What is Sclerotherapy?
Sclerotherapy is an injectable treatment that reduces the appearance of spider veins and smaller varicose veins of the body.
How does it work?
Sclerotherapy involves injecting a solution directly into unwanted spider or varicose veins. We use a solution called Asclera, which causes less stinging at the injection site than other options. Once injected, Asclera damages the unwanted veins, causing blood to reroute through healthier vessels. The injected veins then collapse, are reabsorbed into the body and fade away, typically within six weeks.
What kind of results can I expect?
Sclerotherapy is clinically proven to reduce the appearance of spider veins and smaller varicose veins. Veins typically begin to fade two to three weeks after treatment, with full effect visible at about six weeks post treatment. In addition to the cosmetic benefit, sclerotherapy also treats the aching, swelling, burning and cramping sometimes associated with varicose and spider veins.
How many treatments are necessary? How long will results last?
The number of treatments varies. One treatment is usually sufficient for small varicose veins and spider veins. The amount of solution that can safely be injected at one time is limited, so larger veins will require multiple treatments. In extreme cases, up to six treatments spaced four to six weeks apart may be required. Results are generally permanent for veins that respond to treatment. Some veins don’t respond, and in some cases new veins may appear. Dr. Cox or Karlee Wagoner, our Nurse Practitioner who specializes in sclerotherapy, can discuss your options and expected results. Development of varicose and spider veins is associated with heredity, hormones, lifestyle and other factors.
What can I expect during the procedure?
During the procedure, you will recline with the treatment area exposed. We suggest that patients come dressed in loose clothing, or wear a gown we provide for the treatment. The treatment area will be cleansed, and then Dr. Cox or our Nurse Practitioner Karlee Wagoner will use a very small needle to inject a solution directly into the veins that bother you. The treatment is well tolerated, though some patient experience slight stinging or discomfort during the injections. We will work with you to manage any discomfort. The length of the procedure depends on the number and extent of veins you would like treated.
Immediately after treatment, you’ll put on a pair of support stockings to aid in the breakdown of the target blood vessels. We will provide the support stockings or you may bring your own if you prefer. You will then spend several minutes on your feet, walking around the office. This post-treatment process is important because it helps prevent the formation of blood clots.
How long does recovery take?
There is no true down time associated with sclerotherapy for vein treatment. You may feel mild discomfort in the area after treatment, but this typically resolves quickly. Mild itching, tingling and burning are normal side effects which should subside within a few hours of treatment. You will be asked to wear support stockings for approximately two weeks following treatment to maintain vein compression and maximize results.
To minimize the potential for blood clots, avoid hot tubs or saunas for two weeks after treatment. Move around when standing, and avoid standing for long periods of time. Blood clots following treatment are rare, but we take the possibility seriously. If you experience sharp or throbbing pain in the area after treatment, please call the office right away.
It can take up to six weeks to see improvement after treatment. The treated veins may appear darker before subsiding. This is a temporary and normal part of the healing process.
Is it safe?
Sclerotherapy has a proven safety record and low risk of complication. Thousands of patients are treated with sclerotherapy every day in the United States. Like any injectable treatment, there are risks associated with improper injection. As with all medical treatments, it’s important to choose an experienced provider with years of experience in the procedure.
Who is a good candidate?
Good candidates are women and men who wish to reduce the appearance of spider veins for aesthetic or medical reasons. Sclerotherapy works best for spider veins and smaller varicose veins. Alternative treatment may be better suited for larger, “ropey” varicose veins. As with any procedure, good candidates are those who understand the procedure and post-treatment care, and have a realistic understanding of the results of the treatment.
Why come to Aesthetic Solutions for treatment?
Dr. Cox is very experienced with this procedure. Dr. Cox is an injectables expert:
- Twenty-six (and counting) clinical trials leading to development of numerous injectables including Belotero, Botox, Dysport, Kybella, Voluma, Restylane, Juvederm, Perlane, Belotero, Restylane Silk and three yet to hit the market.
- Publisher of numerous peer-reviewed articles, Dr. Cox has lectured at meetings worldwide, and served as a trainer for physicians throughout the US.
- Cox’s expert injection techniques have been filmed for physician training purposes by every major injectable manufacturer.
As an advocate for safe injection techniques and a thorough understanding of underlying anatomy, you can feel confident that Dr. Cox and Karlee will provide the best possible results. Call us today at (919) 338 5007 to arrange a consultation.