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If you are one of many people who have trouble with broken or dilated veins which appear on the legs, we can help you. Our patients come to Thames Skin Clinic for vein treatment, so they feel confident wearing shorter summer clothes. Unfortunately, thread veins do not get better on their own. Veins often get worse and can spread over larger areas. Treatment is possible to remove thread veins. Laser and cautery have a role with certain types and areas of broken veins. For larger areas especially those on the legs we find Sclerotherapy most successful.

Over the past 12 years Dr Hemming has been treating unwanted leg veins with micro-sclerotherapy. These are small injections of a special solution into the veins, which cause the small thread veins to close and heal together.

Thread veins commonly appear on the skin. Veins appearing on legs can be linked to poor venous blood return and may be associated with varicose veins or other vein problems. Before going ahead with treatment, the veins need to be examined and tested to ensure this treatment is right for you.


At Thames Skin Clinic Dr Hemming has designed her bespoke vein assessment and treatment program to ensure your veins are suitable for this particular treatment. If they are not or we believe a different treatment will suit them better, we can offer this instead. Instead of asking you to decide we use your assessment appointment to offer the most suitable treatment for the areas you are concerns with.

Is Sclerotherapy thread vein treatment suitable for me?

Leg veins are treated using Sclerotherapy and ThermaVein which is suitable for all skin types and ages. There are some medical conditions and medication (aspirin) that can affect treatment including allergies and clotting problems. Please discuss this treatment with us if you are pregnant or breast feeding.

How safe is the treatment?

Leg thread vein removal is extremely safe. Both sclerotherapy and the ThermaVein procedure have been CE approved for many years. Thames Skin Clinic therapists are highly trained in the use of ThermaVein treatments and can be consulted to discuss treatment options. Dr Hemming provides Sclerotherapy treatment.

Will I feel any pain or discomfort during my treatment?

Leg vein treatment can feel a little tender and the treatment area may feel warm afterwards. It is not a painful treatment and we make every effort to make you as comfortable as possible.

Are there any associated risks?

There are no serious side effects or risks associated with this treatment. We discuss your medical history and allergies and may stop some of your medication prior to treatment if safe and necessary to do so. Treatment may cause some bruising and swelling. This settles in 10-14 days. There are specific aftercare instructions following thread vein treatment.

How much downtime is usually needed and what should I expect?

There is no downtime following Leg vein treatment. Sometimes the treated vein may bruise or leave a small scab on the skin. These are self healing and will gently fade as the skin repairs. We advise the use of compression hosiery with moderate compression of 20-24mmhg to be worn immediately after treatment. When your compression tights are on you may leave with a spring in your step feeling fabulous and confident knowing your veins are treated and disappearing.


First, a trained professional will examine your health and the veins on your legs. A test should be performed to check the competency of the deep veins, this is called an ultrasound doppler. If the test shows the deep veins flow the wrong way (backwards) you will need further investigations for more extensive vein problems and should see a vascular surgeon or specialist.

After positive pre-treatment tests Sclerotherapy can be performed.

Sclerotherapy involves the injection of a special substance (called a sclerosing agent) which irritates the lining of the vein, causing it to swell, become sticky and fuse together. The fusing of the vein walls closes the vein and removes the unwanted thread vein. This takes time to occur and compression hosiery must be worn for best results. (Don’t worry they look like normal socks/tights).

Your body tries to heal the treated veins, if your healing process is good the veins may need further treatments. New veins may appear as the bloom is diverted, these can also be treated.

Your comfort levels and expectations are important factors which are considered in your consultation.

Treatment areas

Treatment is a safe and effective way of removing unwanted thread veins on the legs.

It is essential that compression hosiery is worn after treatment for 72 hours continuously. Then daily for the following 7-21 days. This helps the sclerosant to work and will give you better results.

Hosiery comes in all colours and styles, after treatment it is possible to purchase more stockings which some choose to wear as a preventative treatment every day, They are also suitable for long flights and journeys. Styles are also available for men too.

