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Sclerotherapy

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Sclerotherapy in NY
What is Sclerotherapy?

Sclerotherapy remains the gold standard treatment for spider veins and reticular "blue feeder veins". 


A substance, known as a sclerosant, is injected into a vein during sclerotherapy in order to completely destroy it. The endothelium, the innermost layer of the vessel, is damaged by the sclerosant, which causes a clot that prevents blood flow in the vein beyond. Unoxygenated blood is returned to the heart through veins from the peripheral tissues. Due to the low venous blood pressure in the veins, the heart contracts to move blood forward. Most veins include valves that only permit blood to flow in the direction of the heart in order to prevent backflow. Veins expand and bulge when these valves stop functioning properly (varicose). These varicose veins' smaller feeder veins might grow and take on the appearance of a red or blue spider veins. Venous insufficiency, a persistent swelling condition of the leg, can result to varicose veins. A person who has venous insufficiency is more likely to develop skin ulcers, blood clots, and leg edema. Even more typically, unsightly spider veins are a manifestation of damaged veins. Both medically and aesthetically, it may be preferable to remove these veins.

Is Sclerotherapy safe?

Prior to beginning a certain course of therapy, it is important to carefully assess the risks associated with all medical procedures. Sclerotherapy is widely used to cure cosmetic issues, so the patient should be well informed of any negative or dangerous side effects. Observe for allergic reactions and thrombosis of the veins. Pulmonary embolism may occur. Patients may develop features of fluid overload especially in the background of impaired cardiac and renal functions.  

This is contraindicated if you have any of the following conditions:

  • Patients suffering from deep or superficial thrombophlebitis (active within the last 6 months or 2 years);
  • Varicose veins are secondary to pelvic or abdominal malignancies.
  • Patients suffering from underlying arterial disease
  • Venous stasis and dilatation due to impaired renal or cardiac function
  • Angina pectoris
  • Local and systemic infections
  • Hyperthyroidism
  • Uncontrolled diabetes mellitus
What do I expect before the procedure?

The doctor examines the patient physically, goes over their medical history, and determines whether they are a good candidate for sclerotherapy. The location of venous disease will be determined. You must list all current medications and take them as prescribed or stop taking them before the operation. Before the procedure, avoid using any oils or lotions or shaving your legs (applies when leg is the site of venous disease).

What do I expect during the procedure?

For the procedure, a sclerosant—an irritating solution—is injected. A little needle is used to inject the solution into the vein after cleaning the skin around the target vein. The vein collapses as a result, leaving scarring. The blood is redirected to healthy veins, and the scarred veins eventually disappear. If there are many varicose veins, multiple treatments are required.

What do I expect after the procedure?

You must avoid anti- inflammatory drugs such as aspirin and ibuprofen for at least two days after the procedure.. Avoid hot baths, hot compress, sauna or whirlpool, and direct sunlight for at least 48 hours after the procedure. See a doctor in case of sudden swelling, ulceration at the injection site inflammation around the groin. Walking is encouraged. Compression stockings have to be worn as instructed. Do not perform aerobic activities such as running or lift heavy objects for some days.

What are the potential risks and complications of Sclerotherapy?
  • Itching is a mild side effect that lasts for one to two days following the procedure.
  • There may be some local redness and bruises that disappears in a few weeks.
  • At the area, brown lines or patches may appear.
  • Perhaps some new, smaller blood vessels will develop and then vanish.
  • A blood clot, an ulcer at the injection site, and an allergic reaction to the injected solution are examples of severe adverse effects that are extremely uncommon.
  • Women on birth control and those who are pregnant are not candidates for the treatment.
  • People who have already experienced a blood clot may or may not receive this treatment.

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