Who Should Perform Sclerotherapy - Dermatologist, Plastic Surgeon, Vein Clinic?

Although sclerotherapy can be performed by any type of physician, I highly recommend that you choose someone who has been specifically trained to do this procedure (i.e. a dermatologist or vascular surgeon).

Anyone considering sclerotherapy for the treatment of unsightly leg veins should first be evaluated/screened for possible underlying problems with the valve of the large vein on either side of his/her groin (the greater saphenous vein). Blood from the majority of the leg veins that you are able to see ultimately drains into this vein prior to returning to the heart. If this vein has an "incompetent" (poorly functioning) valve and the problem is not corrected (thorough a procedure such as endovenous laser ablation), sclerotherapy will provide only temporary - if any - improvement in the appearance of leg veins.

Only a small percentage of patients who have spider veins, varicose veins, etc. have problems with the valve of one of their greater saphenous veins (which results in reflux/back-flow of the blood back into the leg veins). However, your best bet is to find a physician who is not only good at performing sclerotherapy, but is also able to screen for possible underlying dysfunction of your greater saphenous veins.

Take care and good luck!

I would recommend a physician who is a diplomate of the American Board of Phlebology (Vein Surgery).

 

These physicians are specialists in vein procedures and have special expertise in the field. 

Sclerotherapy is part of the core curriculum for Dermatologists, and therefore most are trained and tested on their board exams regarding the treatment. I cannot comment on whether the same holds true for plastic surgeons and the doctors of a “vein clinic” as any doctor can run a vein clinic. Therefore, you may consider asking what their credentials are. Some are run by vascular surgeons who specialize in veins, and this may serve as a good alternative. Good luck.

Experience knowledge and technique are very important as well as boaed certification. An understanding of anatomy, knowing when to do ultrasound tests ans which liquid or foam to injecy or laser to use is also important. Dermatologists vascular surgeons and plastic surgeons do most of these treatments.

Sclerotherapy can be performed by any Doc but usually it is a dermatologist or vascular surgeon.  Cost runs about $350-450 per session and almost always requires 2-3 sessions 4-6 weeks apart.  Sincerely,

David Hansen,MD