Sclerotherapy involves injecting a
solution into the vein with a very fine needle to cause inflammation
and collapse. Once the vein has collapsed, no blood can re-enter and
the vein is absorbed by the body's natural responses. Laser
treatments such as
Vbeam,
Diolite
or Gentle Yag are often also used. Lasers destroy the veins
through absorbed heat from the laser beam.
Sclerotherapy requires 15 to 30 minutes
depending on the number of areas being treated. No sedation or
anesthesia is needed. Patients may experience mild temporary cramping
during the injection as the solution enters the vessel. This sensation
resolves within minutes. Injection sites are covered with gauze and
tape, and the legs are usually wrapped with an elastic wrap. Patients
are encouraged to walk immediately after the procedure, and the wrap
is removed in 24 hours. No wound care is required. The treated vessels
gradually disappear over the following month.
Sclerotherapy Procedure Animation
Sclerotherapy is a safe procedure with
few significant risks. Less than 5% of patients experience even minor
adverse effects. The most common complication is the development of
brownish pigment in the treated area, similar to a freckle, which
usually disappears within two to six months. If the veins are
unusually weak, there may be some temporary bruising around the
injection site. Patients may develop a tiny scab at the injection site
if any of the solution escapes from the blood vessels. The scab is
treated with an antibiotic ointment until it clears. There is little
risk of infection or bleeding from Sclerotherapy.
It will depend on the severity of the condition and the extent of
improvement desired. Most patients can expect a 50 to 90 percent improvement
after several treatments. To guarantee success and counteract the
appearance of new spider veins, touch-up treatments may be required
every year or so.
After the procedure, the patient returns home wearing a pressure dressing
and/or pressure hosiery to prevent post-injection bleeding, as well
as to promote healing.
A healing interval (typically one
month) must pass before you have another series of injections in the
same site. After each treatment, you will notice further improvement
of your appearance.
Most patients require more than one treatment to
obtain the desired results.
Photo of
Facial Veins Treated by Laser (Vbeam)
Candela Vbeam Video (Broadband Connections)
Candela Vbeam Video (Dial Up Connection)
Photo of
Facial Veins Treated by Diolite
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Dr. Pilest, a Board Certified dermatologist and one of Orange County's most
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What happens after the procedure?
