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Opening hours
Monday - Friday
10.00 - 19.00
Saturday and Sunday
closed
Where are we?
JM CLINIC
What are varicose veins and spider veins
Both are dilated veins, but they are not the same and they are not treated in the same way. Distinguishing them is the first step to knowing what you need:
1
Spider veins (telangiectasias)
The finest veins, under 1 mm, visible on the surface of the skin with a reddish or purplish tone. These are what form the typical “branching” pattern on thighs and legs. Their impact is mainly aesthetic.
2
Reticular veins
Slightly thicker, 1 to 3 mm, bluish or greenish, located just under the skin. They often feed spider veins, so treating them improves the overall outcome.
3
Truncal varicose veins
Larger-calibre veins, bulging and tortuous, typically associated with venous insufficiency of the saphenous vein. At this point, it is no longer only an aesthetic matter: they may cause heaviness, swelling or cramps, and require an Eco-Doppler study and assessment by a vascular specialist.
Sclerotherapy: varicose vein treatment without surgery
Sclerotherapy involves injecting a sclerosing agent into the inside of the vein using a very fine needle. This substance irritates the inner wall of the vessel in a controlled manner, causing the vein to close and, over the following weeks, be reabsorbed by the body until it is no longer visible. It is a medical technique with decades of use, widely supported, performed in clinic and without the need for an operating theatre, anaesthesia or time off work.
No surgery or anaesthesia
Very fine-gauge needles are used; most patients describe the sensation as a mild prick.
Outpatient
You leave the clinic walking and can resume your usual activity the same day.
Progressive, natural-looking results
Progressive, natural-looking results.
Several sessions depending on the case
Typically, 2 to 4 sessions are required, spaced 3 to 4 weeks apart, depending on the number and size of the veins.
What a sclerotherapy session is like at JM CLINIC
- Prior medical assessment
Dr Marculescu examines your legs, reviews your medical history and determines what type of veins you have and whether sclerotherapy is appropriate for your case. - Treatment planning
We define how many sessions are likely to be required, which areas will be treated in each one, and what outcome it is realistic to expect. - Treatment session
Between 30 and 45 minutes. The selected veins are infiltrated with the sclerosing agent via
microinjections. No anaesthesia is required. - Post-treatment compression
The use of compression stockings is recommended during the following days to improve the outcome and reduce the appearance of small bruises. - Review and subsequent sessions
At 3–4 weeks we assess progress and decide whether a new session is required.
Is this your case? When sclerotherapy is the appropriate treatment
Not all varicose veins are treated in the same way, and we prefer to tell you before you come. Sclerotherapy is the indicated technique for certain types of vein; for others, the appropriate course is a vascular study and a different treatment.
Sclerotherapy is suitable if you have
- Spider veins on the thighs, legs or ankles.
- Bluish reticular veins visible under the skin.
- Small-calibre varicose veins with no associated symptoms.
- Small residual veins after previous varicose vein surgery.
We refer you to a vascular specialist if you present
Thick, bulging varicose veins consistent with saphenous vein insufficiency.
Severe heaviness, persistent swelling or frequent leg cramps.
Skin colour changes, eczema or ulcers in the ankle area.
A history of deep vein thrombosis.
Frequently asked questions about varicose vein treatment
Does sclerotherapy hurt?
The treatment is very well tolerated. Very fine-gauge needles are used and no anaesthesia is required. Most patients describe the sensation as a mild prick, similar to a blood test, sometimes followed by a slight stinging sensation lasting a few seconds.
How many sessions do I need to eliminate spider veins?
Typically, 2 to 4 sessions are required, spaced 3 to 4 weeks apart. The exact number depends on the amount of veins, their calibre and each patient’s individual response. At the initial assessment, we provide a realistic estimate for your specific case.
When are the results of varicose vein treatment visible?
Results are progressive. The treated veins gradually fade over 4 to 6 weeks as the body reabsorbs them. In the first few days, it is normal for the area to appear somewhat reddened or with small bruises, which resolve on their own.
What is the best time of year to treat varicose veins?
Autumn and winter are the best time. After sclerotherapy, sun exposure on the treated areas must be avoided for several weeks to prevent pigmentation marks, which is much easier to comply with in the colder months. In addition, it allows you to reach summer with the treatment already completed.
Contact us
We are here to answer your questions and help you find the most suitable treatment for you. Contact us and we will assist you in a close and personalized manner.