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Home > Centers of Excellence > Dermatology

Procedures

 

The Effect

Sclerotherapy is now widely used today by a lot of plastic surgeons for the treatment of spider veins.  This simple procedure entails injecting a sclerosing solution to the veins thus causing them to collapse and fade from view.  Symptoms associated with spider veins such as aching, burning, swelling, and night cramps may also be treated by this procedure.

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The Procedure

Sclerotherapy may last for only about 15 to 45 minutes which is somewhat quick.  The physician or the nurse injects the sclerosing agent into the affected veins while the other hand is used to stretch out the skin making it taut.  To make certain the utmost accuracy of this procedure, a bright indirect light, as well as excellent magnification is utilized.

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Best Candidates

Commonly, women ages 30 to 60 are the best candidates, although women of any age can undergo this procedure.  Spider veins in men are very rare and even if they do have spider veins, it does not pose any problem on them since the veins are usually covered by hair on their legs.  Still, this procedure is just as effective for men who want to undergo treatment.

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Treatments

Time required for this procedure is usually about 15 to 45 minutes with no use of anesthesia.

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Side Effects

There is the possibility of the formation of clots in the deep veins of the legs.

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Recovery Time

Sclerotherapy gives no significant limitation in daily living activities.  On the other hand, leg-baring outfits should be avoided for about two weeks.

A second series of injections on the same site may be performed after a one-month healing interval.  Further improvement in a patient's legs after each treatment is more noticeable.

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Frequently Asked Questions

Q: What is sclerotherapy? Can this be an alternative to surgery?

A: Sclerotherapy involves injecting of a sclerosing solution to dilated veins and spider blemishes.  This treatment is precisely put together to result in the vanishing of dilated veins and spider blemishes without doing any damage to the normal healthy veins, skin, and other tissues.  The needles used in this procedure are the finest and of highest quality and strict asepsis is practiced, making sure that everything is disposed of right after use.

However, sclerotherapy is not an alternative to surgery.  Make sure that you ask questions and seek first the opinion of a qualified specialist if you have read or are told otherwise.  Be cautious of “echosclerotherapy” or “ultrasound-guided sclerotherapy”.  They may be high-tech sounding words but these are not sophisticated procedures known only by a privileged few.  When surgical intervention is necessary, these procedures are not legitimate alternative treatments.

Varicose veins and spider veins are treated by a lot of cosmetic dermatologists, plastic surgeons, and trained medical doctors being a part of their overall practice.  They provide the highest quality of care to their patients although they also refer patients they know can be helped more by qualified associates.

Q: Is treatment needed?

A: Varicose veins and spider veins are abnormal and unless they are treated, these will not disappear.  Complications such as skin discoloration, sores, bleeding, ankle swelling, and phlebitis may occur if varicose veins are left unchecked.  Spider veins that are not related to varicose veins remain a cosmetic problem; however, some patients do complain of discomfort from this for no other obvious reason.  Most people choose not to have their varicose veins treated if they are not experiencing any pain or discomfort.  On the other hand, in cases where complications develop, treatment of these complications may be too late as they cannot be reversed any more.

Q: Drugs are being used to inject veins during the procedure, is it possible to have allergic reactions with this treatment?

A: It is very seldom that allergic reactions to sclerotherapy occur as the drug used is generally trapped in the local area of injection.  In exceptional cases, there is the possibility of life-threatening events such as respiratory or vascular collapse (anaphylaxis); however, if it does happen, the doctor is skilled enough to manage the symptoms with methods that are effective in handling the situation.

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