Sclerotherapy Treatment

At Cosmetica Plastic Surgery & Anti-Aging, we offer Sclerotherapy and Ambulatory Phlebectomy, the ideal treatment for most patients suffering from varicose veins, spider veins, and reticular veins. If you are like most patients with varicose veins and don’t have reflux of blood traveling down your veins (which Adley DaSilva will determine with the use of Doppler Ultrasound) you can be successfully treated with sclerotherapy or ambulatory phlebectomy or both modalities. Adley will discuss your “vein problems” in depth, examine your legs and perform a Doppler exam, which will determine your candidacy for sclerotherapy, excision of the affected veins with micro-incisions-“ambulatory phlebectomy” or recommend laser treatment for you. You can rest assured you will be treated by a surgeon who completed a year-long fellowship training program in vascular surgery and who has extensive experience in the contemporary treatment of spider, reticular and varicose veins!

Spider Vein Treatment

Sclerotherapy was developed in the 1920s for the treatment of spider veins (telangiectasias), small purple and red blood vessels. Spider veins are hereditary, and while most commonly found on the thigh or lower leg, can form virtually anywhere on the leg, from the uppermost region of the thigh to the ankle. Sclerotherapy has proven to be a very popular nonsurgical cosmetic procedure and is preferred over laser in the treatment of varicose and spider veins. Sclerotherapy can be an excellent alternative to surgery for most patients.

What Will Spider Vein Treatment Do?

Injecting spider & small varicose veins of the legs will improve the appearance of your unsightly veins, give you more confidence & enable you to be more comfortable wearing all types of clothing.

Performing Sclerotherapy

Adley DaSilva will use a Doppler Ultrasound to confirm that you don’t have venous blood traveling “the wrong way” in your leg veins. Once “reflux” has been excluded, Sclerotherapy can be safely and easily performed. Larger veins are usually treated first. Adley will use a fiber optic illuminator- The Vein Light- to assist in localizing the veins to be treated. FDA approved Asclera, Adley’s agent of choice is painlessly injected into your affected veins with a micro-needle. The solution causes your vein to turn white (blanch), and then gradually disappear. A typical treatment session lasts 20 minutes. Adley recommends patients wear compression hose for 2 wks after the treatment session.

Who Does The Injections & How Are They Performed?

Adley or Dr. Vinas will perform a Doppler exam & determine if you are a good candidate for sclerotherapy. Your skin will then be prepped with alcohol and the spiders & small veins will be injected with Asclera that is mixed with a local anesthetic. Adley and Dr. Vinas use a fiber optic light- “The Vein Light”- to ensure the greatest accuracy with each individual injection, performed while you are lying down.

Key Benefits of Sclerotherapy

  • no downtime
  • immediately resume work and all normal activities
  • compression hose is recommended
  • a safe, time-proven procedure.

Ambulatory Phlebectomy involves removal of your troublesome larger veins under local anesthesia. Adley DaSilva will numb the veins with a dilute local anesthetic and the veins are removed thru tiny incisions that are closed with butterfly strips. The leg (arm or hand) is wrapped for 1-2 days with your activity as tolerated. You will need to wear compression hose for 2 wks after the treatment session for leg vein injections.

How Much are Spider Vein Treatments?

The change for a 20-30 minute session is $350. We offer a discount when more than one session is performed on the same day. You may require multiple sessions, depending on your goals & the magnitude of your problem.

Will My Insurance Cover My Spider Vein Treatments?

No. It is regarded as a cosmetic procedure when it is not associated with problems with larger veins.

Benefits Spider Vein Treatments

  • out patient procedure
  • local anesthesia; little discomfort
  • avoids invasive surgery or laser
  • few side effects
  • minimal risk of scarring

Is Sclerotherapy Safe?

Yes! Adley or Dr. Vinas will use Asclera to treat your veins. This FDA approved product is very safe and has quickly become the preferred vein injection agent.

Does the Spider Vein Treatment Hurt?

Asclera has anesthetic properties so there’s minimal to no pain or discomfort with the injection.

When Will I See the Effects of My Treatment, and How Long Does it Last?

It may take up to several weeks for the treated veins to disappear. Once the veins disappear they won’t return. However, you will probably get more veins that will require treatment in the future.

What are the risks?

There’s a small risk of swelling or bruising at the injection sites, no different than any other injection. There’s a remote chance you can develop blood clots in your leg.

What limitations are there afterward?

There are no special precautions after undergoing sclerotherapy; you can continue with your daily routine. Support stockings are strongly recommended after the treatment.

Will I see Dr. Vinas again?

You will return for a complimentary follow-up appointment 2 wks after the treatment. By this time the maximum effect of your treatment will have taken place. Other veins can be injected at that time.

Other Considerations

  • Complete correction of your varicose veins is usually not to be expected
  • Only about 50 to 70% of the treated vessels will be permanently gone
  • One to three or more treatment sessions may be necessary, depending on the how many of your veins are to be treated.
  • Tiny clots or discoloration can develop at your injection sites which generally resolve in time
  • If you have an underlying problem with the venous system, the veins may recur
  • You could form new “problem” veins in other areas as you age.

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