FAQs

We are located in Knutsford (7a Regents Street, Knutsford, WA16 6GR).

We have friendly team of leading Specialist Vascular Surgeons and Scientists.

You do not require a referral from a GP or Doctor as you are able to contact us directly to make an appointment to see one of our vascular consultants.

We will look to diagnose varicose veins using triplex ultrasound.  During the assessment with one of our vascular scientists, an ultrasound probe is run over the skin surface using a hypoallergenic gel, which produces a picture of the veins. If they are faulty, this is seen by visualising the flow of blood.  Your deep veins and smaller (superficial veins) will be scanned which produce a vein map for the vascular surgeon to determine which treatment will be the best option for you.

Call us on 01565 761071 and we can arrange an appointment for you. Phone lines are open Monday – Friday 9am – 5pm.

Out of hours? Then feel free book us online on our website.

A DVT is the formation of blood clot in the deep veins usually in the leg which can cause acute pain and swelling. There is always a small risk of DVT by any type of surgery. This is an extremely rare side effect of Radio Frequency treatment (RF). A ‘PE’ is a blood clot which can block off some of the vessels in the lungs and can sometimes occur after a DVT. For more information regarding DVT and PE please see the Circulation Foundations help and advice website on DVT.

Spider veins are like varicose veins but smaller. They also are closer to the surface of the skin than varicose veins. Often, they are red or blue. They can look like tree branches or spider webs with their short, jagged lines. They can be found on the legs and face and can cover either a very small or very large area of skin.

Spider veins can be caused by a number of ways including hormone changes, sun damage or local injury. They can also present as a result of larger underlying varicose veins which are not always visible. It is important that spider veins are fully investigated using an ultrasound scan to identify associated varicose veins. Failure to treat the underlying varicose veins may result in the spider veins recurring early.

Spider veins can be treated by injecting a chemical in them which causes the veins to stick together and seal up. This is called Foam sclerotherapy; See Foam Sclerotherapy. Small spider veins less than 3mm and close to the skin can be treated using laser. The laser is absorbed by the red blood cells which heats up and closes the spider veins.

Please see our packages. After a consultation, you will be provided with treatments options and a bespoke quote.

Sclerotherapy – This can cause temporary bruising which settles over a few days but may lead to brown skin staining which may go after some time.
Laser – You may suffer from slight discomfort at the time of treatment similar to a ‘nettle sting’. May also lead to redness and swelling which will settle down in a few days.

Radiofrequency works by generating heat which seals the varicose veins from the inside.  A small (2mm) incision is made in the leg and a catheter is inserted in to the vein until it reaches the groin.  Anaesthetic fluid is then injected around the vein in order to numb the area and to ensure only then vein is heated.  As the catheter is withdrawn, radio frequency energy is applied to the vein wall, generating heat which seals the vein.  Over time, the vein shrinks down and eventually disappears.

Multiple studies have shown that RFA treatment has significantly better outcomes than conventional surgery in terms of less pain, less bruising with few complications. There is also a faster return to normal activities with this treatment.

You will have several small injections during the procedure which can cause some mild discomfort which is when the initial catheter is going into the vein and also when local anaesthetic is being put around the vein. You should not feel any pain when the vein is treated with using heat.

You will have to wear loose fitting trousers or a skirt because dressings may be applied after the procedure.

For a laser or microsclerotherapy treatment, you are safe to drive home. For a Radio Frequency Ablation, Venaseal or avulsions treatments, we recommend you do not drive for 24 hours. We recommend to be picked up by someone who can drive you or arrange alternative transport home.

The treatment is usually carried out under local anaesthetic  on a walk in walk out basis and takes approximately 60 minutes, though you can expect to be at the clinic for a few hours on the day of your treatment.  You will be able to go home on the same day and can resume normal activities the next day.

Compared to traditional varicose vein surgery, where the vein is “stripped” from the leg under general anaesthetic, RF treatment has several benefits:

• Performed under local anaesthetic on a walk in walk out basis
• Minimal scarring – usually one 2mm incision around the knee
• Less painful then laser treatments (EndoVenous Laser Ablation EVLA)
• Less bruising then laser treatments (EVLA)
• Shorter recovery time then EVLA – patients can resume normal activities the next day
• Fewer complications

As with any medical procedure, there is a risk of side effects. Therefore, it is important to discuss any existing medical conditions with your consultant before going ahead with the treatment. Side effects are rare and usually minor but can include some of the following:

• Minor pain/discomfort and bruising, which can be treated with common pain relief tablets
• Tingling or numbness, or a “pulling “ sensation in the thigh
• Burning sensation in the varicose veins (phlebitis)
• Wound infection
• Skin discolouration
• In less than 0.5% of cases, more serious side effects may occur, specifically deep vein thrombosis (DVT) or pulmonary embolism (PE).

Tomorrow Veins takes your safety very seriously. There is a maximum amount of the solution (fibrovein) that can be used for micro sclerotherapy in one sitting. If we go above this amount, there is a risk of injury. The number and size of the spider veins, as well as their location, can affect how long micro sclerotherapy takes. Spider veins that are located in difficult-to-reach areas may take longer to treat. Although micro sclerotherapy is relatively painless due to small needles being used at the surface of the skin, a patient’s pain tolerance and medical history can also affect the time it takes to perform micro sclerotherapy. Some people may be more sensitive to the injections than others, which could slow down the procedure. If the patient has any underlying medical conditions, the doctor may need to take more time to ensure that the procedure is safe. The quote provided is based on the estimate of all the factors listed above.

Tomorrow Veins also takes your safety very seriously when it comes to avulsions. There is a maximum amount of local anaesthesia that can be used at one time. This means that the number of veins that can be removed in one sitting is limited. The number and size of the varicose veins, as well as their severity, can also affect how long avulsions takes. Varicose veins that are severe or numerous may take longer to remove. The patient’s individual anatomy can also affect the time it takes to perform avulsions. For example, if the patient has thick skin or scar tissue, the surgical team may need to take more time to make the incisions and remove the varicose veins. The quote provided is based on the estimate of all the factors listed above.