Having trained as a vascular surgeon specialising in the treatments of veins, Professor MacKenzie is ideally suited to carry out this procedure.

What are thread veins?

Thread veins are small veins (0.5 to 2mm in diameter) visible on the legs. Thread veins most commonly occur in women, people with varicose veins or a family history of varicose or thread veins, those in standing jobs and after having children. They can appear after trauma to the legs or surgery for varicose veins.

What is microsclerotherapy and how does it work?

We use a weak solution of sodium tetradecyl sulphate (Fibrovein™) which is a type of sterile detergent. This is injected directly into the veins using a tiny needle. The solution inflames the lining of the vein making the lining “sticky, so that the vein closes and is much smaller or no longer visible.

What happens on the day of treatment?

You will have been fully assessed by Professor MacKenzie at a previous consultation who will examine your legs and answer any questions you may have. Multiple tiny injections into the veins are performed.

A firm stocking (supplied by us) needs to be worn for several weeks after the procedure, depending on the size of your veins and your occupation.

What is the outcome?

The aim is to improve rather than to perfect. Most of the veins treated will disappear over the next four to six weeks. There will be some bruising and there is a chance of brown staining of the skin over the treated areas. Most thread veins will come back at some point in the future, usually years after treatment.

Can this be used on larger veins?

A higher concentration can be used on larger veins, which is called sclerotherapy. It may also be mixed with air as part of foam sclerotherapy.

What can I expect after the treatment?

You do not require any time off work. The treated areas may sting that evening and the next day but simple painkillers can be taken if required. Strenuous exercise or high-impact sports should be avoided for one to two weeks after sclerotherapy.

Sun exposure should be avoided for four weeks. You will need to wear a compression stocking on each leg treated for one to four weeks. For the first four to seven days the stocking must not be removed, after that it should be worn during waking hours only. Long-haul flying is not recommended within four weeks of treatment.

Bruising disappears within three weeks, any brown skin staining within six to 24 months but occasionally leaves a pale brown mark. If staining does occur, very high sun protection factor must be used in the affected areas until it has faded.

Larger veins may become lumpy after treatment and require massage. Very rarely a scab can form and this may leave a small scar.

Deep venous thrombosis is rare after microsclerotherapy as is phlebitis (inflammation) of nearby larger veins after any treatment. Rarely the injections can cause new, tiny red veins to form, this is called matting.

After 2 months, if there is still lumpiness or brown skin staining, a simple anti-inflammatory gel can be massaged in to the area, such as ibuprofen or diclofenac gel.

For more information on Fibrovein™ please visit:


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Professor Rhoda MacKenzie

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Professor Rhoda MacKenzie graduated as a doctor from the University of Aberdeen Medical School in 1992, before training to consultant level in general and vascular surgery.

Rhoda first opened her Age Reversal Therapies clinic in 2005 and offers a discreet, professional, expert aesthetics service at her bespoke medical clinic 15 minutes west of Aberdeen. Both medical and minor surgical procedures are available after a free consultation. She is known for attention to detail, understanding her clients’ needs and her down to earth attitude.

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