Patient Guide

Varicose Vein Treatment Melbourne

Looking for varicose vein treatment Melbourne? Enlarged, bulging veins causing pain, swelling, and heaviness are highly treatable. Our ultrasound-guided minimally invasive procedures deliver lasting results with walk-in, walk-out convenience.

Varicose veins on legs showing bulging appearance
30%
of adults develop varicose veins
30-60
minutes for most treatments
1-2
weeks to feel improvement
Close-up of varicose veins showing enlarged, twisted appearance
Definition

What are varicose veins?

Varicose veins are enlarged, twisted veins that bulge above the surface of your skin. They develop when one-way valves inside leg veins weaken, allowing blood to pool and veins to enlarge. They're blue in colour because of the vein thickness and reduced oxygen in pooled blood.

Reticular veins Larger blue veins forming a network pattern. These often feed into spider vein areas and require treatment for best results.
Truncal veins Large veins originating from the main vein systems (Great Saphenous or Short Saphenous). These are the primary target for ultrasound-guided treatment.
Severity grades Graded 1-4 based on size and whether they bulge above skin level. Our imaging determines the exact severity and optimal treatment approach.
Mechanism

What causes varicose veins?

Varicose veins develop when one-way valves in surface veins weaken or fail. Blood pools instead of flowing upward to the heart, causing veins to enlarge and bulge. Genetics play the strongest role, but secondary factors like standing pressure trigger the condition in susceptible people.

Diagram showing normal valve function vs faulty varicose vein valve

The valve failure process

1
Normal function

One-way valves in veins push blood upward to the heart. Vein walls are elastic and properly support blood flow. See how leg veins work.

2
Valve weakening

Vein walls stretch due to genetics and pressure. Valves no longer seal completely. Blood begins to backflow.

3
Blood pooling

Blood pools in the vein instead of moving upward. Increased pressure further stretches the vein wall.

4
Varicose vein

The vein becomes visibly enlarged and bulges above the skin. Symptoms like heaviness and aching develop.

Risk Factors

Who is at greatest risk?

Around 30% of adults develop varicose veins. Several factors increase your risk, and many are beyond your control. Genetics is the strongest predictor.

Strongest factor

Genetics

If your parents have varicose veins, your risk is significantly higher. The tendency toward weak vein valves and stretched vein walls runs in families. Read more on what causes leg veins.

Gender & age

Women more affected

Women are twice as likely to develop varicose veins. Risk increases with age due to cumulative pressure and valve wear over decades.

Hormonal

Pregnancy & hormones

Pregnancy significantly increases risk due to weight gain, increased blood volume, and hormonal changes. Oral contraceptives also increase risk.

Lifestyle factors

Standing & obesity

Jobs requiring prolonged standing increase pressure on leg veins. Excess weight adds to this pressure. Both are modifiable risk factors.

Symptoms

What symptoms do varicose veins cause?

Many people have no symptoms, but others experience significant discomfort. Symptoms are often worse after standing or sitting for long periods and may improve with leg elevation or compression stockings.

• Heaviness and tiredness in the legs
• Aching, cramping, or burning pain
• Swelling in the ankles and legs
• Restless leg syndrome
• Self-consciousness about appearance
Complications

What are the complications?

Long-standing varicose veins can cause chronic venous insufficiency if left untreated. Skin changes, reduced healing, and increased blood clot risk are possible complications that early treatment prevents.

• Brownish pigmentation or staining
• Eczema and itchy, dry skin
• Hardened or shiny skin (lipodermatosclerosis)
• Venous leg ulcers
• Increased blood clot risk (DVT, superficial thrombophlebitis)

Early treatment prevents complications. If you have varicose veins with symptoms or signs of skin changes, treatment now prevents long-term complications and improves quality of life significantly.

Treatment

How we treat varicose veins

Treatment depends on vein location and severity. An ultrasound scan determines whether underlying reflux exists, which guides treatment selection. Surface veins and deep vein reflux require different approaches.

Endovenous Laser Ablation (EVLA)

A thin laser fibre seals the damaged vein from inside. Guided by ultrasound, it treats the source of reflux. Gold standard for truncal varicose veins. Also called EVLT.

Duration: 30-60 min
Sessions: 1 typical

Radiofrequency Ablation (RFA)

Radiofrequency energy seals the vein in controlled segments under ultrasound guidance. Slightly less bruising than laser for some patients, with equivalent long term results. Known by the brand names CLOSUREFAST and VENEFIT.

Duration: 30-60 min
Sessions: 1 typical

Ultrasound Guided Sclerotherapy (UGS)

Foam sclerosant injected under ultrasound guidance into deeper veins. Closes tributary and residual veins. No anaesthetic needed.

Duration: 20-40 min
Sessions: 1-3 typical

Endovenous Medical Glue

A medical grade adhesive seals the vein without heat and without anaesthetic injections along the leg. Most patients avoid compression stockings afterwards and return to normal activities straight away. Also known as VenaSeal.

Compare all six treatments or see fees and Medicare rebates.

Recovery

What's the recovery like?

Most patients walk out and return to work the same day. Minor bruising or temporary discomfort is normal. Improvement begins within 1-2 weeks, with full results at 8-12 weeks.

Post-treatment care

✓ Walk immediately and maintain light activity for circulation
✓ Wear compression stockings for 1-2 weeks (depending on procedure)
✓ Avoid vigorous exercise, saunas, and heat for 2 weeks
✓ Protect treated areas from direct sun
✓ Leg elevation when sitting or lying down
Before and after varicose vein treatment results
Questions

Common questions about varicose vein treatment

Clear answers to help you feel informed and ready for treatment.

Do I need ultrasound imaging before treatment?

Yes. An ultrasound scan determines whether you have reflux in the deep vein system. This guides treatment selection and ensures the best outcomes. It's a painless, non-invasive scan.

Will treated veins come back?

No. Sealed veins don't reopen. However, if you have other damaged veins or genetic predisposition, new varicose veins may develop over time. Regular follow-ups help catch new veins early.

Can I have both legs treated at once?

Typically we treat one leg first, then the other 2-4 weeks later. This allows proper monitoring and reduces post-treatment impact. Both can be treated in the same visit if urgently needed.

Are varicose vein treatments covered by Medicare or insurance?

Medicare covers treatments when symptoms or complications are present. Private insurance policies vary. Full costs are set out on our fees page, and we confirm your rebate eligibility during the consultation.

Can I have treatment during pregnancy?

We recommend waiting until after pregnancy and breastfeeding. Many varicose veins improve postpartum. If symptoms are severe, we can discuss safe management options during pregnancy.

What if I have both spider and varicose veins?

Treat varicose veins first. This controls underlying reflux and often improves associated spider veins. Remaining spider veins are then treated as a secondary procedure for best results.

Take action today

Stop living with varicose veins

Pain, swelling, and self-consciousness don't have to be part of your life. Our vein doctors deliver lasting results with walk-in, walk-out convenience. Take the first step toward healthier legs today.

No waiting lists. Elite medical standards. Your privacy is our priority.

Not ready to book yet? Ask us first.

Send us a question about your veins, the treatments, or what a consultation involves. Your enquiry is confidential, and a member of our Melbourne team will reply within one business day.

Our Location

Suite 14/45 Collins St, Melbourne VIC 3000

Direct Line
(03) 9654 5806

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