These are my results after 8 sessions with Asclera. I had EVLT in December of 2015. Treatments are making veins worse. Help?
Doctor Answers 5
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
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.
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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.