Sclerotherapy is a procedure that is done by injecting a solution into a spider vein or smaller varicose vein to collapse it and reduce its appearance. Gradually, the vein closes off, and the blood that was flowing through that vein is then rerouted into a healthier vein. This can improve the appearance of the treated area and may also help enhance your circulation.
What Is Sclerotherapy?
Sclerotherapy is a minimally invasive treatment that is normally done in the doctor’s office and is used on spider veins and varicose veins that are fairly small.
It involves using a sclerosant, which is a liquid or foam medication that damages the problem vein and causes it to collapse when it is injected. The vein is absorbed back into the body over time, and the appearance of the area treated is improved.
How Sclerotherapy Works
If you want to get rid of spider veins or small varicose veins that are embarrassing, sclerotherapy treatments may be just the solution you need to restore clearer-looking skin. Each doctor may have their own preferred treatment technique, but the common procedure steps used during the procedure are as follows:
Step 1: Consultation
Your doctor will examine and evaluate your veins to determine if sclerotherapy would be appropriate for you and may order an ultrasound test to check deeper veins or check your blood flow if they suspect venous insufficiency.
They will review important information, including:
- Your current symptoms.
- Family and personal medical history.
- Medications you are taking and any allergies you might have.
- If you have a history of blood clots.
- If you are pregnant.
Step 2: The Treatment Area Is Prepared
Your doctor will position your body so they can easily access the veins targeted for treatment.
- Your skin will be cleaned & disinfected.
- The veins targeted for treatment will be identified.
- A numbing agent might be applied to the incision sites if needed.
Step 3: Sclerosant Is Injected
The doctor injects the liquid or foam medication into the problem vein using a very fine needle, which causes severe irritation to the inside lining of the vein, and the walls begin to stick together and eventually seal shut. When the vein is closed:
- Your body slowly absorbs and breaks down the damaged vein.
- Blood is rerouted to flow through other nearby working veins.
- The treated vein slowly disappears and becomes less noticeable.
Step 4: Pressure Is Applied
Your doctor will apply pressure on the area to help stop any bleeding that might be present, and then a compression garment will be placed over the treatment area. You will be discharged to go home to begin your recovery.
- You will need to follow your doctor’s guidance for aftercare.
- Wear your compression garments as directed and for as long as the doctor orders.
- Pay attention to any activity restrictions the doctor gives you.
What Is Recovery Like After Sclerotherapy?
Sclerotherapy recovery is generally relatively brief, and many individuals are able to resume their normal activities immediately or within a few days. You may experience some short-term side effects near the veins that were treated such as:
- Mild bruising
- Redness
- Itching
- Tenderness
- Firmness
- Skin discoloration
Your doctor will generally recommend walking to help with blood circulation but this can vary from person to person. You will receive personalized aftercare instructions depending on the veins that were treated.
When Will I See Results From Sclerotherapy?
It may take several weeks for the veins to disappear after your procedure. Smaller veins will usually disappear faster than larger veins, but sometimes more than one treatment is necessary.
Veins that are treated will stay closed, but new veins may form near the same area. Everyone is different, and results can show up fast for some and may take a longer time for others depending on the vein size and location.
Are There Risks Or Side Effects?
All medical treatments, including sclerotherapy, carry risks and the potential for side effects. The most common side effects are temporary and include bruising, redness, tenderness, swelling, or changes in the appearance of the skin around the veins that have been treated.
Less common but more serious complications can happen, so it is important to follow your doctor’s aftercare instructions carefully. You should notify your doctor right away if you experience side effects such as:
- Pain that is severe or continues to get worse.
- Swelling that comes on very suddenly.
- You are having trouble breathing or have chest pain.
- Your skin looks abnormal where the vein was treated.
Contact your doctor immediately for guidance if you begin experiencing symptoms that are concerning or feel like anything is not right.
Where Can I Have My Veins Treated With Sclerotherapy In Atlanta?
The Laparoscopic & Endoscopic Surgery Institute (LESI) offers sclerotherapy treatments in Alpharetta and the Greater Atlanta area.
If you have spider veins, small varicose veins, or larger varicose veins, one of the LESI board-certified doctors can help find the best treatment for you. Set up a consultation today to learn about your options for vein treatment.
FAQs
Does Sclerotherapy Hurt?
Most patients describe the treatment as feeling like a pin prick, followed by mild stinging while the solution is going into the vein. Depending on your pain tolerance, the treatment may feel a bit uncomfortable, or you may tolerate it well.
What Happens to The Blood that Is in The Treated Vein?
The blood that is in the treated vein moves and begins to flow through a vein that is healthy, functioning properly.
How Long Does a Sclerotherapy Treatment Usually Take?
The treatment can take anywhere from 15 to 45 minutes or longer depending on the number of veins being treated, their size, and location.
When Would You Need More than One Session?
Each person’s treatment plan can be different, and the number of sessions they require will depend on the technique used by the doctor, the type of veins being treated, and their severity.
