Sclerotherapy: Q&A
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Best Sclerotherapy Solution?
I had Sclerotherapy done 3 years ago in FL and the results were wonderful, very noticeable within weeks, continued to get better throughout the 4 procedures I had.
Six weeks ago, I had it done again in Nashville. After 6 weeks, I can't tell any change, actually I only notice the new veins. I don't know which solution was used in FL, but she called it a soapy solution. The clinic here used saline. In your opinion which works best and is better for you to use?
Read my review "Not Seeing Results"
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12 Doctor Answers |
Asked by
Laura Beth C
in Nashville, Tennessee
+2
The size of the varicosity determines the sclero solution.
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.
+2
Sclerotherapy results are based on the injector, NOT the solution injected.
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...
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Best technique for sclerotherapy of spider veins
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...
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What is the best sclerotherapy solution?
I have been injecting leg veins for almost 20 years and there certainly is a difference in solutions. When I first started out the only option was saline solution injections. These injections were extremely painful and not as effective as current solutions available. Asclera is the newest and I believe the best sclerosing solution on the market today. Yes, the experience of the injector is the most important. Years ago many doctors touted lasers as the best...
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Best Sclerotherapy Solution
It can take up to 8 weeks to appreciate the results from your sclerotherapy treatment. Asclera and Sotradecol are the only 2 FDA approved agents for the treatment of small uncomplicated varicose veins of the legs. Studies trying to compare the difference between these two agents and hypertonic saline have not shown a significant difference in effectiveness, but hypertonic saline tends to be more painful with injection and has a greater risk for ulcerations. One must treat the...
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What is the 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...
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Patients have Patience!
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!
Elkton Facial Plastic Surgeon
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Asclera
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
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Sclerotherapy results may vary by physician!
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. ...
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Choices for Sclerotherapy
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...
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Houston Plastic Surgeon
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