend on your general health and the type of work you do. You should be able to drive again after around one week, when you can comfortably operate the pedals and control your car in all situations including an emergency stop.

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