The Sclerotherapy has been used for years in order to eliminate the small varicose veins and the dilated capillaries of the lower limbs. We strongly advise you to make an assessment of the venous circulation through a simple Doppler examination before undergoing the therapy .
Once located the vein that causes the reflux we inject within the same, or within the surrounding varices a particular liquid, with a variable concentration , which will cause an irritation of the vessel wall and the subsequent formation of a clot with the closure of the vessel itself. The closed vessels during the following weeks will be slowly reabsorbed and so no more visible. The blood is then diverted to a surraunding healthy and functioning vein
At the end of the therapy will be important to carry out a compressive action on the limb to keep the treated veins closed and crushed. To this end, for smaller blood vessels may be sufficient a compression stocking or otherwise, for the larger varicose veins , you will need to place a bandage for 2-3 days
they perfected a new technique of sclerotherapy a few years ago by the use of a so-called "mousse". This new method is suitable for larger veins. The foam or "mousse" has the consistency of the shaving cream and is produced with the same liquid which was used previously for the therapy. In this way the treatment while making use of lower doses turns out to be much more effective. In fact the foam, injected into the varix, moves the blood that is into the vein allowing to the sclerosing agent to be in direct contact with the wall of the vein for a prolonged period of time without any dilution effect. This greatly increases the therapeutic efficacy.
The capillaries will not immediately disappear , but can be even more visible due to the phlebitic effect caused by the sclerosing liquid. Therefore at first they are a little inflamed , then become brownish (color due to the clot inside ) then, as it happens for the hematomas , light green and finally disappear. Generally it lasts 2 and 3 weeks. Sometimes, the largest varicose veins , mantain a dark color for a few months.
The number of sessions required will vary from patient to patient depending on the number of veins to be treated, by their size and by the level of aesthetics that you want to achieve
The sclerotherapy is definitely indicated for all telangiectasis , big highly branched capillaries , in particular the blue one , and for small and medium varices . It is less suitable for the red and very thin capillaries, . For these kind of capillaries, both of the face (couperose) and of the legs, the laser can be more effective.