MicroSclerotherapy (Leg Thread Vein Removal)
What is MicroSclerotherapy?
Microsclerotherapy is used to treat small to very small veins on the legs. Microsclerotherapy involves injecting a “sclerosant” directly into each vein with very fine needles. Multiple treatment sessions may be required for complete removal. Most patients can expect at least a 70 – 100 percent improvement in the appearance of their legs. This may take up to 3 months depending on the number & density of veins.
How does the treatment work?
You will lie down on a treatment couch. Using very fine needles a solution is injected into the spider veins. This irritates the lining of the vein causing the two opposing sides to stick together. You will rest for several minutes after the injections with the leg elevated and then be asked to put on your compression stockings. You should keep the leg elevated as much as possible for the first 24 hours. Maintain normal daily activities, but avoid standing still for long periods.
Compression stockings are an essential part of treatment, as they:
- Reduce pigmentation
- Reduce the number of treatment sessions needed
- Reduce the risk of deep vein thrombosis
- Reduce the frequency of recurrence.
Depending on the treatment performed, the length of time that the stockings will have to be worn for will vary. You will be advised at the time of treatment. If smaller thread veins are treated, then the stockings should be worn for 3 days continuously and 4-7 days during the day only.
Compression stockings can be purchased via the following links. Please note, local chemists can measure your leg and order stockings which can take up to 72 hours to arrive so please ensure you purchase well in advance of your appointment. You will need compression Grade 1 stockings. Flight stockings are also useful but most are ‘below knee’ & most people will need full length stockings depending on the location of the threadveins.
An example treatment process can be viewed here:
Chest Sclerotherapy (chest vein removal)
What is Chest Sclerotherapy?
Visible veins on the chest can be easily treated with Sclerotherapy. The treatment used is the same as Microsclerotherapy and is virtually painless. The sclerosant injected encourages the body to absorb the veins back into the body to remove them from sight. This is an effective treatment with results usually lasting for several years.
What to expect after microsclerotherapy and chest sclerotherapy treatment
Usually the veins look worse for a period of time before they start to look better. Improvement is usually seen in a couple of weeks but this may take up to 6 – 12 weeks to show the maximal effect.
Are there any side effects?
Overall microsclerotherapy is a safe, effective & well tolerated treatment. It produces excellent cosmetic results and side effects are mild and temporary. However as with all medical & injectable procedures, there are some potential risks which you need to be aware of listed below.
- Potential side effects related to using a needle for the procedure include:
- Temporary discomfort – v brief, can be reduced with emla cream. The degree of discomfort is partly related to the initial size of the veins. This is usually improved by walking, paracetamol or Ibuprofen. Soreness can occur behind the knee from rubbing by the bandage or stocking.
- It can feel itchy afterwards – an antihistamine e.g. cetirizine or piriton is useful to ease this
- Redness at the site (typically 20 – 40 minutes post procedure)
- Bruising (fades within 1 week – maximum of 2 weeks)
- Swelling (common, up to 48 hours after treatment)
- Infection (very rare, approx. 1 in 100,000 patients)
- Potential side effects related to injections with Sclerovein include:
- Incomplete resolution. Most veins will require 2-3 treatment sessions.
- Allergic reaction / hives appearance. Normal and settles over 24 hours
- Pigmentation (1:10). Most disappears within 3- 12 months.
- Reduced blood pressure / fainting during the procedure – Please let the Dr know if you feel faint. Do not try & stand up!
- Swelling of the leg or ankle (2 in 100). Can appear for a few days post procedure.
- Deep Vein Thrombosis (DVT). 1 in 2000 treatments. Blood clots extending into the deep veins can occur. Please let us know ASAP if you develop a red swollen tender calf area.
- Ulceration (rare)
- Nerve injury (3:1000) Irritation of surface sensory nerves, settles in 2-4 weeks.
The results from treatment to individual veins area permanent but it will not prevent more thread veins developing in the future.
The following advice is intended to help ensure the best results from the treatment, and to minimise the occurrence of side effects. The closer you adhere to this advice, the happier you will be with the results.
- Take a 10 minute walk immediately following treatment.
- Wear the support hosiery (full length) day and night for 3 days (72 hours). Wearing the support hosiery constantly is crucial – it may be a nuisance but it makes all the difference!
- You can take it off for short periods to have a cool shower or bath.
- Do not be alarmed if the treated areas look worse when you remove the hosiery – this is completely normal at this stage.
- Wear the hosiery during the day for a further 5 – 7 days if possible, removing it overnight.
- Avoid extremes of temperature for 14 days i.e. very hot baths, saunas, sun beds, ice-packs.
- Avoid sun exposure for 4 weeks – pigmentation may be enhanced and take longer to fade.
- Avoid high impact exercise for at least 2 weeks.
- Avoid waxing of the legs for 4 weeks.
- Elevate your legs as much as possible for the first two weeks.
- Do not take long-haul flights within 4 weeks of treatment & short haul for 2 weeks after treatment.
Prices start from £120 depending on the number of vessels & time spent doing the treatment.
Appointments at The Fulham Clinic: 07522 762355