These are my results after 8 sessions with Asclera. I had EVLT in December of 2015. Treatments are making veins worse. Help?
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Doctor Answers 7
Generally when a patient complains that they are developing more spider veins even after treatment there is an underlying vein issue that needs to be addressed. An ultrasound will reveal whether there is reflux occurring in your superficial veins and deep veins which can be the root cause of these spider veins. Before spending on anymore treatments please get an ultrasound done. A doctor will then be able to map out the origin of this problem.
Asclera vs. lasers for spider veins
Your condition is often a frustrating one being that there may be more than one factor that is lending to a lack of improvement or sustainable improvement. As the other panel members mentioned, having a current diagnostic ultrasound to assess for any contributing factors with your vasculature will be a good start before investing in more treatments. If there are no underlying concerns, you may want to consider laser treatments vs. sclerotherapy. In our practice, the Lyra (a long pulsed YAG laser) is a good option when Asclera is not or in conjunction with sclerotherapy. Both are good tools; however, when one is not ideal, it's prudent to consider a different treatment plan before too much time and expense is involved.
See below link for before/after photos and more information
Foam sclerotherapy works amazingly well
You need to reevaluate your veins with ultrasound. I continue to see excellent results with both EVLT and foam sclerotherapy.
Los Angeles vein expert
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Sorry, but you need a dedicated ultrasound
I'm so sorry to hear that you havent gotten the desired results. In fact, many patients complain of the same issue. In my experience, the lack of improvement is due to persistent reflux in either the major veins (ie. GSV, SSV) or in untreated tributaries/perforators. You should seek out a very experience dr who has specific expertise in vein disease. In my office, I personally perform all the ultrasounds to ensure that it is done correctly and to really investigate the cause of the varicose veins/spider veins. Hopefully, you will find relief and satisfaction.
Spider veins not responding to Asclera
If your spider veins are not responding to Asclera you have options you can discuss with a physician including:
1. Trying a different sclerosing agent
2. Laser treatment
3. Repeat ultrasound to check for continued reflux of larger veins
If you are getting matting (new fine red vessels) from the sclerotherapy sessions then definitely consider laser treatments. Get an opinion from someone that focuses on sclerotherapy first.
I am so sorry to hear about your experience. I would recommend further evaluation for other contributing causes.
often times when one has closed their great saphenous vein by a heat method and is not having satisfactory results will follow up sclerotherapy; it is wise to consider if other branch veins may be contributing. Depending on the location of the problem area the anterior accessory saphenous vein or the small saphenous vein may be contributing. additionally the great saphenous can remain open despite treatment in up to 8% of patients and that should be checked in such a situation. Lastly sclerotherapy can fail to treat large varicosities and surgical adjuvants may be necessary.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.