How does Sclerotherapy work?
Sclerotherapy refers to the use of a medication called a “sclerosant” that is injected into diseased veins. The sclerosant will irritate and scar the veins from the inside, causing them to collapse and eventually close. The closed veins will then be reabsorbed by the body, and the blood will reroute through other healthy veins. More than one treatment may be necessary to achieve complete closure of the diseased veins. The procedure can be either visually guided (when the physician injects smaller veins visible on the surface of the skin) or ultrasound guided.
Immediately after your procedure, you should walk or perform calf raises for 5 minutes before getting in your car. For the remainder of the treatment day, walk or perform calf raises for 5 minutes every hour. After the first 24 hours, you may remove the compression stocking and the bandages to shower. Continue to wear the compression stocking and take frequent walks for the remainder of the week, removing the stocking only to shower or to sleep. For one week after the procedure, you will need to avoid strenuous activities, prolonged standing or sitting, sun exposure of the treated areas and hot showers or submersion in water (baths, hot tubs or pools).
Scroll down for Sclerotherapy FAQ and before and after photos.
Sclerotherapy FAQ
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Sclerotherapy is a medical procedure to treat some varicose veins, spider veins, and reticular veins by injecting a solution that causes them to collapse and fade.
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It works by injecting a sclerosing agent into the affected veins, irritating the vein walls, causing them to seal shut and eventually be absorbed by the body.
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It can cause mild discomfort, but it's generally well-tolerated by most patients. No general sedation or local anesthetic is typically required.
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The number of sessions varies, but multiple treatments are often necessary for optimal results depending on area involved.
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Possible side effects include bruising, swelling, and temporary discoloration. Serious complications are rare.
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Results can be long-lasting, but new veins may appear over time.
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Costs vary based on number of sessions required, size of veins involved and therefore what techniques may be required for complete treatment. Typically treatment costs several hundred dollars. Cosmetic sclerotherapy of spider veins is not covered by OHIP.
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Compression stockings help reduce swelling, improve blood flow and minimize risk of blood clots. Light physical activity like walking and movement is recommended. Avoid prolonged sitting or standing. Hot baths and hot tubs should also be avoided.
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Sclerotherapy generally has a high success rate in treating vein conditions, but it can vary based on factors like vein size and the patient's compliance with aftercare. Many patients experience significant improvement in the appearance of treated veins.
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Yes, typically, patients have follow-up appointments to assess results. Maintaining a healthy lifestyle, monitoring for new vein issues, and seeking consultation if problems persist are part of long-term care after sclerotherapy. The need for ongoing care varies from person to person.
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