Sclerotherapy and Per-cutaneous Lasers
(nd:YAG and PDL)
The physicians at our Center commonly treat leg veins with sclerotherapy. Most small spider veins are best treated with this technique, which is a series of essentially painless injections directly into the unwanted vessels causing them to collapse and ultimately get reabsorbed by the body. When the spider veins are too small for sclerotherapy, a laser treatment will be used as an alternative. Most leg vein treatments will require both treatments to achieve the best results.
Asclera® (polidocanol) and hypertonic saline are the two solutions we use in sclerotherapy. Our providers will choose the safest and most effective solution based on each patients individual history and physical exam.
If you have varicose veins, you will most likely be sent to a vascular specialist to have a duplex ultrasound to evaluate for valvular incompetence in your leg veins. Valvular incompetence must be addressed first before proceeding with any leg vein treatment because all treatments will be ineffective until the valves are treated. The treatment for the valvular incompetence is endovenous laser or EVLT. It is a simple outpatient procedure performed by either vascular surgeons, procedural radiologist, or dermatologists who have Leg Vein Clinics. Once the valves have been treated, you can return to our office for sclerotherapy and laser treatments to treat the unsightly superficial veins. Normally, you will wait 6 weeks after an EVLT procedure before you proceed with sclerotherapy because some of the unsightly superficial spider veins may disappear on their own after the EVLT treatment.