Best Sclerotherapy Solution?

More important than the solution is the injector. Most of the solutions that physicians use for sclerotherapy work and work fairly well. This is a procedure which is highly operator dependent. Small vessels such spiders can sometimes be difficult to get into and if you are not experienced it can be troublesome. Having injected veins for over twenty years I have not seen significant differences in the effectiveness of the solutions but their are some regarding their degree... more

Sclerotherapy is usually done monthly for 3-6 treatments at a cost of $450 per session.  Usually Asclera is now the most recent solution FDA approved.  Whether by foam or by straight solution, both work very well.

No matter what sclerosant is used (hypertonic saline, sodium tetradecyl sulfate, polidocenol, or sodium morrhuate are the most common ones), it needs to get inside the spider vein to do its work! The smaller the spider vein, the harder it is to hit properly. Sclerotherapy, as you have found out, is highly operator-dependent, and less related to the solution used. All of the commercially-available sclerosants work well, but have different side effects, proper concentrations for uniform... more

In my office we offer a variety of solutions depending upon the size of the vessel. We also use a yag laser. Results are generally good, but you must have several treatments and it takes 6-8 weeks for the end results!

We treat our patients with Asclera. We highly recommend it because the consistent results we have. We reccomend 4 to 6 sessions and the cost per session is $450.00

The most important factor in your sclerotherapy results will be the skill of the physician injector, since the treatment will only work if you get it into the vein!  Keep in mind, that with successive sclerotherapy treatments, the residual veins may be smaller and more resistant.  This makes sense because the larger or more responsive veins have already resolve with your prior sclerotherapy. Less important the the injector or your vein type, is the solution used. ... more

Important considerations in sclerotherapy include the proper use of sclerosant solutions, but more importantly, the technique used for injection. Larger veins should be addressed prior to smaller end branches. As a fellow of the American College of Phlebology and a double board certified surgeon who is a Diplomate of the American Board of Phlebology and the American Board of Plastic Surgery, it is important for me to evaluate these venous patterns in a logical and comprehensive fashion... more

The FDA has approved of only two solutions that I am aware of to use for small vein sclerotherapy. One is hypertonic saline and this solution has been around and used for a long time. The other is Sotradecol which has been used also as a sclerosing agent for a long time but in the last decade has been hard to find in pharmacies to use on the patients. Hypertonic saline is absolutely safe and is used even on pregnant women who had varicosities that are painful. It is possible to inject... more