Sclerotherapy: Spider & Varicose Vein Removal
Boston Plastic Surgeon – Dr. Marshall
Spider veins, or telangiectasias, are those tiny purple and red blood vessels found most commonly on the thighs or lower legs of men and women. They usually are hereditary and can form anywhere on the leg, from the top of the thigh to the ankle. Occasionally, spider veins even appear on the face.
Varicose veins are larger. They can appear raised with a bluish color and can become quite painful. Although spider veins and varicose veins carry blood, they are not part of the flow of blood that occurs in normal veins. Blood found in varicose and spider veins, flows away from the heart instead of toward it, and ends up collecting in these vessels, ultimately distending them.
Note: In some cases, laser therapy may be used either alone or in combination with sclerotherapy. Dr. Marshall will advise you accordingly.
FAQ:
What are some of the most common benefits of this procedure?
Although treatment does not prevent the development of new spider veins, the removal of existing veins can dramatically improve the appearance of the affected area, providing a more youthful, healthy look and an even color pattern to the skin. Veins lighten after each treatment. Two or more sessions are usually required for the best results.
What will happen at the initial consultation?
Although treatment does not prevent the development of new spider veins, the removal of existing veins can dramatically improve the appearance of the affected area, providing a more youthful, healthy look and an even color pattern to the skin. Veins lighten after each treatment. Two or more sessions are usually required for the best results.
What will happen at the initial consultation?
During the consultation, your doctor will talk to you about the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, its risks and limitations, and the costs.
Your doctor will begin with a physical exam and a complete medical history. He/she will need to know the medications you’re currently taking, any history of blood-borne diseases, and whether or not you are pregnant or nursing. In some cases, elaborate tests such as ultrasound or Doppler may be performed, but this is usually not necessary. Often patients will have both spider veins and varicose veins, and your doctor may need to use these tests to clearly differentiate between the two. (More elaborate tests are sometimes performed in scientific studies.)
Be sure to tell your doctor about any discomfort you may be having, such as pain, itching or
swelling. These symptoms may indicate more serious circulatory problem. If your doctor does suspect a more serious condition, you may be referred to a specialist for further evaluation. Any underlying condition should be treated before sclerotherapy treatment is begun.
Be sure to ask all the questions you have about the procedure, and ask to see photos of the doctor’s recent patients, before and after treatment. Also ask for, and follow up on, patient references. Learning everything you can about your options, risks and benefits is the key to making an informed decision.Error! Hyperlink reference not valid.
How is Sclerotherapy performed?
Your doctor may recommend that you avoid aspirin and alcohol, as well as herbal medications and anti-inflammatory medications, for two weeks prior to your treatment to minimize bleeding during the procedure. On the day of your treatment you will be asked not to use moisturizers, sun block or oil on the affected area. You should wear shorts or other comfortable clothing that exposes the spider veins.
Your doctor will apply antiseptic to the area, then inject a solution into the affected veins with a very fine needle. Each injection covers about one inch of the vein. During the procedure, you may feel a slight pinch as the needle is inserted and a burning sensation as the solution is injected. Next, cotton dressing and compression tape will be applied to the area. After one area is injected and taped, the doctor will proceed to the next area.
Generally a second treatment will be required in order to complete the collapse of the vein. If you have many veins requiring treatment, multiple sessions may be required.
How long does this procedure take?
Sclerotherapy normally takes fifteen minutes to one hour, depending on the number and length of the spider veins. A series of treatments at bi-weekly or monthly intervals may be required.
Will I need to stay at the hospital?
No. Because anesthesia is not necessary, the procedure is usually performed in the doctor’s office or at an outpatient facility.
How much pain is there?
Most patients report minimal pain. However, the type of sclerosing solution used is a factor in the amount of pain involved. Be sure to discuss with your doctor the benefits and drawbacks of the sclerosing solution that he/she recommends.
What can I expect after the procedure?
You may experience temporary itching or cramping at the injection site. You will be asked to wear a compression wrap for several days. During this time you must keep the area dry. Your doctor may prescribe support hose to be worn for several weeks. This helps to keep the treated vein collapsed. It also reduces the likelihood of blood clots.
What is the recovery period like?
Although you should avoid activities that put pressure on the treated area (such as heavy lifting or jogging) for a few days, your doctor will probably suggest a regular walking program to increase circulation and promote healing. When the compression wrap is removed, you will notice bruising and discoloration. This will gradually fade over a period of several weeks.
What is the long term outcome for most people like?
Most patients report a high degree of satisfaction with the procedure and relief at no longer having to hide unsightly veins. The treated areas are noticeably clearer and in most cases the skin continues to improve with each successive treatment.
Ideal Candidate:
• In general, the best candidates for sclerotherapy:
• Enjoy good physical health
• Are psychologically stable
• Do not smoke
• Want to improve their appearance
• Are well informed about the procedure
• Hold realistic expectations about the outcome
• Do not have a blood-borne disease or condition affecting the vascular system
• Are not currently pregnant or nursing
• The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you.
Dr. Marshall is one of the most experienced, best Boston plastic surgery specialists. At his elegantly appointed facility, patients can choose from a range of surgical and non-surgical treatments. Some of the minimally invasive procedures Dr. Marshall performs more often include laser hair removal, microdermabrasion and laser facials in Boston. In addition, he offers some of the best skin care lines, including NIA24.
