Sclerotherapy Surgery in Jackson, MS
Spider veins are small veins that appear dark blue or purple on the lower extremities and are particularly prevalent in women.
Causes of spider veins may include hereditary factors, previous pregnancy, hormonal and physical changes and fluctuation in weight. Spider veins are also commonly seen in individuals whose work involves prolonged periods of standing or sitting.
Sclerotherapy is the procedure of choice for spider vein treatment. It involves the injection of these tiny vessels with sclerosing agents, which may be hypertonic saline, detergents such as Asclera® (polidocanol) or other chemical irritants. These work by irritating the lining of the vessels and causing the vessel to collapse and fade.
Sclerotherapy remains the procedure of choice for spider vein therapy. Multiple treatments may be required to obtain the results you desire. Other modalities include the use of a laser or intense pulsed light, and these alternative therapies may be added to your treatment plan to improve the final result.
Sclerotherapy can be a safe, effective treatment for spider veins. Potential complications include skin ulceration at injection sites, bruising, infection, hyperpigmentation and pain. Allergic reactions to sclerosing agents is rare but has been reported, particularly with larger volume injections. During your consultation, we will discuss sclerotherapy risks and treatment alternatives, and together we will develop a treatment plan suitable to your individual goals.
Sclerotherapy is an excellent treatment of spider veins for those who are healthy, have realistic expectations and are dedicated to compliance with the suggested treatment protocol, which may include repeated injections, the use of compression stockings and alterations in lifestyle (no prolonged sitting or standing, regular walking exercise).
Sclerotherapy is contraindicated in those with history of clotting disorders/hypercoagulable states, previous pulmonary embolism or deep vein thrombosis, known allergy to sclerosing agent and those who are pregnant or nursing.
You can expect to see an improvement in the appearance of spider veins following treatment with sclerosing agent. However, multiple treatments may be required and often a second modality of treatment such as laser therapy may be needed to optimize results. It is also possible to see new spider veins develop over time.
*Individual results may vary
After a consultation to determine your goals with treatment, Dr. Walker will perform a history and physical exam to ensure that you are a good candidate for sclerotherapy and identify any factors that could lead to an undesirable result or put you at risk for complications.
If you are deemed a good candidate, the procedure consists of multiple tiny injections of the sclerosing agent into the spider vein. In general multiple injections during a single treatment are required to appropriately treat the spider veins.
Following the procedure, you will need to wear compression hose/stockings for a period of weeks. You will be asked to avoid strenuous exercise and avoid standing or sitting for extended periods of time.
Hyperpigmentation can occur but will fade with time. Also, the spider veins will not fade immediately. It is a process that takes time, so do not be discouraged if early results do not meet your expectations. Compliance with post-procedure instructions and patience are required to see the full effects of sclerotherapy.
Sclerotherapy remains my “gold standard” treatment of spider veins. Often the small to larger veins can be treated with sclerotherapy alone. It is very common to need more than one treatment, although noticeable improvement can often be achieved following a single treatment. It is somewhat common to have a few veins left behind. I have found that using alternative therapy such as a laser will usually help rid you of these “stragglers” and will greatly improve your overall result.
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