Would a second sclerotherapy session banish my remaining spider veins? I can see them 6 weeks after the first session. (Photo)
Doctor Answers 5
Sclerotherapy usually requires periodic maintenance treatments.
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Sclerotherapy Remains The Gold Standard For Treating Spider Leg Veins, But Typically Requires Two To Four Treatments
It is also important to note that treating those spider veins that are currently present does nothing for preventing new ones and typically new ones of sufficient size to warrant treatment will appear every two to five years.
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Sclerotherapy for leg Veins
First is location and relative size of the vessels. Are there any deep feeder veins that are refluxing creating pressure on the smaller veins. What is your level of activity? Do you run, jog or exercise where you place extreme pressure on your legs? Does your job require you to stand or sit for longs periods of time? Is there an activity or clothing that might be creating these vessels? How are your hormones? Are you taking any medications that might be contraindicated for a procedure?
After we determine the answers to these questions then we decide what is the best treatment for you. Are you a candidate for a quick laser treatment or do you really need sclerotherapy? If you need sclerotherapy what solution is best for this size of vessel that will give the optimal result with the least amount of possible complications? (Sotradecol, Polidocanol, Glycerin, Hypertonic Saline, Foam) Do you need to wear compression stockings after treatment and avoid high impact aerobic exercises or abdominal workouts or can we just use a temporary Co-Ban wrap? Is one treatment going to do the trick or do you need multiple treatments?
The next step is treatment. Are we seeing either complete collapse of the vessels or a positive sign that the solution/heat used is creating inflammation in the internal walls of the treated vessels. If no, is a stronger strength solution or laser setting needed? Do we need compression to keep the vessel closed, etc?
If all of this is done then you should see an effective treatment and realize outstanding results.