Compression hosiery

You will need to bring a pair of suitable compression hosiery with you to put on immediately after your treatment. Moderate or class 2 compression hosiery should be purchased with a compression gradient of 18-24mmhg.


Knee high – for ankle and foot vein treatment only.

Thigh high – for vein treatment below the knee.

Tights – for all veins over the knee or combinations of the above.

There is a good selection of thigh high stockings and tights on www.daylong.co.uk

Side effects

Treatment can be tender, as your veins will be injected at multiple sites. The treatment area feels warm with a burning sensation following sclerotherapy. Bruising and inflammation occurs in all patients, this should settle at 10-14 days. Your legs will look worse immediately after treatment (red and inflamed).

About 10% of patients will get some side effects

  • pigmentation (only 1% lasts more than a year),
  • thread vein matting (goes in 12-18 months)
  • very rarely skin necrosis.

Serious complications following sclerotherapy are extremely rare however you do need to be aware of these. We all have high expectations following your treatment and your consent must be informed.

You should not have treatment

  • if you are pregnant or breast feeding.
  • Suffer from mobility problems,
  • have allergies or clotting problems.
  • You should not fly for at least 2 weeks either side of treatment.
  • Aspirin should be stopped 1 week before treatment.

You must wear medical compression hosiery which can be supplied through the link on the compression section. Hosiery must be bought before treatment to be put immediately after sclerotherapy. Please contact us if you would like further information.


Aftercare forms part of your sclerotherapy treatment. It is essential you follow the recommended post treatment guide carefully and you will get the best results.

You must wear medical compression hosiery which can be supplied for you. They must be bought before treatment to be put immediately after sclerotherapy. Compression hosiery is worn constantly for 72 hours after treatment, then daily for the next 7-21 days depending on severity of the treated area.

Results are not immediate and take several weeks to develop. Do not expect a full result for 8 weeks.

Injection sessions on the same site should be 4-12 weeks apart. You are welcome to attend for follow-up at 2 and 12 weeks

In general, 90% of patients are either pleased or very pleased with their treatment

Further treatment should be planned 4 weeks after the initial treatment. A total of 3 treatments should be budgeted for.

Sclerotherapy treatment for dilated or broken veins vary by the area of treatment given to achieve the best results. We often get asked about the cost of treatment. At Thames Skin Clinic we pride ourselves on results rather than focus on the price of a treatment, it is more important that we get the correct quality of product rather than offer cut price treatments, products and services (especially when it comes to medical treatments). You will never see Thames Skin Clinic advertising services on social coupon sites such as Groupon as we believe they have a negative impact on our customer safety, results and satisfaction. We also wish to abide by the advertising regulator and work in a safe ethical manor.

Our prices reflect the skill, training and premier product choices we have made as well as the true reflection of the beautiful bespoke clinic surroundings.

To discuss leg vein assessment and treatment please call us today and book an initial consultation with our specialist practitioners. There is a charge for appointments with Dr Hemming.

  • Leg vein assessment and ultrasound doppler tests £195
  • Assessment and first session combined £690
  • Micro Sclerotherapy sessions £495

Additional products are advised including compression tights and stockings.

(www.daylong.co.uk – Moderate class || 20-24mmhg)

Before and afters

Results may vary from person to person

Additional effects

Removes small thread veins (telangiectasia) from the legs.

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Initial appointment

New Patient consultation 45 minutes with ultrasound doppler test

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Treatment takes

40 minutes (following consultation)

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Follow up

6 weeks following treatment

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Lasts for


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Results take

Immediate effect, takes 2 -3 weeks to settle

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Anaesthetic required


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Treatments from


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Percent efficacy


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Verified Reviews

Read what our valued patients have to say about their visit

03 Apr 2020

The results just keep getting better.

I’ve been visiting Doctor Anna for over a year to revitalise my skin with topical treatments. As I grew to trust her professionally, I decided to take that bold journey to address my dark circles which have gotten worse with age. I was incredibly nervous and a bit scared that I would look unnatural or vastly different after treatment. From the first day of treatment, I was excited and pleased with the results. It’s been two weeks now, and the results just keep getting better. I feel beautiful. The cherry on the cake is my loved ones and close friends haven’t noticed a thing!


