Injection Sclerotherapy
Injection Sclerotherapy is a medical procedure used primarily to treat spider veins, which are small, damaged veins that can appear just beneath the surface of the skin- most commonly on the legs. These veins are usually not painful or harmful, but some people may wish to treat them for cosmetic reasons or due to discomfort (aching, swelling or burning sensation).
How Injection Sclerotherapy Works
Injection Sclerotherapy involves injecting a sclerosant solution directly into the affected veins. This sclerosing agent irritates the lining of the vessels, causing them to collapse and stick together. Over time, the body naturally absorbs these damaged veins, and blood is redirected to healthier veins, improving overall blood flow.
How is Injection Sclerotherapy Performed?
The procedure is generally quick, usually taking about 30 to 45 minutes, depending on the number of veins being treated. It does not require anesthesia, and patients experience minimal discomfort, often likened to a pinprick. The treated area will be dressed with compression bandages to maintain vein closure and promote healing.
Post-Procedure Care
After the treatment, patients are encouraged to walk around to prevent blood clots. Compression stockings are usually recommended for 2 weeks to reduce swelling and aid in the healing process. Patients should avoid sun exposure to the treated area to prevent dark spots or lines on the skin.
What are the risks associated with Injection Sclerotherapy?
Injection Sclerotherapy is generally a safe procedure, but like all treatments, it may have some side effects. These can include bruising, raised red areas, small skin sores, or changes in pigmentation. Typically, the appearance of the treated spider veins may initially worsen before improving. Most of these side effects subside within several weeks, although some may take longer (up to 3-6 months). A few individuals might experience inflammation near the injected vein. Rarely, patients may exhibit allergic reactions to the sclerosing agent or develop blood clots in the veins.
FAQ about Injection Sclerotherapy
Yes, injection sclerotherapy is often an excellent choice for addressing spider veins, serving as a minimally invasive procedure capable of effectively diminishing their appearance.
However, it’s crucial to first assess whether the larger, underlying veins possess incompetent valves, ascertainable through an ultrasound scan. Undertaking treatment for spider veins without addressing any underlying venous reflux can lead to unsatisfactory results characterized by a higher risk of recurrence and suboptimal cosmetic outcomes.
No, sclerotherapy may not be suitable for everyone. Patients with certain medical conditions or those who are pregnant may not good candidates for this treatment.
The cost of injection sclerotherapy can vary depending on several factors including the extent and location of the spider veins.
Insurance coverage for sclerotherapy varies depending on your insurance provider and the specific terms of your policy. It’s often considered a cosmetic procedure and may not be covered. Our clinic can assist you with insurance queries and provide detailed information on payment options.
There is minimal downtime associated with injection sclerotherapy. Most patients return to their normal activities immediately following the procedure.
The needles used for injection sclerotherapy are very fine, and most patients experience minimal discomfort during the procedure. Some may feel slight stinging or cramps when the solution is injected.
While sclerotherapy is effective in eliminating the treated veins, it does not prevent new spider veins from forming. The risk of recurrence is higher if there is untreated venous reflux in the larger veins in your legs.
The number of sessions needed can vary depending on the extent and location of the spider veins. It is not uncommon to require 3-4 sessions for comprehensive treatment of your spider veins. Each session should be performed at least 2-3 months apart.
Yes, besides sclerotherapy, there are other treatment options like laser therapy for your spider veins.
Should there be an underlying vein reflux disorder, endovenous procedures like Radiofrequency Ablation or Clarivein can help to mitigate the risk of recurrence of your spider veins. Dr. Lim can discuss these options with you and help determine which treatment combination is most suitable for your condition.
It’s not uncommon for treated veins to appear darker initially after sclerotherapy. This usually improves over time as the body absorbs the treated veins.
Results can vary, but many patients notice an improvement in the appearance of spider veins within a few weeks, with optimal results typically seen within 3 months.
Post-procedure instructions typically include avoiding strenuous exercise for a few days, wearing compression stockings, and avoiding sun exposure to the treated areas.
You might experience some minor discomfort, bruising, inflammation or hyperpigmentation at the injection sites. These symptoms usually subside over time.
Absolutely! Walking is encouraged after the procedure to help promote blood flow and enhance the healing process.
Sclerotherapy rarely causes scarring, and any injection-related marks or hyperpigmentation typically fade over time (within 3-6 months).
The duration can vary, but typically, compression stockings are worn for about 2 weeks post-procedure.
Maintaining a healthy lifestyle, exercising regularly, maintaining a healthy weight, and wearing compression stockings can help in preventing the development of new spider veins.
It’s typically recommended to postpone sclerotherapy if you are planning to become pregnant soon, as hormonal changes during pregnancy can affect veins.
