Many of our clients are self-conscious about thread veins, an issue resolved expertly with thread vein removal (microsclerotherapy). Our advanced treatment in Harley Street & Mayfair, London, targets thread veins, helping leave skin clearer and younger.
Thread veins are small clusters of red or blue veins. They appear on the legs and are also known as spider or broken veins. Lots of factors contribute to their formation including ageing, hormonal changes, alcohol and smoking.
Microsclerotherapy (thread vein removal) is an evidence-based procedure for the effective treatment of leg thread veins (it can also be used on the body as long as the veins are below the heart). A solution is injected into the thread veins using a very fine needle. This causes the vein’s wall to swell and in turn, stops blood flow in the vessel. The vein then disappears.
The first step on your journey is a consultation at our aesthetics clinic. We take the time to discuss your symptoms, explain how the treatment works, and answer any questions you may have. Together, we’ll identify the areas most affected and design a bespoke treatment plan tailored to your needs.
Our Microsclerotherapy treatments effectively target and reduce the appearance of small thread veins on the legs. Using precise microinjections, a specialised solution is introduced into the affected veins, causing them to safely collapse and fade over time. The procedure is quick, minimally invasive, and designed to restore smoother, clearer skin with minimal downtime.
You’ll notice a visible improvement as treated veins gradually fade over the following weeks, revealing clearer and more even-toned skin. Results continue to refine as the body naturally absorbs the treated vessels. Individual results may vary, and your practitioner will advise on any follow-up sessions to maintain optimal, long-lasting results.
If you still have questions about Microsclerotherapy, or would like to speak to a member of the team. You can contact us by; Phone, Email, WhatsApp and WebForm. It is our upmost priority that during your stay at 101 Harley Street, whether in our surgical or non surgical clinic, you feel safe, relaxed, and comfortable, so please do not hesitate to reach out to any of our highly trained team should you require anything.
We’ll inject a concentrated salt-water solution into the veins with a very fine needle. This causes the vein’s wall to swell and in turn, stops blood flow in the vessel. The vein then disappears.
The actual procedure is relatively pain free. You may have some aching in the treated area for the first few days but it’s easily relieved by a simple analgesic or gentle walking.
The effects of our thread vein removal in London are usually permanent, although it’s possible for thread veins to form as they may have anyway at a later stage. It usually takes 6 to 8 weeks for optimum results and you may need more than 1 treatment.
You’ll usually be with us for 30 to 45 minutes and you may need several treatments.
You’ll need to wear a compression stocking for 3 days following the procedure and on any long haul flights. Avoid strenuous exercise, very hot baths and saunas for at least 72 hours after the treatment.
Microsclerotherapy is a very safe procedure. In some rare cases, there’s a reaction to the injection resulting in slight bruising and small ulcers.
*Individual results may vary.
Dr Duncan Brennand is our lead Aesthetic Physician at L’Atelier Aesthetics, with a wealth of expertise in both innovative and evidence-based treatments. He is a trained radiologist, bringing advanced imaging knowledge to aesthetic medicine, and is highly experienced in dermal fillers, HA injections, collagen-stimulating treatments and our skin booster range, alongside a wide range of non-surgical and surgical procedures.
During your consultation, Dr Brennand will perform a diagnostic ultrasound assessment where appropriate, allowing for precise evaluation of the veins and surrounding structures to ensure microsclerotherapy is planned and delivered safely, accurately and effectively.
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Following microsclerotherapy (thread vein removal) at L’Atelier Aesthetics in Harley Street, most patients can return to normal activities immediately with minimal downtime. Mild stinging, aching, redness, swelling and bruising can occur, and bruising may persist for several weeks. The treated veins fade gradually, with the full effect typically visible within 12 weeks. To optimise results and support recovery, it is essential to wear compression as advised and avoid heat and strenuous activity for the first few days.
Microsclerotherapy is an evidence-based treatment designed to reduce small thread or spider veins on the legs (and in some cases other body areas where veins are below the heart). A specialised solution is injected into the affected veins using a very fine needle, causing the vein walls to swell and close so that the vessel gradually fades over time.
Microsclerotherapy Pre-Treatment Guidance
To prepare for your microsclerotherapy appointment:
During your visit:
What to Expect Immediately After Microsclerotherapy
Microsclerotherapy has minimal downtime, but it is common to experience:
Aching is usually easily relieved by gentle walking or simple pain relief, if suitable for you. In rare cases, patients may experience a reaction to the injection with more noticeable bruising or small ulcers.
Microsclerotherapy Post-Treatment Care
Compression and circulation:
For the first 72 hours:
General care:
When Will I See Results from Microsclerotherapy?
Microsclerotherapy results develop gradually.
Your practitioner will advise on the most appropriate treatment course for your veins and goals.
Who Should Not Have Microsclerotherapy?
Microsclerotherapy may not be suitable for everyone. Suitability is confirmed during consultation and assessment, particularly if you have:
If you are unsure, our team will guide you through the safest options at your appointment.
When to Contact Us
Microsclerotherapy is generally very safe when performed by experienced medical professionals. Please contact L’Atelier Aesthetics if you experience:
Our Harley Street team is always available to support you following your treatment.
Our clinic is located on Harley Street in Marylebone, London, one of the world’s most prestigious and historic medical districts. Situated within 101 Harley Street, our clinic offers a discreet and refined setting in the heart of Central London, renowned for its concentration of leading medical and aesthetic specialists.
We welcome patients from across Marylebone, Mayfair, Fitzrovia, Regent’s Park, Soho, Knightsbridge, Belgravia, Chelsea and Kensington, as well as visitors travelling to London for specialist aesthetic and skin treatments.
Our location benefits from excellent transport links, with Oxford Circus, Bond Street and Regent’s Park Underground stations all within easy reach. The clinic is also conveniently accessible from major London rail stations and Heathrow, Gatwick and London City airports, making visits straightforward for both UK and international patients.
Whether you are travelling from within London or further afield, our Harley Street clinic provides a calm, professional environment for personalised aesthetic and skin health treatments in one of the capital’s most respected medical locations.
