Sclerotherapy

Millions of women are bothered by spider veins - those small yet unsightly clusters of red, blue or purple veins that most commonly appear on the thighs, calves and ankles. In fact, it's estimated that at least half of the adult female population is plagued with this common cosmetic problem.

Today, many plastic surgeons are treating spider veins with sclerotherapy. In this rather simple procedure, veins are injected with a sclerosing solution, which causes them to collapse and fade from view. The procedure may also remedy the bothersome symptoms associated with spider veins, including aching, burning, swelling and night cramps.

What are Spider veins?
Spider veins are small thin veins that lie close to the surface of the skin.  Although these super-fine veins are connected with the larger venous system, they are not an essential part of it.

One month after the first treatment,
spider veins are distinctly lighter,
yet still somewhat visible.

A number of factors contribute to the development of spider veins. These include heredity, pregnancy, hormonal shifts, weight gain, and occupations or activities that require prolonged sitting or standing, and the use of certain medications.

What to Expect from Sclerotherapy
After each sclerotherapy session, the veins will appear lighter.  Two or more sessions are usually required to achieve optimal results.  You should also be aware that the procedure treats only those veins that are currently visible; it does nothing to permanently alter the venous system or prevent new veins from surfacing in the future.

Risks Related to Treatment
Serious medical complications from sclerotherapy are extremely rare.  Risks include the formation of blood clots in the veins, severe inflammation, adverse allergic reactions to the slcerosing solution and skin injury that could leave a small but permanent scar.

A common cosmetic complication is pigmentation irregularity – brownish splotches on the skin that may take months to fade, sometimes up to a year.  Another problem that can occur is “telangiectatic matting,” in which fine reddish blood vessels appear around the treated area, requiring further injections.

Preparing for the Procedure
When scheduling your procedure, keep in mind that your legs may be bruised or slightly discolored for some weeks afterward.

The Procedure
A typical sclerotherpy session is relatively quick, lasting only about 30 to 45 minutes.  You should be aware that your treated veins will look worse before they begin to look better.

Getting Back to Normal
Prolonged sitting or standing during the healing period should be avoided, as should squatting, heavy weight lifting and ”pounding” type exercises, including jogging.

A one month healing interval must pass before you may have your second series of injections in the same site.  After each treatment, you will notice further improvement of your legs’ appearance.