Treating leg veins with sclerotherapy
Sclerotherapy is a highly successful
treatment of spider and varicose veins. During
the procedure, a sclerosing solution is injected
into the vein through a very fine needle. A flushing
of the vein occurs and then over a 4-6 week
period the vein gradually disappears.
there any side effects?
Sclerotherapy has been amazingly free of side effects.
There is a very low incidence of hyper-pigmentation
of the skin at the site of the injection or at the
site of the vein being treated. This pigmentation
usually disappears over a period of time. Occasionally
a small skin ulcer can appear at the sits of injection;
however, this also will resolve over a period of
time. It is possible to experience slight brusing
at the sites of the injections.
sclerotherapy work for my veins?
Most spider veins and varicose veins do respond to
sclerotherapy. Complete correction of the treated
area is not expected on the first treatment. In most
cases, about 50-70% of treated vessels will respond
over a period of three to four treatments. However,
new veins may appear and additional treatments may
be necessary to achieve optimal results. Most patients
experience 60-80% overall improvement in the appearance
of the veins.
my insurance pay for sclerotherapy treatments?
The cost of sclerotherapy depends on the
number of treatments required. Since almost all
insurances consider the treatment of superficial
veins to be a cosmetic procedure, it will most
likely not be covered by your insurance.
Are there other
vein treatments available?
Yes. There are
some lasers that are used to treat veins that are
resistant to sclerotherapy. There is also a new
surgical procedure called “ambulatory
phlebectomy” that is used to treat larger,
bulging varicose veins. Spider and varicose veins
are rarely life threatening and therefore no treatment
is also an option.
Is there any down-time?
This procedure is performed in the office, and generally
takes between 15-45 minutes to perform. Normal
activities can be resumed immediately, (we do suggest
however that you refrain from vigorous activities
for the first 24 hours). Usually bruising will
appear around the treated areas and will disappear
within the first week. We strongly suggest the
use of medical grade support stockings for a few
weeks following the treatment. The stockings can
significantly reduce the bruising and may even
reduce the number of treatments.
many treatments will I need?
The number of treatments vary greatly with the severity
of the spider veins. The average case usually requires
3 treatments, at 4-6 week intervals.