Two rounds of sclerotherapy and the veins are still there. What should I do? (Photo)
Doctor Answers 5
Vein surgeon in Los Angeles
I would suggest a vein ultrasound followed by another round of sclerotherapy to treat the proximal and distal problematic veins.
Veins on Legs -- Sclerotherapy and Laser
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After 2 rounds I would definitely suggest getting a venous doppler to look for underlying reflux. If this is not fixed first, the resultant pressure will often cause a poor result from any sclerotherapy.
Outside of that, there are different medications for sclerotherapy. I find some work better for certain individuals than others.
Also, as a larger vein this may require a microphlebectomy. This involves using small needle holes and tiny hooks to remove the vein. Done well, it should not really leave any scars.
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