Question

How to get rid of a lot of little spider veins?

How about if I have A LOT OF LITTLE spider veins all over leg / thigh? I mean a LOT. If I go with sclerotherapy, does it mean that each and every little vein would have to be injected? I assume that would be quite painful?


Asked by: Ally

Answers (3)

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1
June 21, 2008

Sclerotherapy treatment for spider veins

I have had the sclerotherapy treatment for the spider veins twice. My doctor originally recommended that it might take 3 treatments but I had good results with the first one and didn't go back for a year or two. The treatment is only mildly painful and heals quite quickly. The doctor does not inject each little vein but looks for the mother vein so to speak and works from there. Usually many small branches can be treated with one injection. I found this treatment to be very effective, and not too expensive. You can also use a lotion by Dr. Perricone but this is topical cosmetic only treatment. It will not permanently treat them. You can of course get new ones even after you've been treated at the doctors office. I' ve been very happy with the results and would do it again.

www.pennysadler.com

2
June 21, 2008

In my office, we offer both sclerotherapy and laser for small viens. For leg viens between 1 to 4 mm, Sclerotherapy is the best treatment option. Multiple small viens usually are connected to each other and the connection can be visualised with a special light and magnifying lamp. In one sitting we can treat a relatively large area with fewer injections than you would anticipate by injecting the right place.

Most of the small spider viens in the network disappear with just a few key injections. I sometimes do a laser touchup for very tiny viens if they persist after a couple of treatments. The key to having good long lasting results is the post injection care. It is essential to not let high venous pressure develop in the treated area for a few days after the injection.

For viens larger than 4 mm, surgical excision is a better option. Obviously, you need be evaluated by an expert for the best treatment course for you. Your general medical health, any concomitant medical conditions will be a consideration before injection sclerotharapy is considered.

 

3
June 20, 2008

Lots of litte spider veins can be treated quite nicely

There are a two main ways to treat lots of little spider veins. If you go with sclerotherapy, many times there are many little spider veins that connect with each other. If the inector is skilled at picking the veins that look like they are "well connected" a single injection can treat dozens of spider veins. It is truly remarkable to watch!. I use a 33 guage needle so that I can inject veins that are even less than 1 mm in size. This makes the injections very comfortable. Sclerotherapy is probably the ideal choice for spider veins that are from 1mm to 4 mm in size. If they are much larger than 4 mm, other treatments may be necessary.

If the veins you are treating are very small, less than 1 mm in size. they may be too small to inject. In that case, treatment with a 1064nm YAG laser will probably work the best. Unfortuneately, to treat these very tiny veins, the doctor will need to trace each vein and deliver pulses of light every few millimeters along the path of the vein.

If your skin is very very light, and you have no sun exposure, you might be able to be treated with IPL (Intense Pulsed Light). I have had success treating some spider veins using this method, but only in properly selected patients. If you try to use IPL to treat spider veins on the legs on a patient with any tan, you will almost certainly end up with little pale squares all over the skin, and you may not even get the spider veins to go away!

Michael Sinclair, MD

www.epilution.com

 

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