Is sclerotherapy absolutely necessary after EVLA?

Question

I have no bulging vein, is sclerotheraphy still necessary? what are the consequences if i refuse it?

Tif Siragusa, MD · Answer

The ablation procedure address is the underlying circulation disorder that causes Venus insufficiency. Sometimes patients also have associated visible varicose veins or spider veins. The ablation procedure should alleviate any symptoms that you may have had including swelling, aching, pain, and discomfort. If your symptoms are better and your leg feels good and you do not have any visible veins that you would like addressed, there is no indication for further therapy.

Susan Fox, DO, RPVI · Answer

Sclerotherapy after EVLA is usually optional for veins that remain after the laser vein procedure.  When the veins are small sclerotherapy can help  the cosmetic appearance of the legs.  In some studies up to 80 percent of patients with spider veins have symptoms.  This can range from itching to aching burning, rushing etc.  If you have any of thees symptoms, the sclerotherapy may help with this as well.

John Landi, MD · Answer

Sclerotherapy is usually done for spider veins or to treat varicose veins.  If you do not have varicose veins then it seems that the sclerotherapy would be done for spider veins and this is considered a cosmetic procedure.  If you do not want to treat spider veins then there should be no reason to have sclerotherapy.

Lisa Perez, MD · Answer

Sclerotherapy is not necessary after EVLA.  If it is not being done for cosmetic reasons and there are no symptomatic surface veins then it is fine not to have the sclerotherapy.

Michael Nguyen, MD · Answer

After medically treating reflux with EVLA or RFA, guided ultrasound sclerotherapy or phlebectomy are options to consider if there is remaining reflux in tributary veins and if symptoms are present. Otherwise, sclerotherapy treatment can be done cosmetically as an option to treat spider veins. After cosmetic sclerotherapy, use sun protection and wear compression stockings for a week. Hyperpigmentation and or matting might occur and it is a temporary side effect. Your physician can also advise you on how to treat this temporary side effect of sclerotherapy. 
All the best,

Is sclerotherapy absolutely necessary after EVLA?

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Answer: Sclerotherapy after EVLA

Answer: Sclerotherapy after EVLA

Answer: Sclerotherapy option

Answer: Sclerotherapy option

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Is sclerotherapy absolutely necessary after EVLA?

Answers (7)

Answer: Sclerotherapy after EVLA

Answer: Sclerotherapy after EVLA

Answer: Sclerotherapy option

Answer: Sclerotherapy option

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Recommended reading

Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.