Sclerotherapy involves injecting a
solution into the vein with a very fine needle to cause inflammation
and collapse. Once the vein has collapsed, no blood can re-enter and
the vein is absorbed by the body's natural responses. Laser
treatments such as
Vbeam,
Diolite
or Gentle Yag are often also used. Lasers destroy the veins
through absorbed heat from the laser beam.
Sclerotherapy requires 15 to 30 minutes
depending on the number of areas being treated. No sedation or
anesthesia is needed. Patients may experience mild temporary cramping
during the injection as the solution enters the vessel. This sensation
resolves within minutes. Injection sites are covered with gauze and
tape, and the legs are usually wrapped with an elastic wrap. Patients
are encouraged to walk immediately after the procedure, and the wrap
is removed in 24 hours. No wound care is required. The treated vessels
gradually disappear over the following month.
Sclerotherapy is a safe procedure with
few significant risks. Less than 5% of patients experience even minor
adverse effects. The most common complication is the development of
brownish pigment in the treated area, similar to a freckle, which
usually disappears within two to six months. If the veins are
unusually weak, there may be some temporary bruising around the
injection site. Patients may develop a tiny scab at the injection site
if any of the solution escapes from the blood vessels. The scab is
treated with an antibiotic ointment until it clears. There is little
risk of infection or bleeding from Sclerotherapy.
It will depend on the severity of the condition and the extent of
improvement desired. Most patients can expect a 50 to 90 percent improvement
after several treatments. To guarantee success and counteract the
appearance of new spider veins, touch-up treatments may be required
every year or so.
After the procedure, the patient returns home wearing a pressure dressing
and/or pressure hosiery to prevent post-injection bleeding, as well
as to promote healing.
A healing interval (typically one
month) must pass before you have another series of injections in the
same site. After each treatment, you will notice further improvement
of your appearance.
Most patients require more than one treatment to
obtain the desired results.
Photo of
Facial Veins Treated by Laser (Vbeam)
Candela Vbeam Video (Broadband Connections)
Candela Vbeam Video (Dial Up Connection)
Photo of
Facial Veins Treated by Diolite
2008 © Total Dermatology is one of Southern California's top laser dermatology centers offering
laser treatments for
sundamage,
pigmentation,
acne and acne scars
and
Fraxel CO2 laser for 3 in 1 skin rejuvenation. A Nonsurgical Nose Job is possible with simple injections of Radiesse.
Dr. Pilest, a Board Certified dermatologist and one of Orange County's most
popular cosmetic dermatology specialists, offers patients in Orange County a wide variety of
wrinkle fillers such as
Restylane,
Juvederm,
Cosmoderm and Cosmoplast,
Radiesse (also known as Radiance), and
Sculptra. Dr. Pilest treats patients from the Newport Beach, Irvine, Laguna Beach, Laguna Hills,
Tustin, Mission Viejo and Orange County area as well as cities throughout California, the United States and abroad.
He is recognized as a master level injection specialist and is a national
teaching faculty member for Bioform Medical. Dr. Pilest is well known for his
expert treatments in managing
Rosacea,
acne, and
hyperpigmentation.
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What happens after the procedure?
