• Thread Vein Removal with little to no downtime
  • We have performed over 7,000 vein treatments
  • See an improvement after the first treatment
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Medically reviewed by Lorcan Sheppard BSc MBBS FRCA, Chief Medical Officer for The Private Clinic of Harley Street, London.
Last Reviewed February 3rd 2025

Thread & Spider Veins

Spider veins – also called thread veins, broken blood vessels, broken veins and capillary veins –are small red, blue or purple veins that usually appear near the surface of the skin on the thighs, calves and ankles but can also appear on the face.

The Private Clinic is a UK centre of excellence for the minimally invasive treatment of veins. Whether you suffer from varicose veins, facial veins, spider veins or leg thread veins, we provide the highest standard of clinical care and the latest technology. Our expert thread vein specialists will ensure you achieve the best vein treatment with little to no downtime.

Thread Vein treatment is available at our clinics in London, Birmingham, and Northampton.

Where do thread veins appear?

Spider Veins (also known as Thread Veins, Broken blood vessels) are smaller veins compared to varicose veins. They are often red or blue veins and sit closer to the surface of the skin than varicose veins. They usually appear on the thighs and ankles and can pose a health risk. Broken vein treatment is available in many of our clinics across the UK.

Facial Thread Veins generally appear on the nose, chin or cheek area and often occur in Rosacea. They are easily treated.

Under eye veins also known as periorbital veins are a common cosmetic concern. Veins under the eye are superficial veins which start at the bridge of the nose and run below or above the eye to join venous branches on the forehead and scalp. Everyone has these veins but they can be more prominent, particularly in patients with fair or thin skin. Blue vein under-eye removal treatment is available at our clinic in London, UK.

At The Private Clinic, we have pioneered a state-of-the-art laser treatment for the removal of veins from hands and arms. We were the first clinic to perform this procedure in the UK.

Thread Vein Treatment with Cutera CoolGlide

Thread Vein Patient Review

“I had clusters of spider veins on both legs, which required an initial consultation, followed by three microsclerotherapy treatment sessions, with follow-up appointments to check progress. Mr Rittoo the Consultant Vascular Surgeon was professional, courteous and kind, advising me at all times of what to expect and what I needed to do in between the appointments to ensure a successful result. The staff were also very friendly and put me at ease. I would recommend Mr Rittoo to anyone requiring this treatment, based on my personal experience. I am very happy with the result, which is fantastic. I just wish I had done this 20 years ago.”

– Pamela, Sclerotherapy Patient

Can thread veins be the result of an underlying varicose vein issue?

Although most people seek thread vein removal treatment for cosmetic reasons, research has shown that the majority of people with leg thread veins could have underlying vein problems. They could be minor or major varicose veins, which are often not visible from the surface but can be found with an ultrasound scan of the legs. They can cause aching, itchiness, a feeling of heaviness in the leg and night cramps. If a patient were to have underlying varicose veins, we would provide a treatment plan to help you treat them before addressing any residual spider veins.

Varicose veins are the blue or purplish enlarged veins you see on a person’s leg, most often on the backs of the calves or the inside of the legs. If varicose veins are severe, they can rupture or form ulcers on the skin. They can require immediate attention.

Our experience and latest technology mean that your veins will be treated effectively in no time at all. Book a consultation today.

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Leg Thread Veins Before & After Photos

We are one of the UK’s centres of excellence for minimally invasive treatments for vein problems. We pride ourselves on delivering excellent results and aftercare in Thread and Spider Vein removal procedures. See our before and after Leg Thread Spider Vein photos from our team of experts below.  Book a consultation to discuss the best procedure for you and to see more before and after photos for thread and spider vein removal.

Area: Legs
Area: Legs
Time of after photo: 2
Area: Legs
Area: Legs

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What to Expect

There are several Thread Veins Removal treatments available for thread veins depending where they are. We offer Sclerotherapy, as well as Laser treatments, such as our Cutera CoolGlide. Your practitioner or therapist will advise you on the most suitable treatment for your leg thread or spider veins, taking into consideration their location.

Sclerotherapy

Sclerotherapy or Microsclerotherapy is an effective treatment that reduces the visibility of thread veins found on the legs. Prior to the start of your procedure, the treatment area will be thoroughly cleansed, usually with an alcohol-based cleanser.

During broken vein treatment for the legs, the affected veins or capillaries will be injected with a very thin needle containing a sclerosing agent which is dispensed at one-inch intervals along the thread vein. Sclerotherapy is commonly performed with a concentrated saline solution. The sclerosing agent causes the vein walls to become sticky and blood is no longer able to pass through. When no blood is passing through, the capillaries will collapse and be absorbed by the body therefore gradually disappearing from view.

Cutera CoolGlide

The CoolGlide laser thread vein treatment directs intense light at thread veins which causes the blood within them to coagulate and divert back into veins located deeper below the surface of the skin. The targeted thread vein is then gradually absorbed by the body. The Cutera CoolGlide is effective at treating thread veins all over the body including the face.

We recommend 1-2 treatments but this will depend on the amount, size and colour of the veins being treated.

How are Spider Veins treated?

Aftercare

The appearance of small thread veins after Sclerotherapy will be reduced after 3-6 weeks. Larger thread veins may not see results until 3-4 months.

The CoolGlide laser treatment can result in a significant improvement within two to six weeks of treatment but it can take several months to see the final results from treatment.

