Cosmetic & Laser Surgery Institute | Sclerotherapy
Led by Dr. Diana Parnell, dermatology practice located in Marin County, CA offering the latest in medical and cosmetic dermatology
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Sclerotherapy

Treatment of Spider and Varicose Veins

Spider Veins (telangiectasia)

Spider veins appear as small clusters of red, blue or purple veins on the thighs, legs, and ankles. Sclerotherapy is the most effective treatment for spider veins and is virtually painless.  The veins are injected with a sclerosing solution that causes them to collapse and disappear, usually within 4-8 weeks.

 

The Excel V is the only one of  8 blood vessel lasers we have owned since 1990 that is effective in removing leg veins.  It is best to get what you can with sclerotherapy and end with laser.

For optimum results after treatment, compression stockings should be worn for 24 hours a day for two weeks (taking them off only to bathe or to wash them). Normal activity may be resumed, however, hot tubs, saunas and long hot showers should be avoided for at least one month following sclerotherapy.

 

Sun exposure should be kept to a minimum during the healing phase in order to avoid/minimize hyperpigmentation (darkening of the skin over the treated veins). Suncreens with an SPF (sun protection factor) of 30 – 40 or higher, such as the EltaMD® products, should be used prior to sun exposure.

 

A one month follow-up appointment is recommended. This will allow enough time to adequately evaluate the results of treatment and to determine if more treatment is needed. Some patients achieve 90% clearance of treated veins with a single treatment.

Varicose Veins (Varicosities)

Varicose veins are large, tortuous veins that may cause significant discomfort such as tired, sore and/or swollen ankles and legs. Most varicose veins can be treated with sclerotherapy and there is a 90% clearance rate in all but the largest veins. Varicose veins are usually injected with a concentrated salt water solution. After the injection, there will be a stinging or burning sensation, which generally subsides in 5-10 minutes with the help of an ice pack.

 

For optimum results, compression stockings should be worn for 24 hours a day for two weeks following treatment (taking them off only to bathe or to wash them). Strenuous activity and air travel should be avoided for two weeks. Hot tubs, saunas, and long, hot showers should be avoided for at least one month following sclerotherapy.

More severe varicosities with incompetence of the major valves high in the thigh may require laser ablation.

Sun exposure should be kept to a minimum during the healing phase in order to avoid/minimize any chance of hyperpigmentation (darkening of the skin over the treated veins. Sunscreens with an SPF (sun protection factor) of 15 or higher which also contain a UVA blocker such as Mexoryl or Helioplex should be used prior to sun exposure.

A one month follow-up appointment is recommended after treatment. This will allow enough time to adequately evaluate the treatment and determine if more treatment is needed. Most patients achieve 90% clearance of treated veins with a single treatment.

To learn more about the services we offer or to schedule an appointment, contact The Cosmetic & Laser Surgery Institute today!