Microsclerotherapy Training For Doctors and Nurses


But you can learn all of it online. Our online e-learning courses cover the entire syllabus. The injection technique is covered too and you can upload videos of your injection technique for feedback. eed hands-on training.


Aesthetic Practitioners

As an Aesthetic Doctor or Nurse, you can distinguish yourself from a growing number of competitors by providing advice and treatment for leg spider veins and blue veins. Very few aesthetic clinics have the knowledge and expertise to offer Microsclerotherapy; however, unsightly leg veins are a very common problem and there is constant demand for their treatment. 

Specialist Practitioners

As a Vascular Surgeon, Dermatologist or Radiologist, you may wish to add the treatment of small leg veins by Microsclerotherapy to the skills that you have. You may already be treating superficial venous reflux by Endothermal Ablation or you may be treating skin conditions such as  venous eczema, so it is a natural progression for you to want to learn how to treat telangiectasias and reticular veins. 

Our Microsclerotherapy Courses

  • Detailed Theoretical Knowledge Base – Essential for a Successful Microsclerotherapy Practice
  • Video Course Lectures – Easy Acquisition of Information 
  • Comprehensive Course Manual – Everything in One Place
  • End of Course Quiz – Test What You Have Learnt
  • Course Certificates – Evidence of CPD/CME
  • Written by an experienced Vascular Surgeon with decades of experience – Tips and Tricks not Available Elsewhere

What's Covered in The Microsclerotherapy Courses

Anatomy and Physiology of Leg Veins 
Structure and Function
  • Systems of Classification including CEAP
  • Responsive and Resistant Microtelangiectasia
  • Responsive Resistant (Matting or Second-Generation Vessels)


Patient Assessment and Selection
Inclusion Criteria
  • Absolute Contraindications
  • Relative Contraindications
Continuous Wave Doppler (abbreviated to CWD) screening test
Referral to a Vascular Specialist 
Consultation and Consent
  • Consultation
  • Consent
  • Major Complications
  • Minor Complications
  • Managing Expectations 
Mechanism of Action
  • 1. Detergent Sclerosants 
  • 2. Hypertonic Sclerosants 
  • 3. Chemical Irritants 

Chemical Properties of Detergents 
Cell Membranes 
Interaction of Detergents with Cell Membranes
Interactions after injection 
Volume and Concentrations to Inject 
Choice of Sclerosant 
Prescription-Only Medicines
Yellow Card Scheme 
Emergencies after administering Fibrovein and Aethoxysklerol 
Summary of Product Characteristics (SmPC) 

Injection Technique
Steps in Treating Leg Telangiectasia 
The Treatment Session 
General Considerations 
Injection of Telangiectasias 
Injection of Reticular Veins 
Tips and Suggestions 
Depth of Injection 
Holding the syringe 
Variations  Patient Positioning 

Medical Compression 
What is Medical Compression?
Clinical Uses of Medical Compression
Compression after Microsclerotherapy 
Mechanism of Action of Medical Compression 
Contraindications to graduated compression stockings 
Information to be given to patients 
Complications of Compression Hosiery 
My Approach  Summary 

Post-Procedure Management and Aftercare 
Period of Observation after Injection 
Ambulation and Hydration 
Follow-Up Care 
Repeat Microsclerotherapy 
Open Appointments 

Aids to Visualisation  
Commonly-Used Types of Device 
Cross-Polarised Lighting 
Near Infra-red Vein Finders 
High Frequency Ultrasound 
Summary Table 
Safety Profile of Sclerotherapy 
Major Complications 
  • Anaphylaxis 
  • Tissue necrosis 
  • Venous thromboembolism 
  • Neurological Events 
  • Nerve Damage 
  • Oedema 
  • Cosmetic Complications 
  • Matting 
  • Pigmentation or staining 
  • Disappointment 
Minor Complications 
  • Urticaria 
  • Skin irritation and bruising 
  • Retained coagulum
Mitigating and Managing Complications 
  • Anaphylaxis 
  • Thromboembolism 
  • Central Neurological Events 
  • Tissue necrosis 
  • Nerve damage
  • Oedema 
  • Telangiectatic Matting 
When to refer patients with complications 
Set Up of The Treatment Room
Checklist of Items 
Checklist of Policies and Procedures
Clinical Photography 
Which Camera? 
What you should aim to achieve with your camera 
Lighting  Background 
Storage of images 
Common Difficulties 
Bleb Formation 
Painful Injection 
Difficulty Injecting Telangiectasias
Difficulty Injecting Reticular Veins 
Telangiectatic Matting 
Patient dissatisfaction
Other Treatment Options for Leg Telangiectasia
  • Intense Pulsed Light 
  • Transdermal Laser 
  • Transdermal Thermocoagulation
  • Cryo-Laser and Cryo-Sclerotherapy CLaCS 
What’s Next?
Here is a suggested check-list 

01935 873951

Please call us to make an enquiry or send us a message using our contact form


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