I had sclerotherapy treatment in Feb 2011. Despite following directions to the letter, my spider veins are back. Why?

I had sclerotherapy treatment in Feb 2011. Despite following directions to the letter, my spider veins are back. Why?

ANSWERS FROM DOCTORS (4)


4 years ago by Nu Vela Esthetica

Probably the underlying deeper "feeder" vein that generate those spider
veins were not treated. Those feeder veins are often difficult to see and
treat with ordinary light, unless the doctor uses a special deep penetrating
light source when performing sclerotherapy. There are other reasons
for failure, including using a weak and ineffective solution, poor
technique, etc

4 years ago by Nu Vela Esthetica (View Profile)

Probably the underlying deeper "feeder" vein that generate those spider
veins were not treated. Those feeder veins are often difficult to see and
treat with ordinary light, unless the doctor uses a special deep penetrating
light source when performing sclerotherapy. There are other reasons
for failure, including using a weak and ineffective solution, poor
technique, etc


4 years ago by Vein Specialties of St. Louis

Spider veins typically take a series of treatments for long term results. There could be several reasons for your concerns.

Firstly, were the reticular (feeder) veins treated? In other words did your Sclerotherapist use a trans-illumination light (in a darkened room) to see if these were present?

Secondly, we inform our patients that an average area of veins can take 3-5 treatments at about 4 week intervals. This varies from person to person for many reasons (genetics, hormones, age, smoking, previous treatments etc).

Norman N. Bein MD FACS RVT

4 years ago by Vein Specialties of St. Louis (View Profile)

Spider veins typically take a series of treatments for long term results. There could be several reasons for your concerns.

Firstly, were the reticular (feeder) veins treated? In other words did your Sclerotherapist use a trans-illumination light (in a darkened room) to see if these were present?

Secondly, we inform our patients that an average area of veins can take 3-5 treatments at about 4 week intervals. This varies from person to person for many reasons (genetics, hormones, age, smoking, previous treatments etc).

Norman N. Bein MD FACS RVT


4 years ago by Vein Center at University Medicine and Cardiology

It is not uncommon for this to happen, even when you follow all instructions perfectly. You want to ensure there is no higher level of reflux present (confirmed with Duplex Ultrasound) in the Great Saphenous Veins or Small Saphenous Veins. This will make the success of sclerotherapy lower.
Repeat sessions are often necessary for reluctant veins, so your situation is not a rare one. It may be necessary to have follow up injections performed. You should discuss these concerns with the physician who performed the procedure.

4 years ago by Vein Center at University Medicine and Cardiology (View Profile)

It is not uncommon for this to happen, even when you follow all instructions perfectly. You want to ensure there is no higher level of reflux present (confirmed with Duplex Ultrasound) in the Great Saphenous Veins or Small Saphenous Veins. This will make the success of sclerotherapy lower.
Repeat sessions are often necessary for reluctant veins, so your situation is not a rare one. It may be necessary to have follow up injections performed. You should discuss these concerns with the physician who performed the procedure.


4 years ago by Vanish Vein and Laser Center

Sclerotherapy is a process and usually requires multiple treatments. You may need additional sessions to resolve your veins. Also, if you did not have any improvement after the initial treatment, you may require a venous ultrasound to evaluate underlying reflux.

4 years ago by Vanish Vein and Laser Center (View Profile)

Sclerotherapy is a process and usually requires multiple treatments. You may need additional sessions to resolve your veins. Also, if you did not have any improvement after the initial treatment, you may require a venous ultrasound to evaluate underlying reflux.


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