Sclerotherapy is a microinjection procedure to treat spider veins. The procedure involves injection of a sterile solution (called a sclerosing solution) into the small veins using a very fine, thin needle. This solution irritates the vein lining causing it to undergo fibrosis and eventually disappear. Multiple veins can be injected at each session. The sclerosing solution used may be either hypertonic saline or sodium tetradecylsulfate.
Frequently Asked Questions
What are spider veins?
Spider veins are most common in women in the age groups 30-50. This has been related to the hormone estrogen and pregnancy. Spider veins look like a network pattern in a circular fashion. These light purple veins usually appear in a lattice pattern and are completely harmless.
Where is the procedure done?
It is usually done in the doctor’s clinic. It generally does not require any type of anesthesia. The patient is asked to come to the clinic in loose fitting clothing and the spider veins are identified. With a very fine needle, these spider veins are injected with a chemical that will destroy the vein. There is minimal pain. For those who are unable to tolerate the pain, a topical local anesthetic can be pasted on the skin about 30 minutes before the procedure.
What chemicals are used for sclerotherapy?
The spider veins are destroyed by injecting a small amount of a chemical in the vein. The sclerosants is either hypertonic saline or sodium tetradecyl sulphate. The chemical irritates the small vein and causes it to undergo fibrosis and eventually disappear.
Can sclerotherapy be used to treat large varicose veins?
Unfortunately, sclerotherapy is generally used for the very small superficial veins next to the skin. Sclerotherapy is not effective for large veins and requires large amounts of the sclerosants with the potential to be absorbed. When large veins are treated with sclerotherapy, a stronger solution and a higher volume is required. Following the treatment for larger veins, compression hose stockings are usually recommended to be worn for at least 2 weeks. It is best to get spider veins treated in the winter months as one can easily wear stockings.
How many sclerotherapy treatments are required?
It varies from individual to individual but typically 2-4 treatments are required for the best results. In patients with milder cases, 1-2 will suffice. The treatments are more when there are more veins or slightly larger veins.
Do I have to limit any activity after the treatment?
Walking is highly recommended soon after the procedure. But any high activity sports should be avoided for the first 2-3 days.
Does sclerotherapy hurt?
There is a little sting associated with each injection. The burning sensation lasts few seconds. Most individuals tolerate the procedure and do not require any type of anesthesia. The majority of patients claim that the procedure is much less than painful than what they anticipated.
Can sclerotherapy be done on the arms or face?
No, absolutely not. Sclerotherapy should never be done on the face and hands. The hand veins may not look pretty at times, but they should never be treated. Even though veins on the face are being done with sclerotherapy, the injections can be painful and the results are variable. If the facial veins are very conspicuous, laser is a better option than sclerotherapy.
Can anyone undergo sclerotherapy?
Almost anyone with unwanted spider veins can be treated, except women who are pregnant or nursing. Other relative contraindications include those with skin infections, uncontrolled diabetes, fever, history of deep vein thrombosis, anticoagulant therapy those patients taking corticosteroids.
What happens after sclerotherapy treatment?
There is some mild pain which can easily be overcome with Tylenol. The injected site will appear bruised and swollen for a few days. Continual wearing of the ace bandaged will relieved the swelling and pain. The bruising usually disappears in 2-3 weeks. One will have no problem with walking. After the first 2 days, most patients can resume their normal activities.
What are side effects of sclerotherapy?
Besides some stinging pain, sclerotherapy can rarely cause a few side effects. Allergic reactions are rare. A few individual may develop intense itching at the site of injection. If the chemical is injected outside the vein, profound discoloration and pain can occur.
Other questions?
If you have any questions we have not answered here, or would like to schedule a personal consultation with Dr. Bato, call us today at +(632) 8725449, +(632) 8746153 or get in touch via Skype®, Yahoo Messenger®, our Live Help utility, or our contact form. We’re here to help!
