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I've had four sclerotherapy treatments for clusters of spider veins that have not improved. I was wondering if laser therapy would be more beneficial, but I did not want to go too soon after my last sclerotherapy session.
You are describing a treatment failure. Reasons could be many, like
untreated underlying feeder veins, unrecognized perforator vein with reflux,
use of ineffective solution /concentration or technique. A reputable
phlebologist should be able to help.
Raffi Dishakjian, M.D.
I haven't had much success with laser for these veins, veinwave may be an option after a few weeks
Michael D. Ingegno
If sclerotherapy is successful, you shouldn't need laser therapy.
Any procedure at the same time can increase pigmentation. You should
wait until pigmentation from sclerotherapy has disappeared.
Would give it at least a month.
If your spider veins haven't improved after sclerotherapy, it is unlikely that you will see much in the way of results from laser alone.
If your Sclerotherapist treated the underlying "feeder" or reticular veins using trans-illumiation to see them, you should have seen more results. Left untreated your surface spider veins will most likely re-open or not resolve.
In our practice we may start with some topical laser and follow it, immediately, with sclerotherapy. In a series of treatments (3 - 5) we usually have very good results. We would also recommend you have an ultrasound examination to see if there isn't anything deeper causing this resistance to treatment. This is just a quick scan and is usually complimentary by most vein specialists.
Norman N. Bein MD FACS RVT
Some physician perform sclerotherapy and laser at the same time. You don't have to wait.
As a rule, laser therapy on leg spider veins works very poorly, is painful and requires multiple treatments. Before you start this alternative, I would recommend several things- have a venous reflux exam to look for a source of reflux causing the veins, use a stronger sclerotherapy solution and make sure that your prior treatments were adequate. You should wait 4 to 6 weeks between treatments.