With both treatments, you can get back to normal activities right away.

After Sclerotherapy treatment the area treated may appear red and irritated but this will fade quickly. You may also notice bruising on the veins that have been treated; these will fade after a few weeks. You will be required to wear compression stockings and you must keep the treated area out of the sun for 6 weeks post-treatment.

You must avoid exercise and sun exposure for 4-6 weeks following Cutera CoolGlide laser treatment. You may notice some redness and swelling in the area treated but this should only last a few hours. Any bruising after treatment usually starts to fade after 1-2 weeks.

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Frequently Asked Questions

What causes thread veins?

Thread veins are broken blood vessels that occur when there is pressure on capillaries and finer veins which results in damage or expansion of the vein causing them to become permanently dilated.

Dilation is when the muscular walls of the vein vessels relax causing the blood vessel to widen, which is medically known as vasodilation.

When the blood vessel is dilated, there is an increase in blood flow throughout the vein. The increased blood flow causes the vein to become more prominent and it is then known as a thread or spider vein.

There are a number of reasons why thread veins, spider veins or broken blood vessels may occur. These include:

  • Genetics – If broken blood vessels, spider veins or thread veins are common in your family then you are going to be more prone to developing them too.
  • Age – As we become older, we come more at risk of developing broken blood vessels or thread veins as the collagen and elastin in the skin break down. This causes the skin to become thinner and veins to become more noticeable.
  • Trauma – Injury or trauma to the skin can cause broken blood vessels/thread or spider veins to develop.
  • Medical Conditions – Certain medical conditions such as rosacea and liver disease can make you more likely to develop broken blood vessels, thread/spider veins.
  • Hormones – Hormonal changes such as puberty, menopause and pregnancy can cause spider veins to develop as body tries to adapt which is why women are often more susceptible to developing broken capillaries than men.

Thread veins can be successfully treated, book a consultation with one of our experts today to find out how we can help.

Can certain lifestyle factors and your genes make you more susceptible to visible veins (varicose and thread) on certain parts of the body?

One of the inherited risk factors for varicose veins is a positive family history of varicose veins.

Occupations that involve lots of standing are also a risk factor for developing varicose veins.

Being pregnant and having a high BMI can also exacerbate varicose veins.
Thread veins can be idiopathic or secondary to hormonal changes. Thread veins on legs may be associated with venous reflux or varicose veins.

Sun worshipers may notice that they also develop spider veins because of damage to the collagen.

What causes thread veins on the face?

Facial spider veins or broken capillaries are commonly caused by genetics, They can also be caused by hormone changes, sun exposure and injuries to the area. For example if you have a cold, the pressure of blowing your nose can cause an injury and that can result in the vein bursting resulting into spider veins.

To find out more about what may be causing your veins click here to make an appointment to see one of our specialists.

Best treatment for facial veins is our Cutera CoolGlide or Intense Pulse Light (IPL) treatments. Both are minimally invasive and don’t require a huge downtime.

Is there anything you can do to prevent thread veins on the face?

In some cases, thread veins are unavoidable especially if you are genetically prone to them.
For others, we would recommend to wear SPF50 daily and try to stay out of the sun. Try to also avoid too much pressure on the face, hard blowing of the nose, leaning and pressure to the cheeks.

Best treatment for thread veins on the face is our Cutera CoolGlide or Intense Pulse Light (IPL) treatments. Both are minimally invasive and don’t require a huge downtime.

What causes thread veins to appear around the ankles?

Thread veins around the ankle are most often associated with venous reflux which is a condition where the flow of blood through the veins is blocked.

To find out more information about what may be causing your thread veins click here to make a consultation to visit one of our vascular specialists.

thread & spider veins treatment is Available in these Clinics
Patient Stories

Outstanding care, patient satisfaction and results mean everything to The Private Clinic Team

Thread Veins – Liz Earle

Thread Veins – Nicki Chapman

Thread Veins – Jo Good

Thread Vein Removal – Anthea

Thread Vein treatment – Tina

Why Choose The Private Clinic

  • The Private Clinic Spider Vein Clinic has over 40 years of medical experience and is the UK’s leading authority in non-invasive and minimally invasive cosmetic procedures.
  • We have carried out over 7,000 procedures in treating veins.
  • We specialise in minimally invasive treatments using the latest and most innovative methods available.
  • Thread vein treatments are performed by expert doctors, nurses and laser practitioners.
  • We are one of the very few clinics within the industry to treat veins under the eyes.
  • We are a UK centre of excellence for the minimally invasive treatment of veins.
  • We provide the highest standard of clinical care and offer the latest technologies available in the industry.

Meet our Experts

Our team of experts specialise in offering minimally invasive treatments for both leg veins and facial thread veins.

AESTHETIC THERAPIST
London

AESTHETIC PRACTITIONER & LASER THERAPIST
Birmingham

SPECIALIST AESTHETICS & DERMATOLOGY NURSE PRACTITIONER
RGN, BSc (Hons), Independent Nurse Prescriber
NMC Number: 92A1045E
London

AESTHETICS NURSE PRACTITIONER AND INDEPENDENT NURSE PRESCRIBER
RGN, INP, V300 Independent Nurse Prescribing Course
Northampton

Consultant Vascular Surgeon

Consultant Vascular Surgeon

Consultant Vascular Surgeon

Consultant General & Vascular Surgeon