The Down-Low on Sclero

I have been effectively treating veins with Sclerotherapy for years, both at West Derm Center with Dr. Philip Fried. “Sclerotherapy” sounds complicated, but it’s actually a pretty simple procedure and often much more effective than laser treatments. It involves injecting the veins with a solution that causes the vein to collapse, forcing the blood into healthier veins. It can be incredibly effective for spider veins and smaller varicose veins.

Sure, no one likes getting poked with a needle. But the syringe is very small, and if you’ve ever had laser treatments, you know that can hurt a whole lot more! Sclerotherapy is a relatively painless procedure. In fact, I’ve been told the worst part is having to wear compression stockings after – they’re a pain in the butt to get on!

If you come into either of my offices for Sclerotherapy, here’s what you can expect: You’ll change into a gown so your legs are exposed. After preparing the Sclerotherapy solution – which is a mixture of glycerin and lidocaine – we will sterilize the area with rubbing alcohol. Each vein will be injected with the solution, which can be a tad uncomfortable but isn’t painful. Depending on the number of veins being treated, the procedure can take only a few minutes. Afterwards, your legs will be wrapped with an Ace bandage for immediate compression.

For the next week, we recommend that you wear compression tights, stockings or knee-highs, depending on the area that has been treated. It’s best to wear them all day, as the compression helps with healing and makes the procedure more effective.

Following Sclerotherapy, you’ll notice that the veins may appear darker and bruises will develop. This is totally normal! In 3-4 weeks, you will start to see dramatic improvement in the appearance of veins. Smaller veins may respond to one treatment, but it often takes 2-3 sessions to achieve the desired result.

I highly recommend Sclerotherapy for vein treatment, as it’s less costly than laser treatment. Feel free to call the office if you have any questions. After all, it’s just about time to get those shorts out for summer!

Jessy Ayala PA-C Dermatology and Cosmetic Physician Associate

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