Your first appointment is a 30 to 45-minute consultation with a Consultant Vascular Surgeon. Where clinically indicated, a duplex ultrasound scan of the leg(s) is performed on the same visit.

What to bring

Photo ID (passport, driving licence)
A list of your current medications and doses, including over-the-counter, supplements, vitamins
A list of any allergies (drug, latex, plaster, iodine, local anaesthetic)
If insured, your insurance details and authorisation reference if you already have one
Any previous duplex scan reports, vascular letters, or related imaging (paper or PDF on your phone is fine)

What to wear

Loose, easy-to-roll-up clothing on the leg(s) being examined
Skirt, shorts or wide-leg trousers are ideal
You will be asked to undress to underwear from the waist down for examination and scan. A gown is provided

What to expect

Pre-attendance questionnaire link sent by email after booking, please complete it before you arrive
History, examination, duplex scan if indicated
A clear written summary of findings and a treatment plan
A written self-pay quote or, for insured patients, the next step on the insurance pathway
A copy of the letter sent to your GP, with your consent

Practical tips

Allow 60 to 75 minutes for your visit including arrival and reception time
Parking nearby at the Bentall Centre car park
Kingston station is a short walk
Hydration helps the scan, no need to fast

Section 2

Before your procedure (general pre-op)

This section applies to every theatre procedure. Procedure-specific extras are in the next section.

7 to 14 days before

Confirm your appointment in writing
Read this page once through
If you have private medical insurance, make sure your pre-authorisation reference is in place
Stock up on simple painkillers (paracetamol, ibuprofen if you tolerate it)
Buy or arrange the medical-grade compression stockings recommended in your treatment plan

48 hours before

Avoid alcohol
Avoid heavy exercise
If you are on aspirin, anticoagulants (warfarin, DOAC such as rivaroxaban, apixaban, edoxaban, dabigatran), antiplatelet drugs (clopidogrel), or any medication that affects bleeding, follow the pause plan your consultant gave you in writing. Do not stop or change anticoagulants without explicit instruction.
If you are diabetic and use insulin, your consultant will have given you a tailored plan

Night before

Shave the leg only if your consultant has asked you to (most modern endovenous procedures do not require this)
Shower or bath as normal
Sleep well, your procedure is under local anaesthetic, you do not need to fast unless told otherwise

Morning of your procedure

Light breakfast unless you have been asked to fast
Plenty of water
Bring your compression stockings to the appointment
Bring any medications you take that day
Arrange a lift home (you should not drive on procedure day)
Wear loose-fitting clothing that will fit comfortably over compression stockings
Bring a small bag with a bottle of water and any reading material you might want for recovery

What NOT to do

Do not apply any creams, lotions, fake tan or make-up to the leg(s) being treated
Do not wear nail polish on the toes of the leg(s) being treated (this can affect post-procedure observations)
Do not drive yourself home

Section 3

Procedure-specific pre-care

Endovenous Laser Ablation (EVLA)

Tumescent local anaesthetic is used along the treated vein
No fasting required
Bring your prescribed compression stockings
Procedure time, typically 45 to 60 minutes per leg
Plan for 60 to 90 minutes total at the clinic on procedure day

→ EVLA post-care

Radiofrequency Ablation (RFA)

Identical pre-care to EVLA
Tumescent local anaesthetic used
Bring your compression stockings
Procedure time, typically 45 to 60 minutes per leg

→ RFA post-care

VenaSeal (cyanoacrylate medical adhesive)

No tumescent anaesthetic needed, only a small amount of local at the access point
Compression stockings are NOT routinely required afterwards (unique to VenaSeal)
No fasting required
Procedure time, typically 30 to 45 minutes per leg
Allergic reaction to medical adhesive is very rare. If you have a known cyanoacrylate or strong glue allergy, tell your consultant before booking

→ VenaSeal post-care

ClariVein (mechanochemical ablation, MOCA)

No heat used, no tumescent anaesthetic
Local at the access point only
Bring your compression stockings (typically worn for 2 weeks after)
Procedure time, typically 30 to 45 minutes per leg

→ ClariVein post-care

Ultrasound-guided foam sclerotherapy

Local anaesthetic at injection sites
Bring your compression stockings (worn for up to 2 weeks)
Procedure time, 20 to 30 minutes per session
If you have a history of migraine with aura, please tell your consultant before the procedure. This very rarely changes the plan but is part of safe consent

→ Foam sclerotherapy post-care

Ambulatory phlebectomy

Local anaesthetic
Bring your compression stockings
Procedure time, 30 to 60 minutes
The leg will be marked with a skin pen before the procedure. This is normal

→ Phlebectomy post-care

Microsclerotherapy (cosmetic)

No general anaesthetic
No fasting
Avoid moisturiser, fake tan or lotions on the leg on the morning of the procedure
Bring loose trousers. You will be advised on stockings depending on the area treated
A 14-day cooling-off period applies to all cosmetic procedures. You will have been offered this when consent was discussed

→ Microsclerotherapy post-care

Section 4

After your procedure (general aftercare)

This section applies to every theatre procedure. Procedure-specific recovery patterns are in the next section.

