Dr. Goodlerner provides Sclerotherapy injection treatments for the treatment of superficial leg veins (telangiectasia), the dilated skin capillaries that are frequently an inherited tendency. Most people have both red (arterial) and blue (venous) capillaries. Treatment consists of microinjections of sclerosing solution using needles so small that a magnifying lens is required. This dries out the tiny cells that line the blood vessels.
Several injections – 2-3per vessel – may be needed for a specific area. The larger the vessel, the more difficult it is to eradicate. Fading of spider veins is a slow process, ranging from 2 weeks to 2 months with treatments schedule every 4-6 weeks. The goal is to produce about 70-80% improvement. Sclerotherapy does not prevent new veins from forming, but touchups can be done periodically when new veins develop.
Smaller veins may be treated with a laser. Read more about laser treatments. Other methods of leg vein treatment done in the office are Ambulatory Phlebectomy, an in-office vein surgery done under local anesthetic for superficial varicose veins. Note that spider veins are not the same as varicose veins. If you have significant varicose veins, Dr. Goodlerner may refer you to a vascular surgeon.
Is Sclerotherapy painful?
The injections are not painful, but you can expect a slight burning sensation and some mild cramping and bruising after each procedure. You can return to work right away, but please avoid strenuous activity such as jogging, weight lifting, or prolonged periods of standing for the first 24 hours. Walking is beneficial, however, and can be done immediately. You will be given compression stockings (support hose) to wear for the first 72 hours after your appointments.
Ninety-five percent of patients have no side effects. Occasional temporary adverse effects include bruising, pigmentation, tenderness at the injection site, or phlebitis. On rare occasions, a sore or ulceration can develop at the injection site due to leakage of the injection solution.