Sclerotherapy for Superficial Leg Veins

Sclerotherapy for Superficial Leg Veins

The following facts are designed to help you make an informed decision about whether to have sclerotherapy. If you have any questions or do not understand the potential risks, please do not hesitate to ask us.

What are leg veins?

There are two basic types of leg veins. Spider veins or telangiectasias are the small, superficial dilated blood vessels on the legs that may be blue or red in color. Varicose veins are the larger blue veins that are often raised above the skin. Although some people experience no discomfort from these vessels, others have burning, cramping, throbbing and aches.

What causes leg veins?

Spider veins and varicose veins do not have a specific cause. They tend to run in families and both men and women can get them. Women tend to have more of these veins, and the female hormones estrogen and progesterone contribute to this. For this reason, pregnancy, hormone replacement, and birth control pills can be contributing factors. Sun damage can also contribute to spider veins. Jobs that require a lot of sitting or standing/walking all day can also contribute. Wearing support hose can help these factors.

What is sclerotherapy?

Sclerotherapy is a popular method of eliminating spider veins by injecting a solution into the blood vessels which causes them to close off and fade away. This treatment has been used safely for over 20 years. Currently, we use either concentrated (hypertonic) saline or sodium tetradecyl sulfate (sotradecol) to perform this procedure.

Does sclerotherapy work for everyone?

The majority of people who have sclerotherapy will experience marked reduction or clearing of their veins. However, there is no guarantee that sclerotherapy will be effective in every case and a small percentage of patients will have a minimal response. Even if the treatment is effective, over the years you may develop new veins.

How many treatments will I need?

The number of treatments necessary for maximum improvement differs from patient to patient. It is based on the number of veins and size of the area to be treated. Anywhere from one to six treatments may be needed but the average is two to four treatments at 4 to 6 week intervals.

What are the possible side effects?

Burning and Itching -- Depending on the type of solution used, you may experience mild burning or itching at the sites of injection. This may last from a couple of days to a week and can be treated with topical medications.
Bruising -- After each injection, bruising may occur but usually fades in several days to weeks.
Discoloration -- Some patients who undergo sclerotherapy notice light brown streaks after treatment. In almost every patient, the veins become darker immediately after the procedure. There may also be increased pigmentation at areas of bruising. This usually resolves in several weeks to a few months.
Small Sore or Small Ulceration -- Ulcers occur in a small percentage of patients. This consists of a small open sore at the injection site that heals slowly. Notify your physician immediately if this develops.
Allergic Reactions -- In rare instances a patient can have an allergic reaction to the sclerosing agent used which may lead to temporary redness and swelling in the treated area. The risk of an allergic reaction is greater in patients who have a history of allergies.
Discomfort -- A few patients may experience mild to moderate discomfort which is usually at the site of the injection. The veins may be tender to the touch after treatment and an uncomfortable sensation may run along the vein path. This discomfort is temporary and generally does not last more than a week. If the pain is severe, your physician may prescribe pain medication.
Matting -- Occasionally, tiny new blood vessels may form surrounding the injection site. In general, this only occurs in a limited area and can be treated at future visits.
Wound Infection, Poor Healing and Scarring -- These are rare.

How will I know if I'm allergic to the sclerosing agent?

Although problems are rare, it is our policy to test one or more of the solutions available in a small area prior to treating large areas. This can avoid any unnecessary complications or allergic reactions.

How much does sclerotherapy cost?

The cost is based upon the number and size of the veins treated as well as the total area involved. Often 1 to 3 treatments are needed. Payment is required at the time of treatment.

Will my insurance reimburse me?

This procedure is generally considered cosmetic and not reimbursable.

What if I experience a problem after receiving sclerotherapy?

If you notice any type of adverse reaction, please call our office immediately.

If you have any questions, please do not hesitate to call our office at (203) 792-4151 in Danbury.

See Post-Procedure Instructions for Sclerotherapy

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