20 Mar 2020

Amazing place, lovely staff

I was a bit apprehensive as I had never had a facial before but when I arrived and met Lizzie she put me as ease immediately and the treatment out of this world. Amazing place with lovely staff and a wonderful experience.


19 Mar 2020

I really trust Dr Anna Hemming

I have been coming to Dr Anna Hemming for wrinkle treatment for the past 4 years. I’m always happy with the fresher natural look she gives me. Friends have been surprised when I tell them I haven’t been on holiday and that my rested look is actually wrinkle treatment. I really trust Dr Hemming to do the best for me and feel safe in her experienced medically qualified hands. So, now she has opened a fabulous new clinic I’m venturing to other treatments. I’ve just had 3 LED sessions with aesthetic practitioner Lizzi (who is very knowledgeable and super friendly) and these have really plumped up my skin . I’ve booked a Hydrafacial for next week. The clinic is a uncluttered minimalist space with the latest skincare equipment. It feels hygienic yet relaxing. It’s a pleasure to visit. Thank you.


18 Mar 2020

I absolutely love the results of the filler on my face and lips

Hi everyone, could you please let Dr Hemming know that I absolutely love the result of the fillers on my face and lips. I wanted a natural look and discussed this with her, and I have to say I was a little anxious about putting filler in my lips but I love them. I have the natural look I discussed with Dr Hemming and the one I was hoping for, it has given me a real confidence boost. Stay safe love Marian x


28 Feb 2020

Anna is Amazing

I am very happy with the treatment and service I received. Very friendly staff and Dr Anna is amazing. I’d love to come again.


05 Feb 2020

Treatment delivered with great skill

Attentive professional treatment delivered with great skill


09 Jan 2020

I can highly recommend Dr Anna Hemming

I started to develop skin issues around my eyelid area. Having been to see two other dermatologists who were unable to assist due to the delicate and sensitive area around the eyes, it was a welcome relief for Dr Anna Hemming to be recommended to me. She immediately put me at ease, talked me through the available treatments, provided me with a quote and arranged to see me again to carry out the procedure. Within 2 weeks of the initial consultation my treatment was completed. It has made such a difference to my face already. I feel more confident and am so relieved to have found a consultant who not only listened but carried out a procedure that I was told was not possible. I can highly recommend Dr Anna Hemming and have already to my friends. I have no doubt I will use her again for any other derma-logical procedures.


12 Dec 2019

Anna makes you feel totally relaxed

Anna makes you feel totally relaxed and inspires confidence with her knowledge.


13 Feb 2019

Helped improve my skin

She helped me improve my Skin. I wish I met her 10 years ago. I never thought my Skin will glow and get rid of my acne.


22 Jan 2019

Fabulous results!

Amazing! As I new client I was very impressed with the wrinkle treatment consultation, procedure and results. Dr Anna is first class at providing that much sought after rested and refreshed look.

Heather Latham

10 Jan 2019

Just excellent!

Anna is amazing, she really understands what her patients need and doesn't try and over push any product or procedure. She always does what is just right. Thank you Anna.

Terrey Burr

09 Nov 2018


Amazing person and Dr, professional, extremely knowledgeable, caring and friendly, makes you feel relaxed and comfortable. I’ve been a few times now to Dr Hemming, I always look forward to going, and the results are always incredible.

Amanda W

18 Jan 2019

Absolute Professional

I first came to Anna when I suffered from tired, dry and lifeless skin very prone to breakouts. Anna put me on a skin rejuvenation programme using some amazing products and my skin is now the best it’s ever been and I now get frequent comments on how amazing my skin looks!

Charlotte Edwards

08 Nov 2018

A very relaxed environment

A very relaxed environment and felt very safe in Doctor Hemmings hands. Very pleased with my results and will be going back. I would thoroughly recommend Dr.Anna to my friends and family!

