A sclerotherapy treatment session at our Orange County center takes between 30-45 minutes and involves multiple injections. Most of our sclerotherapy patients here in Orange County describe the injection treatment as feeling like a pinprick or mosquito bite. The number of sclerotherapy vein treatment sessions required generally will vary depending on the level and severity of the varicose and spider veins. In general Dr. Roham recommends a minimum of 1-3 sessions for the average patient. At the end of your vein treatment session, the leg is cleaned and special compression stockings are applied to the legs in order to minimize bruising, prevent blood clots and also maximize the result of the your sclerotherpy session. Dr. Roham recommends immediate return to normal daily activities and a minimum of 30 minutes of continuous walking every day. Please note that the compression stockings may need to be worn for 3-7 days after the procedure, depending on the size and number of the veins treated. At times, we use a vein lite which aids by providing a roadmap of the targeted vein and the surrounding area that is too deep or just not visible to the naked eye. The Veinlite is a special high intensity light that when shined through the skin’s surface allows for visualization of the deeper source of varicose and spider veins.
Saline sclerotherapy has been in use since 1926 and has been a popular sclerosant because it is a naturally occurring body substance with no toxicity. However, with the advent of all the new sclerosant chemicals available for sclerotherapy, saline has fallen out of favor due to its high side effect profile. Saline sclerotherapy has a higher rate of skin necrosis (skin Death and ulceration), temporary hemosiderin staining (area treated with sclerotherapy appears brown and stained by leakage of blood contents into the skin). Additionally, saline does not work well in treatment of larger varicose veins since it gets diluted easily by blood and becomes ineffective in larger veins; saline sclerotherapy is also very painful.
Foam sclerotherapy is a new form of delivering the sclerosing agent into varicose and feeder veins. The foam sclerotherapy is made by mixing air or Co2 with Sotradecol® or Asclera® solutions. A foam solution then is created which has the consistency of shaving cream. The Foam is very effective because since air is lighter than liquid it displaces blood within the vein, placing the sclerosing agent in direct contact with the vein wall without any dilution effects for an extended period of time. Additionally since the foam is visible via ultrasound imaging it can be easily tracked and guided to the source of the varicose vein problem.
At Advance Cosmetic center we prefer glycerin sclerotherapy solution for the treatment of very small spider veins and broken capillaries. Since glycerin is a mild agent that only irritates the inner lining of spider veins, patients rarely develop any redness or bruising or any staining of the treated area.
Using duplex ultrasound, doctors can guide a needle to the exact location of the vein (valve) to be injected. A foam solution is often used with this treatment to allow full visualization of the solution in the treated vein. The major advantage of ultrasound is that it enables visualization and injection of larger and deeper veins that once required more invasive surgical treatments.