Addition to the main treatment
This volume is most often performed in the second stage after laser obliteration of the trunk: after the main vein is closed, the pressure in the tributaries drops, some of them collapse on their own, and the remaining ones are treated with sclerosant after a few weeks. This sequence is more economical and effective than trying to treat everything at once: some of the veins simply do not require intervention after eliminating reflux.
How does sclerotherapy work?
The sclerosant causes controlled damage to the inner lining of the vein. The vessel collapses, sticks together and within a few weeks turns into a thin cord that dissolves and becomes invisible.
The method does not require incisions or anesthesia, is performed on an outpatient basis and allows you to return to normal life immediately. However, it is not universal: large trunks with pronounced reverse blood flow are not treated with sclerotherapy - laser obliteration is needed there.
An important condition for success
Spider veins and small veins are often just the tip of the problem. If there is an incompetent feeding trunk underneath them, sclerosis of the superficial veins will give a temporary result: in a few months they will appear again. Therefore, duplex scanning before treatment is mandatory, and when reflux is detected, its cause is first eliminated.
What to expect after the procedure
- veins darken and become more noticeable in the first 2-3 weeks - this is normal
- slight bruising and compaction along the vein are possible
- the final result is assessed after 4–8 weeks
- Full effect usually requires 2–4 sessions