Prevention, Diagnosis & Treatment of Venous Diseases


The older we get, the more important a preventive vein care is for our health. Poor circulation in the legs and dilating blood vessels often lead to problems. Whether varicose veins, spider veins or skin redness: Venous diseases have many faces. That is why it is particularly important to get the right treatment. However, it is difficult to find the right vein specialist for exactly your problem.

For this reason, we have opened a centre for vein medicine in our practice in 1170 Vienna. Dr. Charlotte Grillitsch strengthened her team with Dr. Michael Mellek. Thus two specialists in different fields of vein medicine are there for you. In other words, we can offer you prevention, diagnostics and treatment of venous diseases of all kinds.

The vein doctors recommend preventive vein examinations for patients of all ages. This way you can easily prevent varicose vein operations!

The treatments are very different depending on the disease. The most common problems are in the legs and face. Especially older people are often affected by vein problems. As a result, the blood vessels become larger, darker and more visible. After all, varicose veins often form and surgical intervention may then be necessary. Our doctors only perform classic vein stripping in rare cases. Instead, we use surgical methods that do not require skin incisions: the RFITT method and laser ablation.

As we get older, the flaps in our veins are less efficient, so that less blood is pumped back from the legs. This means that blood vessels in the legs become larger, darker and visible. In severe cases, varicose veins can form and require surgical treatment. Other blood vessels conditions can be treated by injection (ultrasound-controlled foam sclerotherapy). Smaller vessels (leg telangiectasia, spider veins) are treated with lasers such as the Ellipse ND: YAG laser. The extension of the findings is determined by means of colour Doppler ultrasound.

Duplex sonography is painless and shows the non-visible veins. It can be used to find out the cause of your discomfort. Are the trunk veins to blame? Or is the accelerated ageing not to do with your veins? An ultrasound diagnosis is inevitable in order to plan the right therapy.

In the case of sclerosis, a proven substance (Aethoxysklerol) is first foamed and then injected into the vein to be treated. As a general rule, veins up to 3 mm in diameter can still be treated with laser. Thicker veins should be cauterised. The agent closes the vein and the body then expands the vein. Possible side effects are post-inflammatory pigment changes on the cauterised area, which will go away after 3 months. In rare cases, blood can accumulate in the treated vessel. In this case, we will ask you to contact us a few days after the treatment to remove the blood through small jabs. After about 6 weeks the final result should be achieved. Compression stockings help the healing; however, they are not absolutely necessary for small blood vessels. In the case of cauterisation of lateral branches or trunk veins, we recommend you to wear them. The carrying period varies between 3 and 14 days.

The Ellipse leg vein treatment uses a pulse of laser energy precisely applied on the vessel to be treated. This causes the blood to warm up in the vessel and causes its slow degradation. The vessel is naturally absorbed by its white blood cells. The skin around the vessel is not damaged by the treatment. After the treatment, a slight redness may appear in the treated area, which subsides after 48 h. Compression is not required afterwards. With the latest SoftCool cooling system, the treatment of smaller vessels is practically painless. The treatment of larger vessels is slightly uncomfortable.

Classical vein stripping is only performed for a few special indications. Longer hospital stays, scars and complications are the reason why new bloodless, scar-free, minimally invasive radio frequency methods have been developed. With the RFITT method, veins are punctured by ultrasound and then thermally cauterised. The vein pulls together and closes and is no longer visible from the outside. Not much longer afterwards, you can leave the practice (local anaesthesia) or the clinic (anaesthesia) without feeling any pain and being perfectly mobile and capable of working. You can do sport after a week. Compression stockings are to be worn for the following 14 days during the day.

Avoid sun exposure during the four weeks before treatment and the 4 weeks after. Use sun protection (min. SPF 30) if the solar radiation cannot be avoided.

Small vessels disappear immediately, large vessels in the next couple of weeks after treatment.

This depends on the number and size of the vessels to be treated. Usually a single treatment is suitable for smaller vessels, whereas larger vessels require a second treatment. We will be able to make an accurate assessment after a check.

TREATMENTfrom price in € incl. tax
Laser Treatment270,-
Laser (RFITT Cauterisation a leg)1.680,-
Ultrasound scan150,-
Mini phlebectomy660,-