Find a Vein Doctor
Search by State:
Search by ZIP Code:
Vein Experts Patient Newsfeed
Happy Easter! - 4/20/2014
Post Thrombosis - Patient has a question - 4/18/2014
Spider Vein Treatment
Spider Vein Treatment Options
Your First Appointment: Examination and Ultra sound?
Sclerotherapy - Most Times Used for Spider Vein Treatment
How Does Sclerotherapy Work?
Complications and Risks of Sclerotherapy
Complications and risks of sclerotherapy are rare but may include the following:
• Incomplete closure of the vein
• Allergic reaction
• Blood clot
• Scabbing or scarring
• Small skin ulcers
• Formation of new blood vessels
around treated area
You can return to your normal activities right after your treatment.
Some patients go back to work after being treated. Patients are told that they will look worse before they look better.
With sclerotherapy, there is always bruising and clotting of treated veins.
Some people clear up in 1- 2 treatments and some people require 5-6 treatments.
Post Sclerotherapy Care
• Resume normal activites as soon as you can
• Wear dressings or compression stockings as directed
• Elevate your legs as directed
• Walk every day
• Avoid strenuous activities as advised by your doctor
• Avoid hot tubs and whirlpools as advised by your doctor
• Protect the treated areas from sun exposure by using sun block
• Follow all instructions from your doctor
Complications of laser therapy are mostly related to skin damage but if done properly, this is rare. Patients with darker skin types cannot have laser treatment for veins.
Dr. Mark Schwartz shares before & after photos of red veins on the nose after using VeinGogh. Two treatments were used spaced 4 weeks apart using ice packs prior to application of VeinGogh.
Other modalities that can be used include Dornier 940 laser, which we use on larger blue veins on the nose, and intense pulsed light, which can be used for small red veins.
The disadvantage of IPL and laser is the need to avoid sun exposure.
With the multiple modalities that are available, it is still surprising that some practitioners use hypertonic saline or other sclerotherapy solutions.
Heat based modalities give you a much safer and quicker resolution of this problem.
Red Veins on Nose Copyright © 2013 Courtesy - The North Shore Vein Center
Spider Veins – Ohmic Thermolysis Treatment
Spider Veins – What Are They?
Spider veins, also known, as telangiectasias are small, dilated blood vessels that appear near the surface of the skin. Spider veins tend to be red or blue in color, and can be painful, itchy, and potentially bleed.
Traditional Treatment – Sclerotherapy
Treatment of spider veins traditionally involves the use of sclerotherapy. Sclerotherapy involves the injection of a liquid or foam solution into the spider vein, causing the targeted vein to clot, scar, and eventually shrink away. Multiple treatments can be necessary, and patients should expect bruising, discoloration, and clotting in the treated veins.
Ohmic thermolysis is a relatively new treatment for spider veins. In this treatment, a small needle is inserted into the vein. The heat that is produced causes the vessel to fuse together without damaging the surrounding skin. Relatively few complications exist with this procedure, and while tracts may be visible initially, they typically disappear within 2-6 weeks. Ohmic thermolysis is especially useful for spider veins that are difficult for sclerotherapy.
While sclerotherapy is still considered the “gold-standard” for treating spider veins, it may not be right for all patients. New advances in technology allow for alternative methods of treatment to be available to physicians. Ohmic Thermolysis is a minimally invasive treatment for spider veins that uses heat to collapse the vessel wall while leaving the outer layers unaffected. The VeinGogh Ohmic Thermolysis System combined with Bristle technology represent an optimal alternative method for the treatment of spider veins, increasing comfort for patients, and greater control for physicians.
VeinGogh- 'Bristle' Needle – 5/19/12
• Hypo- or hyper-pigmentation
• Slight bleeding
Intense Pulsed Light (IPL)
Surgical Chemical Ablative Technique (SCAT)
This technique is especially useful for larger spider veins. Approximately 5-10 minutes after sclerotherapy is done the area under the treated veins is numbed with a dilute concentration of xylocaine. The veins are divided at regular intervals using a micro-puncture technique. This technique allows for rapid resolution of spider varicosities with minimal staining.
Ron Bush, MD, FACS
Popular Vein Questions
Did you know?
One person is diagnosed with a blood clot every minute. One person dies from a blood clot every six minutes. Visit clotconnect.org to read more.