"I knew I wanted to have some work done, but I wanted to know I was in good hands. I sought impartial advice and met with Wendy Lewis, the New York aesthetic consultant. She recommended Dr Rakus - she was right. I know I'm in safe hands and my treatments have been effective without side effects and have drawn many compliments".

Susan BP

Thermage skin treatment
fast-track beach body
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“Apart from the obvious lift effect I really notice the difference in the appearance of my skin. It looks fresh and dewy and, at the age of 43, it is wonderful to have young looking skin again! Thank you."


Thermage skin treatment
Ultimate cosmetic treatment
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"Since I started my treatment with Dr. Rakus I can now look people in the face. My confidence has soared!"


Thermage Cellulite procedure beforeThermage Cellulite procedure after
Treatment by
Silvya Cuevas M.D.
Harpers and Queen  writes about Dr Rita Rakus
The Kiss Test
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tatler  writes about Dr Rita Rakus
The 4 Best in the World
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The Sunday Times  writes about Dr Rita Rakus
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Vein Treatment, Micro Sclerotherapy


Thread, spider or red veins of the legs are a common problem which mostly affects women. These small veins can form anywhere in the leg from the top of the thigh to the ankle. While these veins pose no major health problems, they can cause discomfort and be unsightly. Micro Sclerotherapy can correct these unwanted thread veins.

What is Micro Sclerotherapy?
It is a procedure in which a specially trained doctor or nurse injects a small amount of an irritant solution using a very fine needle into the thread veins. The solution displaces the blood within the vein causing it to turn white. It also irritates the vein making it swell and close, thus stopping blood from re-entering it. Depending on the size of the vein a pressure bandage may be worn. However usually support hose is all that is necessary for no more than a week following the procedure. Treated veins will disappear within two weeks to two months. More than one treatment is usually needed, although most thread veins can be treated over a course of two sessions, each taking 30 to 40 minutes. For very extensive thread veins a maximum of six treatments could be necessary but rarely more.

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Is the treatment painful?
There is a little minor discomfort with a very slight burning sensation but this disappears within a few seconds.

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What are the side effects?
Side effects are rare and easily treated. Some have been reported and include slightly raised areas at the injection sites that heal within a day or two and temporary bruising around the treated areas which usually resolve rapidly. Very rarely, a small dark area of pigmentation resembling a freckle may remain. These spots usually resolve in time and respond to bleaching agents. The development of tiny networks of fine red vessels near the injection site of larger vessels can occur. Most resolve spontaneously. Allergic reactions to the solution are rare and easily treated.

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What causes thread veins?
The reason why some people are affected and others are not is unknown. There are though some predisposing factors. Heredity seems to play a part. Injury to the legs and long periods of standing are causative factors. In addition, more women than men seem to develop this condition as a result of pregnancy or hormones.

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How can they be prevented?
The use of support hose, weight control and exercise may be beneficial.

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Will the treated veins recur?
Thread veins may recur. It may seem that a previously injected vein has recurred, whereas in fact a new thread vein has appeared in the same area.

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Post-treatment instructions

  1. Elevate the legs as much as possible immediately following the procedure
  2. Keep moving the legs and walk as much as is practical.
  3. Wear medium support hose for one week.
  4. Avoid waxing or shaving the leg(s) in the areas for about a week.
  5. Preferably shower rather than bathe after the procedure. Avoid rubbing shower gel or soap over the injection sites, but simply splash these areas with water and pat dry.
  6. Avoid the use of body lotions or creams in the treated areas for the first few days.
  7. Avoid strenuous activity such as aerobics or keep fit for five to seven days following the procedure. In addition avoid standing still for long periods of time for the first few days.
  8. Do not sunbathe or use a sun-bed for the immediate few weeks after the procedure to avoid a risk of hyperpigmentation of the treated area.

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Treatment junkie Anna Curtis gives her verdict:

Where Dr M R Rakus, 34a Hans Road, SW3
(tel: 020 7460 7324).
Price £850.
Pain factor. 'It's quite anxiety-provoking. I dosed up on Nurofen and was numbed for an hour with anaesthetic gel, but the laser still felt uncomfortable - a scratching pain like sandpaper across my skin. But it only lasts 10 minutes.'
Recovery time. Afterwards my skin was hot, incredibly red and tight like sunburn. I lay low for a day until the red had faded to a pinkish glare, and a day later it was almost gone.
Verdict. Fraxel is the whole number - a facelift without the knife. The pigmented marks on my décolleté have almost gone, my skin is beginning to feel softer and more youthful and, along with some help from Restylane on my upper lip, my lines are definitely fading.'

TATLER top skin doctors
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My hairdresser (people who always notice!) made me thrilled when she said “What have you done to your makeup. It looks good, you appear refreshed and your jaw line is tighter. A new face cream? Tell me about it”

It wasn’t makeup or creams, but Thermage performed by Dr. Rita Rakus. I’ve trusted her for many years now and I know that if she suggests a new treatment I can rely on her judgment. I’m so pleased that I had Thermage.
Lynda W

Call +44 (0)20 7460 7324 for a clinic with Dr Rita Rakus

IHAS - Treatments You Can Trust
Please Note:
Results may vary from person to person
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