Sclerotherapy treatment

Sclerotherapy is a method for treating spider veins and small varicose veins. An FDA approved medicine called Asclera™ or polidocanol is injected into the vein using a fine needle.    The vein becomes irritated from the solution and collapse for absorption by the body.  Hypertonic saline is not used in our clinic due to the higher risks of complications.

How is Sclerotherapy done?

  • Sclerotherapy is tailored to each individual’s condition.  Most cosmetic veins respond well to liquid sclerotherapy commonly done in dermatology and plastic surgery practices.  However, certain vein conditions require more thoughtful consideration:
  • Liquid Sclerotherapy: This is the most basic form of sclerotherapy and involves direct injections of the liquid solution into affected veins.   This form is best suited for smaller spider veins.
  • Foam Sclerotherapy – During this technique, small amounts of liquid solution are mixed with air to create a foamy, cream-like substance.  This allows for greater activity against the diseased veins. Foam sclerotherapy is 5x as potent as liquid sclerotherapy. Slightly larger feeder veins and venulo-ectasias can be treated with foam.
  • Ultrasound-guided Sclerotherapy – For varicose veins that are difficult to see as well as large superficial veins, ultrasound-guided Sclerotherapy can improve precision and accuracy where other techniques cannot.   This technique requires more patience and skill on the physician’s part. Princeton Vascular has ARDMS certified technicians and physicians for ultrasound-guided techniques. ARDMS is the recognized standard for excellence in ultrasound.

Sclerotherapy Q & A

Here are some common questions and answers

Whаt аrе thе ѕіdе еffесtѕ of Sclerotherapy?

It’s important to have even cosmetic sclerotherapy done by a qualified, board-certified physician in vascular medicine.  Although long-lasting side effects are uncommon, the proper technique involves several principles to ensure favorable responses.  Spider veins can recur if underlying venous insufficiency is not properly addressed beforehand.

Hоw effective іѕ Sсlеrоthеrару?

Sclerotherapy is the preferred method of treatment for cosmetic spider veins. Many patients will see significant improvement after the initial injection within 6-8 weeks. However, most patients will need 2 or 3 treatment sessions for optimal results. The key is to find the right balance of medication for each individual.

Who’s right for Sclerotherapy?

During your consultation, we will evaluate your individual condition, as well as personal preferences to determine which method of Sclerotherapy is best for you.

Do I need to take time off after sclerotherapy session?

Compression stockings have been associated with improved outcomes and faster healing. Usual activities can be continued.

Does it matter which sclerotherapy solution is used?

At the Princeton Vascular Center we use polidocanol forms for sclerotherapy. In comparison to hypertonic saline, sotradechol (STS) and glycerin, Polidocanol has an improved safety profile. Polidocanol has been shown to have fewer incidences of hyperpigmentation, skin ulceration and matting in comparison to other forms of sclerotherapy.

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