Sclerotherapy is a popular method of eliminating superficial telangiectasias (“spider veins”) in which a solution, called a sclerosing agent, is injected into the veins. The injection the formation of fibrous tissue in the vessel subsequent to an inflammatory reaction. This process causes a gradual fading of the treated vessel over a period of several weeks to several months. The number of treatments differs from patient to patient, depending on the extent of spider veins present. One to six or more treatments may be needed; the average is three to four.
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$150 per session. Usually requires 30-45 minute session for 3 cc of solution |
DOES SCLEROTHERAPY WORK FOR EVERYONE?
Most people treated will have good results, however, there is no guarantee that Sclerotherapy will be effective in every case. Approximately 10% of patients who undergo Sclerotherapy have poor to fair results. (“Poor results” means that the veins have not totally disappeared after six treatments.) In very rare instances, the patient’s condition may become worse after Sclerotherapy treatment. I also understand the sclerosing solution being used and its present FDA status.
HOW MANY TREATMENTS WILL I NEED?
The number of treatments differs from patient to patient, depending on the extent of spider veins present. One to six or more treatments may be needed; the average is three to four. Individual veins usually require one to three treatments.
WHAT ARE THE MOST COMMON SIDE EFFECTS?
1. Bruising: Lasts from one to several weeks. Use of support hose may be recommended and avoidance of alcohol and anticoagulant medication for 72 hours prior to each treatment session may minimize effect.
2. Transient Hyperpigmentation: Approximately 30% of patients who undergo Sclerotherapy notice a discoloration of light brown streaks after treatment. In almost every patient, the veins become darker immediately after the procedure (but then go away). In rare instances, this darkening of the vein may persist for four to twelve months.
3. Pain: A few patients may experience mild pain at the site of the injection. The veins may be tender to the touch after treatment. This pain is usually temporary, in most cases lasting from 1-7days at most.
4. Blood accumulation in treated vessel: This may present as a tender bump at a treatment site. The use of prescribed compression hosiery will minimize this possibility (especially when treating Reticular Veins).
WHAT ARE THE OTHER SIDE EFFECTS?
1. A burning sensation during injection of some solutions;
2. While usually temporary the development of new tiny blood vessels;
3. Transient swelling of the vein might cause the ankles to swell;
4. Temporary superficial blebs or wheals (similar to hives); and
5. While very rarely, wound infection, poor healing or scarring.
NOTE: Patients with significant coagulation, circulatory problems, Insulin dependent diabetes or pregnant women should not undergo the procedure.