Name of the Procedure:

Injection(s) of Sclerosant for Spider Veins (Telangiectasia), Limb or Trunk
Common name(s): Sclerotherapy

Summary

Sclerotherapy involves injecting a sclerosant solution directly into spider veins on the leg or trunk to cause them to collapse and fade. The procedure is minimally invasive and typically performed in a healthcare provider’s office.

Purpose

Sclerotherapy is used to treat small, visible veins near the surface of the skin known as spider veins or telangiectasia. The goals of the procedure are to improve the appearance of the affected areas and alleviate any associated symptoms like aching or swelling.

Indications

• Visible spider veins on the legs, thighs, or trunk
• Symptoms such as aching, swelling, or discomfort associated with spider veins
• Cosmetic concerns about the appearance of spider veins

Preparation

• Avoid taking aspirin, ibuprofen, or other anticoagulants for 48 hours before the procedure, as these can increase bleeding risks
• Wear loose, comfortable clothing
• No specific fasting is required
• An ultrasound may be performed to assess the veins

Procedure Description

1. The area to be treated is cleaned and sterilized.
2. A fine needle is used to inject the sclerosant solution into the spider veins.
3. Multiple injections are usually performed in one session.
4. Compression bandages may be applied post-injection to aid in vein closure.
5. The patient may need to walk immediately after the procedure to promote circulation.

Duration

The procedure typically takes 30 minutes to an hour, depending on the number of veins treated.

Setting

Sclerotherapy is usually performed in an outpatient clinic or a medical office.

Personnel

• Board-certified dermatologist or vascular specialist
• Registered nurse or medical assistant for support

Risks and Complications

• Common: Temporary redness, bruising, and mild pain at the injection site
• Rare: Blood clots, allergic reaction to sclerosant, skin ulceration, or infection

Benefits

• Reduction or elimination of spider veins
• Improved cosmetic appearance of the affected area
• Relief from symptoms like aching or swelling
• Results can typically be seen within a few weeks

Recovery

• Wear compression stockings for several days post-procedure
• Avoid heavy exercise and sun exposure for a few days
• Mild discomfort, redness, and bruising might last a few days to weeks
• Follow-up appointment may be scheduled to assess results and determine if additional sessions are needed

Alternatives

• Laser therapy: Non-invasive, uses light to target veins but can be less effective on larger veins
• Radiofrequency ablation: Uses heat to close veins but is more invasive
• Conservative treatments: Compression stockings and lifestyle changes, though less effective in reducing appearance

Patient Experience

• Some mild discomfort or tingling sensation during injection
• Minimal pain during and after the procedure, usually manageable with over-the-counter pain relief
• Gradual fading of veins over several weeks
• Normal activities can generally be resumed immediately, with some restrictions on heavy exercise and sun exposure