Alex Lyons

11 Nov 2018

All round great experience

Efficient, friendly and super informative. You can tell that Anna has been in the practice for years and knows exactly what she is talking about.


08 Nov 2018

100% recommend Dr Anna

I recently saw Dr Anna and am extremely happy with the results. The treatment and product were fantastic as was her manner and professionalism. She really listened to my areas of concern and came up with a fantastic treatment plan and my before and after shots are really impressive!

Ali Branson-Willis

01 Nov 2018


I would heartily recommend Dr Anna Hemming to anyone seeking cosmetic treatment. She is truely up to date with all the latest techniques and products, and she practises with great skill and subtlety - her friendly manner makes consultations a pleasure. 5 stars.


04 Oct 2019

Satisfied Client

I am delighted with the results of my first treatment for plasma blepharoplasty with Dr Anna. What a difference in just one treatment. Dr Anna is highly professional and was really supportive, reassuring and informative. I have already booked my second treatment.


01 Nov 2018

Highly recommended!

Excellent. Very professional, knowledgeable and friendly. I felt very relaxed and well looked after. Never rushed. All options were explained and I was shown new ideas that I had not heard of before from other practitioners. Highly recommended. I feel lucky to have found Anna.


28 Aug 2018

Clearer skin at last!

Dr. Hemming is the best when it comes to skin health and rejuvenation. I’ve been loving the OZ skin health range and it’s really improved my skin. (Clearer skin, tighter all over and reduced pore size). I’ve been spot prone all my life and was so fed up with nothing ever working. Finally I have a plan that is clinically proven and safe for my long term skin health. Thank you Dr. Hemming!


12 Apr 2018

Great listener

Great listener, tailors treatment to needs brilliantly. Recommend her services to all! Great doctor!


20 Jul 2017


Dr Anna Hemming is extremely professional and knowledgeable in all kinds of treatments and skin care where her expertise is second to none. I have known Dr Hemming for many years and she successfully treated my children’s acne and now she is successfully treating my middle age complaints. She is an inspiration and always full of enthusiasm for the help she can give her patients.


15 Aug 2017

I look younger!

I received Fractora treatment now 3 weeks ago from Dr Hemming. There has been a slow healing and gradually I see myself less tired looking and my lines have noticeably reduced . The beginnings of a jowel I had along my jawline has disappeared which is exactly the part of my face that bothered me most. It seems as if I’ve had a face lift! My skin is firmer and the hollows less deep. I dare say I look younger.


21 Mar 2017

I will definitely be back

It was great to find Dr Anna, she works in a very professional environment. She has a great eye for detail. I am very happy with my results and I will definitely be back to find out more about your skin care range too.


08 Mar 2017

No make up and loving it

No make up and loving it, you have totally sorted out my skin. You have a gift, use it! One happy 40 year old. Love you!


21 Aug 2020

Go, you will not be disappointed.

I have recently moved to Barnes and was searching for someone that could deliver wrinkle injections on my skin but I wanted someone reputable, Doctor led, and that didn’t over do my face as I don’t want it to look like I have treatments. I had my appointment with Anna, the lovely lady that owns this clinic and what a brilliant experience it was for me. I knew my end result would be exactly what I was after. I shall be back, for other treatments because I feel I’m in safe hands and you all know what you’re talking about. No I know why Anna has such a great reputation within the industry. She is not only a wealth of knowledge when it comes to skin but I feel at ease and taken care of in her beautifully designed clinic in Twickenham. Go, you will not be disappointed.


31 Jul 2020

Dr Anna and her team are professional

I’ve had the pleasure of going to Dr Anna for a few years now and was delighted when she opened The Thames Skin Clinic as so close to where I live. The space is gorgeous and bright so perfect for any treatments you may require! I’ve been used to, in the past to going into these darkened rooms where they surely can’t treat you properly. Dr Anna and her team are professional and friendly in the right measure and make you feel at ease and confident that you’ll walk out of there looking and feeling a million dollars!! Would def recommend a visit to see for yourself!


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