Injection Sclerotherapy
This procedure involves using a fine needle to inject a sclerosant( liquid) into these small veins. The sclerosant damages the lining of the veins and causes it to collapse. The veins and then reabsorbed by the body.
The procedure requires multiple sessions, approximately 6 to 8 weeks apart and possible side effects can be bruising, hyperpigmentation and inflammation. This procedure is performed in the clinic with topical anesthetic cream, takes about 30-45 minutes and there is no downtime. Normal activity can be resumed immediately. About 10-20% of these spider veins may never disappear even after treatment. If the spider veins reappear, it is usually a result of underlying venous reflux and as a courtesy to our patients, we would recommend a thorough assessment of the entire venous system.
Injection sclerotherapy can also be performed after EVLT treatment for varicose veins to improve the aesthetic appearance of the leg, it is safe and effective. Injection sclerotherapy is best for spider veins, reticular veins and some small varicose veins.