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Sclerotherapy Sydney


Sclerotherapy treatment for spider veins in Sydney

At Verve, we typically recommend sclerotherapy for more advanced cases of spider veins on the legs. This is a simple procedure where the surface veins are injected with a sclerosing solution, causing them to collapse and fade over time. The body easily absorbs the collapsed veins, causing no distress to the other veins.

In fact, eliminating these damaged veins from your legs can result in a significant improvement in the physical symptoms that often accompany spider veins including aching, burning and swelling, not to mention enhancing your appearance and boosting self-confidence.

Nearly 70% of all women and 30% of men will develop some type of venous disorder. Spider veins result from reticular veins or saphenous insufficiency. If the patient has pain or swelling a mapping ultrasound is performed to make a complete diagnosis. If saphenous insufficiency is diagnosed, this condition should be treated prior to treatment of the spider veins.

Contributing factors include: Heredity, Pregnancy, Hormonal changes, Being overweight, Standing or sitting for prolonged of time, Advancing age , Trauma, Sun-exposure for veins on the face.

Our leg veins contain valves that normally allow one-way blood flow from the feet up to the heart.  They close and prevent backward blood flow when resting in the standing position.  When the valves fail, there is backward blood flow (venous “insufficiency” or “reflux”) that results in very high venous pressure.  Because veins have very thin walls, this high pressure causes significant stretching and elongation – resulting in the formation of varicose and spider veins.

Symptons of Varicose Veins
Symptoms of varicose veins may include the following:

  • Pain, aching, or burning in the legs
  • Oedema or swelling in the legs or ankles
  • Leg cramps or sores
  • Itching of the skin around the vein
  • Open wounds such as skin ulcers around the ankle

Post procedure protocol
After treatment of spider veins, it is recommended that compression stockings be worn for three to five days and for a week after treatment of larger varicose veins.
As with any procedure, some mild side-effects might occur. These side effects include slight redness to the skin tone or mild swelling in the treated area.

After treatment of larger veins with UGS or EVLT, a repeat ultrasound will be done in 4 weeks to ensure that the treated veins are sealed. Occasionally, a treated vein will reopen, requiring a repeat injection of foam sclerotherapy. 98% of treated veins are sealed shut at 1-year follow-up.

Common recommendations for the patient
Stay out of the sun and tanning beds for 4 weeks before and after surface laser treatment. Wear compression stockings for a minimum of three to five days. Abstain from high impact activities such as running or step aerobics for three weeks. Walk at a moderate pace, as it will aid in the healing process.

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What are Spider Veins?
Telangiectasias (spider veins) are dilated superficial veins. They are often found on the face and legs. The thin veins on the legs termed spider veins usually appear on the thighs and ankles. The veins on the face generally appear on the nose, chin or cheek area and often occur in rosacea. These veins are purple, blue or red and usually appear in three basic shapes: linear, branch-like or spider-shaped, with a dark center point.
What are Varicose veins?
Varicose veins are formed as a result of venous insufficiency, a condition caused from incompetent valves. They can originate from several different systems including the greater saphenous vein, the short saphenous vein, the anterior lateral branch and the thigh extension branch.

Varicose veins appear as twisted, enlarged veins that lie close to the surface of the skin. The goal of the varicose vein treatment is to eliminate the defective veins, forcing blood to return to the heart through the deep vein system.

What are the Treatment Options?
  • Surface laser treatment
  • Sclerotherapy
  • UGS or Ultrasound Guided Sclerotherapy
  • EVLT or Endovenous Laser Treatment
How does Surface Laser Treatment work?
Used to eradicate spider veins. The laser beam is externally pointed at the veins to be treated, and the laser light energy is used to close the veins.Skin pigmentation can impact the effectiveness of any laser, therefore the patient should have no sun exposure four weeks prior to treatment to guard against blistering and scarring.

Although discomfort is mild, some form of cooling may be used to increase the patient’s comfort. Cooling may be achieved through the use of ice, a cool air device or topical anaesthetic. The duration and number of sessions will vary depending on the severity of the condition and the location. Many facial veins can be treated in one session; however, most conditions on the leg require three to five treatments to ensure all spider veins are treated. These treatments are spaced four to six weeks apart.

Unlike most doctors who use only sclerotherapy, our doctors use the double injury method when treating spider veins on the leg.

This technique treats the spider veins with the laser, followed by an injection of sclerosing solution into the associated reticular or “feeder” vein. Laser energy is applied first through a hand piece that is very small and lightweight. By injuring the veins with the laser first, the vein spasms and less sclerotherapy is required. The benefit of the double injury method over sclerotherapy alone is a quicker resolution and a significant decrease in the risk of skin staining. Staining appears as brownish discoloration on the skin.

How does Sclerotherapy Treatment work?
A needle is used to inject sclerosant, causing the lining of the vein to swell and eventually seal shut. The vein will usually fade in a few weeks. As with laser treatment, this procedure may take three to five treatment sessions. Staining, or brown discoloration on the skin is a possible side effect to sclerotherapy and may take six months or longer to fade.

Sclerotherapy is an appropriate treatment of small- to medium-sized reticular veins that feed spider veins, or small varicose veins that remain after the endovenous laser treatment of reflux in the large saphenous veins.

If larger varicose veins are present, a mapping ultrasound is organised to determine if saphenous insufficiency is present. Once diagnosed, we will decide if ultrasound guided sclerotherapy (UGS) or endovenous laser treatment (EVLT) is the appropriate treatment.

How does UGS or Ultrasound Guided Sclerotherapy Treatment work?
Using ultrasound guidance, a tiny needle is used to inject foamed sclerosant into the vein. The lining of the vein then swells and eventually seals shut. The vein will usually fade in a few weeks. Depending on the number of veins, one to three treatment sessions may be needed. Staining, or brown discoloration on the skin, is a possible side effect to sclerotherapy and may take six months or longer to fade.
How does EVLT or Endovenous Laser work?
Can be used to treat larger veins. It is a 30-45 minute in-office procedure with no down time or scarring. After the skin is numbed, the vein is accessed through a small incision and an introducer is inserted into the vein. The laser filament is inserted through the introducer. Once inside the vein, the placement of the laser filament is verified using ultrasound and by visualizing the aiming beam. The laser is then slowly withdrawn as it emits energy. This laser energy seals the vein shut.
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