In the first 24 hours

Walk gently from the moment you are home. Short walks every 1 to 2 hours during the day reduce the risk of DVT
Keep the leg moving when you sit (ankle circles, calf flexion)
Keep dressings dry, no showering or bathing in the first 24 hours unless told otherwise
Take simple painkillers (paracetamol, ibuprofen) regularly rather than waiting for pain to build
Do not drive
Eat and drink as normal

Days 2 to 7

Continue daily walking, build up duration gradually
You can shower normally from 48 hours, pat the dressings dry afterwards
Compression stockings stay on as per your written plan (most procedures, day and night for 48 hours, then daytime for 12 to 14 days, except VenaSeal where compression is not routinely required)
Avoid heavy lifting, strenuous gym work, contact sport
Office work usually resumes within 24 to 48 hours
Bruising, tightness and a feeling of tugging or pulling along the treated vein are normal

Weeks 2 to 6

Return to regular exercise from 7 to 14 days depending on technique
Compression stockings come off after 14 days unless otherwise advised
Bruising fades over 2 to 4 weeks
Some patients have transient skin pigmentation along the treated vein, which usually fades over months

Long-haul flights, driving and follow-up

Avoid long-haul flights for 2 weeks after any venous procedure
Short domestic flights are usually acceptable after 5 to 7 days
Most patients can drive after 48 hours if comfortable, off any sedating medication, and able to perform an emergency stop
On procedure day, do not drive, arrange a lift home
A follow-up appointment with repeat duplex scan is included in every theatre package, typically 6 to 8 weeks after the procedure. Reception books this with you before you leave on procedure day

Section 5

Procedure-specific post-care

EVLA aftercare

Compression stockings, continuous for 48 hours, then daytime for 12 to 14 days
Walking from the day of the procedure
Office work, 24 to 48 hours
Gym or heavy exercise, 1 to 2 weeks
Bruising and tightness along the treated vein, normal in the first 2 weeks
Follow-up duplex scan, 6 to 8 weeks

→ EVLA pre-care

RFA aftercare

Identical to EVLA. Some patients find post-procedure tightness marginally less than EVLA, individual experience varies.

→ RFA pre-care

VenaSeal aftercare

Compression stockings are not routinely required, the unique feature of this technique
Walking from the day of the procedure
Office work, 24 hours
Gym or heavy exercise, 1 week
Phlebitis-like tenderness over the treated vein can occur in the first 1 to 2 weeks and settles spontaneously
Follow-up duplex scan, 6 to 8 weeks

→ VenaSeal pre-care

ClariVein aftercare

Compression stockings, 48 hours continuous, then daytime for 2 weeks
Walking from the day of the procedure
Office work, 24 hours
Gym or heavy exercise, 1 to 2 weeks
Follow-up duplex scan, 6 to 8 weeks

→ ClariVein pre-care

Foam sclerotherapy aftercare

Compression stockings, continuous for 24 to 48 hours then daytime for up to 2 weeks
Walking from the day of the procedure
Office work, 24 hours
Avoid hot baths, saunas and heavy exercise for 1 week
Some skin staining at injection sites is common and usually fades over months
Follow-up review at 6 weeks for any retouch sessions

→ Foam sclerotherapy pre-care

Phlebectomy aftercare

Compression stockings, as for EVLA, 48 hours continuous then 12 to 14 days daytime
Small incisions, no stitches usually needed
Steri-strips stay on until they fall off naturally (5 to 7 days)
Bruising can be more pronounced than EVLA alone, this is normal
Walking from the day of the procedure
Office work, 24 to 48 hours
Gym or heavy exercise, 2 weeks
Follow-up, 6 to 8 weeks

→ Phlebectomy pre-care

Microsclerotherapy aftercare (cosmetic)

Compression stockings (if recommended) for 5 to 7 days
Avoid hot baths, saunas, sunbeds and waxing the treated area for 2 weeks
Daily walking helps reduce skin staining
Avoid direct sun on the treated area for 4 weeks (use SPF 30+ outdoors)
Mild itching and small lumps at injection sites are normal and settle over weeks
Follow-up, typically 4 to 6 weeks before any further session

→ Microsclerotherapy pre-care

Section 6

Allied-health pathways

Diabetic Foot Clinic (podiatrist-led)

Before your appointment

Bring a list of current medications including insulin doses
Bring your most recent HbA1c if you have it
Wear shoes you usually wear day-to-day, the podiatrist will examine your footwear
Bring socks that go above the ankle for the ABPI / TBI measurement
If you have an active foot ulcer, bring all dressings and dressing-change schedules

After your appointment

Follow the written management plan you receive
Routine dressing changes follow the schedule given to you
Inspect your feet daily, use a mirror for the soles
Wash daily, dry carefully between toes
Moisturise dry skin, but not between toes
Wear well-fitting shoes, avoid going barefoot
Call us same-day if a new ulcer appears, a wound starts smelling, increasing redness, swelling, or you develop a hot foot

