What is Sclerotherapy?

Sclerotherapy is the method for eliminating superficial telangiectasias (spider veins) by the injection of a sclerosing agent into the veins. The majority or most patients will have a significant clearing of the veins with little to no down time.

Polidocanol is the sclerosing agent that will be used in our sclerotherapy procedures. Polidocanol is a European drug not yet approved by FDA. We chose to use this agent in our Sclerotherapy procedures because it is believed by many vein specialists to be the safest sclerosing agent with the least amount of side effects.

Laser Treatment for Spider Veins Laser therapy involves directing the laser over the specific vein to be treated, the beam is then heated, resulting in destruction of the vein walls. There is usually minimal reaction after the laser therapy. After the treatment, a compression bandage or hose is worn up to two weeks. Laser therapy is often used in conjunction with sclerotherapy for the treatment of varicose and spider veins.

It is very important to realize that sclerotherapy/laser treatments do not prevent the development of new spider veins and varicosities later in life. Many people require treatments from time to time to keep their legs clear. The total number of treatments depends upon the amount and the severity of the vein (average is 3-5 but can take more than 10 in severe cases). In each session multiple areas can be treated. Each vein may need to be injected several times, in order to clear or improve the condition. Improvement is usually seen in a period of months.

Risks associated with Laser/Sclerotherapy may include: Pain, burning, blister formation, and stinging sensation at the treatment site; hyper pigmentation (increase in skin color or darkening), poor cosmetic outcome, recurrence of vessels in at the treated site, allergic reaction, superficial clot formation, bleeding, matting, bruising, ulcer formation and or temporary phlebitis at the treatment site.