Direct vision sclerotherapy, otherwise known as microsclerotherapy, is the gold standard method of treating small reticular and spider veins. A special solution is injected into the targeted veins with a fine needle, causing them to collapse and harden in a process called sclerosis. Once the veins have hardened, the body begins to gradually absorb them over the next few weeks.
It is not uncommon that patients presenting to a Vein Clinic may have had less than pleasing long-term results from previous sclerotherapy. The usual reason is that they have only had the visible surface Veins treated. In many cases, underling “feeder” veins that may only be visible with ultrasound or special illumination devices, such as The Vein Light™, have not been treated. This can result in the body producing even more abnormal veins once the surface veins have been treated.
In many cases, patients presenting with spider veins are usually only seeing the “tip of the iceberg”. A high percentage of patients will have “hidden varicose veins”. If the underlying abnormal veins are not treated first, results from surface sclerotherapy will not be satisfactory.
It is for this very reason that at The Vein Clinic, we will not undertake direct vision sclerotherapy without first investigating the status of your underlying veins using high frequency ultrasound and evaluation with The Vein Light ™.
Once all “feeder” veins have been eliminated, we will move on to surface direct vision sclerotherapy. In order to improve the success of sclerotherapy, we use specialised magnifying and cross polarisation technology (Syris V600 ™) to literally see 1mm below the surface of the skin, improving the targeting of spider veins.
Patients need to understand that due to the fact surface veins are often numerous, have multiple feeders and are extremely small, complete elimination and a perfect cosmetic result is rarely achieved. Realistically however, a 50-90% improvement in appearance can be anticipated following a series of treatments.
Whilst multiple veins are treated in one session, usually several (average three) treatment sessions will be required to obtain optimal results. These sessions are performed at approximately 4 weekly intervals, so this is not a treatment to have a week before you are going to Bali!
After treatment of spider veins, patients are usually required to wear compression stockings for three to five days, in order to reduce any discomfort, as well as prevent pigmentation and deep vein thrombosis. Avoidance of sun exposure for the next month is recommended also.
Dr Matar treats spider veins