What Are the Types of Sclerotherapy Options?

asked 8 months ago by anon
Latest answer by Tanya Kormeili, MD
Question viewed 237 times
Tags: material, options, quantity, treatment, type, varicose veins

What agents are used for different types of Sclerotherapy? Does everyone use the same strength solution, or does it depend on the severity of the varicose veins being treated?

5 answers to What Are the Types of Sclerotherapy Options?

Sclerotherapy and lasers

There are a few choices when it comes to using a solution for sclerotherapy. I have used them all, and they all do work. Depending on the size of the blood vessel, one can use more concentrated solutions. However, the risk of complications also can increase. I have found that combining sclerotherapy with the Vbeam laser can really help get better results. Some tiny veins are too small to be injected and the laser gets rid of them in as few as one treatment!

Tanya Kormeili, MD
Los Angeles Dermatologist

Sclerotherapy at Toronto Dermatology Centre

We use Sclerodex for sclerotherapy at theToronto Dermatology Centre. The treatment is usually done every 6 weeks, and 3-5 sessions are reqiured.

Anatoli Freiman, MD
Toronto Dermatologist

Many options work

There are several options for the sclerotherapy solution, and in my experience, having used them all, they really do all work. The success lies more in the hands of the person doing the treatment rather than which solution is used. Sclerotherapy is useful for spider veins, but not the larger rope-like varicose veins. see video

Lisa Benest, MD
Burbank Dermatologist

Different sized varicose spider veins require different solutions and/or concentrations.

Foam sclerotherapy is what most docs use now and either asclera or sotradecal are the most common ones. Scleremo or glycerin is used for the tiniest of spider veins while hypertonic saline is not used much anymore. Expect to pay about $450-600 per session and usually 3 sessions are needed with each about 6 weeks apart. Sincerely, David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon

Products for Sclerotherapy

There are several products available on the market for Sclerotherapy. Asclera, Sotradecol, Hypertonic Saline, Glycerin. Asclera for example comes in two strengths: .5 and 1.0 ml. If I am treating very small spider veins, I will use the .5ml Asclera. If I have to treat veins which are larger (know as reticular veins) I prefer to use a stronger concentration of the drug. Many physicians will have there preference for a particular product, but in the... more

Victoria Karlinsky, MD
Manhattan General Surgeon

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