Sclerotherapy FAQ’s

leg-veinsLeg veins are a common problem among women (and some men). Many factors contribute to the appearance of leg veins, such as; genetics, prolonged standing, excessive weight, pregnancy and trauma.

At our Del Mar dermatology practice, Deborah H. Atkin, M.D. offers sclerotherapy (injections) and GentleMax PRO Yag laser treatment for unsightly leg veins.

Here are a few of the most common questions asked by patients when consulting for leg vein treatment.

How do I know which treatment is best for me? Sclerotherapy or Yag laser?
Sclerotherapy has long been the gold standard in treating leg veins. More patients have more success in treatment with injections than with most lasers. If a patient has small veins, too small to inject, then we will use the Yag laser to treat. We may also use the yag laser if a patient has resistant veins that have not responded to injections in the past or if they have allergies or sensitivities to the solutions used to treat leg veins.

Do injections hurt? How long will it take to heal?
There is a bit of discomfort with sclerotherapy. A pediatric sized needle is used to inject the solution into the veins and there may be a quick and slight burning sensation when the fluid is introduced. This resolves quickly. Some patients may experience a hive like reaction, or a bit of itchiness after the injections. A topical corticosteroid cream is applied along with topical Benadryl to alleviate these sensations.

How many treatments will I need?
That is dependent on how many veins you have and how well the veins take up the solution. There is a recommended amount of solution that we use per session. If the number of veins we need to treat exceeds the amount of solution, then another session may be required. On average I explain to patients they should plan to have between one and three treatments with maintenance treatments periodically.
What is the recovery like?
The treated veins will look a little worse before they look better. There will be some bruising at the injection site that may persist for up to 6 weeks. You will need to refrain from any jarring or high impact aerobic activity for about 10 days. You will also need to wear therapeutic compression stockings daily for the first week following treatment.

Lastly, we do not want for you to fly or undertake any long car trips for 10 days after treatment as it puts you at risk for a blood clot.
How do I know if I am a good candidate?
If you suffer from spider veins or reticular veins on your legs you may consider Sclerotherapy to treat your unsightly veins. Please discuss any allergies with the physician, any history of blood clots or embolisms, and if you are lactating or pregnant.

How can I schedule?
Contact our office to schedule your consultation/treatment. Fall and winter are the perfect time to finally treat those unsightly leg veins!