Vein Consultation
This consultation is for visible veins on the legs, from fine spider veins to larger varicose veins. Our medical team examines your legs, reviews your history, and builds a treatment plan that may include sclerotherapy or endovenous laser.
Leg veins work against gravity to carry blood back to the heart, relying on calf muscles and one-way valves to keep blood flowing in the right direction. Over time, factors such as genetics, hormonal changes, pregnancy, aging, excess weight, or prolonged sitting and standing can affect this system. Some veins become visible as fine red or blue lines near the skin’s surface, while others enlarge when their valves no longer function properly. Because these changes can have different underlying causes, a personalized vein consultation helps determine which veins are involved, and which treatment options may be appropriate.
Spider veins or varicose veins?
Two common vein concerns of the legs, with different mechanisms behind them.
Spider veins
Spider veins are tiny surface veins that have widened under repeated pressure and no longer return to their original size. They appear as thin lines or branching networks. Their colour reflects their depth: red when very superficial, blue or purple when slightly deeper. They are most often a cosmetic concern, but they can also be a visible sign of pressure in deeper veins, which is what the assessment looks for. Very fine surface veins can sometimes also be addressed with a vascular laser.
Varicose veins
Varicose veins are enlarged, often twisted veins that can bulge under the skin. They form when a one-way valve stops closing properly. Some blood flows back down and pools in the segment below, which raises the pressure, stretches the vein, and strains the next valves in turn. Beyond their appearance, they can make legs feel heavy, tired or swollen. This is often worse at the end of the day, in the heat or after long periods of standing.
What to expect
You describe what you have noticed
You explain which veins concern you, how long they have been there and whether your legs feel heavy, tired or swollen. Your goals help our medical team understand your priorities.
Your legs are examined in person
Our medical team examines the veins standing and at rest, looking at their size, location and pattern. This helps tell surface veins apart from veins linked to a deeper valve problem.
Your medical history is reviewed
Your medications, past pregnancies, any history of blood clots and previous vein treatments are reviewed, along with your family history. These factors can affect which options fit and when.
Your options are discussed
You learn which treatment fits each type of vein, how many sessions may be needed, and the possible side effects and contraindications. Signs such as persistent swelling, skin changes or a slow-healing wound on the lower leg call for a more in-depth medical evaluation.
Your personalized plan is built
Your recommendations are organized into a plan, with the order and timing of each treatment. Results vary from person to person.
Start with an assessment
Our medical team examines your legs, reviews your history and builds a plan for your veins.
Frequently asked questions
Do I need a consultation before sclerotherapy or endovenous laser?
Yes. Every vein treatment begins with a consultation. Our medical team first needs to see which veins are involved and review your history. Spider veins and varicose veins are not treated the same way, so this step guides the whole plan.
Can I have vein treatment during pregnancy?
Vein treatments are generally postponed during pregnancy and breastfeeding. Veins often become more visible during pregnancy and may partly improve afterwards, so an assessment after that period gives a clearer picture.
Do vein concerns affect men too?
Yes. Spider veins and varicose veins are more common in women, partly because of hormones and pregnancy, but men develop them as well. The consultation and treatments are the same.
Is there a fee for the consultation?
Yes. A consultation fee applies, and the cost is explained to you before you book. Treatment pricing depends on your personalized plan and is discussed during your consultation.
Book an appointment
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