It's been 2 weeks since my first sclerotherapy treatment, and the area that was injected has new spider veins?
The treatment of spider veins is a process. It is impossible to eradicate all spider veins with one treatment and sometimes new veins can form after injecting. This is called neovascularization. Usually these new veins will resolve spontaneously over time. If new veins continue to develop then a reflux utrasound would be important to obtain. You should follow up with your vein care specialist.
Published on Jul 11, 2012
It may just be inflammatory and temporary but an ultrasound evaluation can show if you have underlying venus reflux, or leaking veins which may contribute to this. These deeper leaking veins need to be treated prior to treating the spider veins. I also recommend using compression stockings for two weeks after sclerotherapy to reduce complications such as this.
Ronald Lev, MD
Published on Jul 11, 2012
Your surgeon should perform an ultrasound to see if there are any small "perforator" veins feeding into this area. Spider veins should be treated, including the "feeder" reticular veins below. These can cause new veins as blood continues to push into the areas. Additionally, you should wait about 4 weeks before any further treatments
Published on Jul 11, 2012
Have the treating physician evaluate them.
Published on Jul 11, 2012
Have you had a thorough evaluation for venous insufficiency? i.e., venous duplex ultrasound
Published on Jul 11, 2012
Give it at least six weeks from the time of treatment. It takes at least 6 weeks to see resolution of spider veins. Then, you have to compare your legs to pre-sclerotherapy pictures of your legs to truly assess what is new and what was pre-existing.
Published on Jul 11, 2012
In general 2 weeks is a very short time and takes longer for veins to resolve after sclerotherapy. On the other hand some spider veins can be "stubborn" and need more than one injection. Be patient.
Dr Farhy
Published on Jul 11, 2012
Occasionally, smaller veins can recur after injections. These may be a sign of valve problems in the veins below, occasionally as well.
They can be treated if they occur sometimes with reinjection or even possibly the veinwave device.
See your provider for your options.
Michael D. Ingegno, MD
Published on Jul 11, 2012
You should go back to the doctor who injected you. You may have matting. You may just need more injections.
Published on Jul 11, 2012