Wound Care Service (TVN-led, with consultant oversight)

Before your appointment

Bring all current dressings and dressing schedules
Bring a list of antibiotics taken for this wound in the last 6 months
Wear loose trousers or a skirt that allows full leg access
Bring a photo of the wound on your phone if available, useful for comparison

After your appointment

Follow the dressing-change schedule given to you, written and verbal
Compression bandaging stays on as instructed, never adjust without instruction
Keep the limb elevated when seated
Walk daily as advised, immobility delays healing
Call us same-day if the wound starts smelling, increases in pain, leaks more than expected, the bandaging slips, or you develop fever, increasing redness or swelling
Saturday wound clinic available with same-day consultant phone escalation if needed

Lymphoedema Service (lymphoedema-trained physio)

Before your appointment

Wear loose clothing, you will need both limbs accessible for measurement
Bring any previous compression garments
Bring photos of any cellulitis episodes if you have them

After your appointment

Follow the decongestive therapy plan given to you (compression, exercise, skin care, MLD where part of the plan)
Daily skin care with low-fragrance moisturiser
Avoid injury to the affected limb, no blood pressure cuffs, IV cannulas or blood draws on the affected arm where possible
Wear compression garments as instructed
Replace garments every 6 months
Call us same-day if you develop signs of cellulitis (hot, red, painful, swelling, fever)

Compression Therapy & Stockings (fitter-led)

Before your appointment

Wear loose clothing for measurement
Take socks off in time for circulation to settle
Bring any previous compression garments and a note of how you got on with them

After fitting

Wear stockings as instructed, typically all day, off at night
Hand-wash in lukewarm water with mild detergent, lay flat to dry
Replace every 6 months, elasticity declines over time
Call us if you develop new skin irritation, numbness, or colour change in the toes
The fitting consultation fee is refunded against a stocking purchase. Ask reception if you need a copy of the receipt

Section 7

Red flag symptoms, call us if you notice these

Most patients have no problems after a vascular procedure. The signs below are uncommon but need a same-day call.

Call 020 8129 1011 same-day if you notice

Severe pain not controlled by paracetamol or ibuprofen
Increasing redness, heat or swelling beyond what you would expect from bruising
A hot, hard, tender lump along a vein
Wound discharge, smell, or fever above 38°C
Sudden one-sided calf swelling and tightness (possible DVT, treat as urgent)
Numbness or weakness in the foot or leg that is new and persistent
Any concern about the dressing slipping, bleeding through, or coming off

Call 999 or go to A&E immediately if you have

Sudden breathlessness, chest pain, or coughing blood (possible pulmonary embolism)
Sudden severe pain in the leg with the leg turning pale or cold (possible arterial event)
A sudden problem with vision, speech, or weakness on one side of the body
Fainting or feeling about to faint, with chest or back pain

Do not wait for the next working day if any of these happen. Call 999 if it is on the second list. Call us at 020 8129 1011 for the first list, 24 hours a day, reception or the on-call team will guide you.

Section 8

Contact us

Reception (booking, follow-up, questions about your care)

Phone: 020 8129 1011 (Monday to Saturday, 8am to 6pm)

Email: info@konceptmedicalclinic.com

Address: 46-48 Wood Street, Kingston upon Thames, KT1 1UW

Out of hours (urgent concern)

Phone 020 8129 1011 and follow the message.

Or attend your nearest A&E if the symptom is on the red flag list.

Your consultant will respond to clinical questions during clinic hours. Routine questions are best handled by reception in the first instance.

Where to find more information

Vascular Surgery hub, overview of every service
Self-pay pricing, full pricing for every procedure
Insurance & access, recognition and pre-authorisation
Mr Magdy Moawad, consultant bio
Mr Abdullah Jibawi, consultant bio

Use your browser’s print function (Cmd-P or Ctrl-P) to print this whole page for your records. Reception can also email you a PDF version on request.

Any questions, we are here

Call reception with any pre-care or post-care question, or for clarification on anything on this page.

Call 020 8129 1011
Book online

Regulation and standards

KONCEPT® Medical Clinic is registered with the Care Quality Commission (CQC) for the regulated activities provided at our Kingston upon Thames premises. All consultants are on the General Medical Council (GMC) Specialist Register for Vascular Surgery and remain personally accountable to the GMC under Good Medical Practice. Allied-health clinicians are registered with their relevant professional bodies (HCPC for podiatrists and physiotherapists, NMC for nurses). Patient instructions on this page are written to be factual and verifiable in line with the Committee of Advertising Practice (CAP) Code and Advertising Standards Authority (ASA) rules. They are not a substitute for the personalised written plan you receive at your consultation or after your procedure. If your own consultant’s instructions differ from anything on this page, follow your consultant’s instructions. Page last reviewed by Dr Maryam Attarzadeh, Medical Director (GMC 7193218), 2026-05-27. Next review due 2026-11-27. Instructions are re-verified every 6 months, or sooner if clinical pathways change.