How Much Time Should Be Left Between 1st and 2nd Treatment of Sclerotherapy?

Question

How many days or weeks should be left between 1st and 2nd treatment of Sclerotherapy?

Sam Naficy, MD, FACS · Answer

I would wait 3-4 weeks between sclerotherapy treatments.  This will allow enough time for bruising to resolve.

David Hansen, MD · Answer

Sclerotherapy can be done 2-6 weeks apart but usually is done 4 weeks apart and require 2-3 sessions as an average but some stubborn varicosities need 4-6 sessions. Support hose is very helpful in resolving the varicosities quicker. Most sessions run $350-450 each and are done with pilodocanol or foam sotradecal. Hypertonic saline isn't used much anymore.

Ron Shelton, MD · Answer

Usually sclerotherapy is scheduled a few weeks apart, but it totally different areas are done on a future treatment, then it might be appropriate to do the untreated area as early as a couple of weeks after the first.

Lorrie Klein, MD · Answer

It may vary among physicians, but in my practice, I recommend my patients return every two-four weeks for their sclerotherapy appointments. It may take up to 2 weeks, perhaps occasionally longer, for results to be apparent after a sclerotherapy session, therefore you should not be treated more frequently than this.

Hratch Karamanoukian, MD, FACS · Answer

The timing between sclerotherapy sessions in the same areas varies among treating vein specialists. In my practice, the time between sessions is at least 3 months, provided that the entire area was completely treated in the first session. This allows enough time for the bruising to resolve and, more importantly, for the treated veins to thrombo-obliterate and heal.

John Landi, MD · Answer

I recommend 6 weeks between sclerotherapy treatments.  This allows enough time for the bruising to resolve and, more importantly, for the treated veins to dissolve.  After 6 weeks, whatever veins are left will then need to be retreated.  Is sclerotherapy is done at too frequent intervals then veins that have already been treated will be retreated unnecessarily.  Somewhere between 4 to 6 weeks is an adequate interval.

Brian E. Dubow, MD · Answer

About 3-4 weeks is ideal to wait between sclerotherapy treatments, but you should also confirm with your physician

Craig Crippen, MD · Answer

on if you want to treat the same or opposite let.

	if i have a patient who needs treatment on both legs, we can see them the next day for opposite leg treatment.  i normally like to wait a few weeks (2) between treatments on the same leg to allow for some healing to occur and then i am best able to determine if we need to perform another set of injections in the same area or elsewhere.

	Cheers

Bruce E. Katz, MD · Answer

You would want to wait about 3 weeks to treat the same area and wait for any bruising to fade.  If you are treating a new area, you could do the following week.

Samir Shureih, MD · Answer

The ferquency of sclerotherapy vary with the response and bruising. if you can see the veins and they are not reponding you can do it within a week.. Otherwise wait till the bruising has faded and you can see the veins

How Much Time Should Be Left Between 1st and 2nd Treatment of Sclerotherapy?

Answers (10)

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