What should you do after a sclerotherapy session?

June 27, 2020

Eliminate Spider & Varicose Veins
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We understand that patient’s are rightly concerned about getting the right diagnosis and treatment for vein disease. Your vein health is incredibly important and having an experienced vein doctor can be the difference between relief and disappointment. To that end, we have put together this simple guide to help you find the best vein doctor for spider and varicose vein treatment.


What should you do after a sclerotherapy session?

Sclerotherapy is the primary treatment for spider veins and is very effective.   Despite the simplicity of the procedure, there are few good tips to follow post-procedure to ensure the best outcome:

  • Stay active!   Take frequent walks during the first few days to encourage proper new circulation
  • Wear compression stockings as directed by your vein doctor.  Studies demonstrate improved cosmetic results with at least 1 week of compression post-treatment
  • Avoid anti-inflammatory medications including aspirin, ibuprofen or naproxen.
  • Avoid long, hot baths, whirlpools and saunas
  • Avoid strenuous exercises for 1 week following injections
  • Avoid direct exposure to sunlight and stay out of the tanning bed.  Use proper sun protection with SPF >50 for the first few weeks.
  • Do not apply a hot compress or any other form of heat to recently injected areas


Is there any benefit to topical agents post-sclerotherapy?

We do not routinely prescribe topical agents after treatment, however, there are certain instances to consider a trial.  Sclerotherapy is injected into the spider and varicose veins as a chemical irritant.  However, this can be associated with hyperpigmentation especially in larger veins where the sclerosant can trap the blood inside the collapsed vein.   Blood contains hemosiderin which can leak out of the treated vein into the surrounding tissue. Oxidation of these pigments can cause bronzing of the skin (hemosiderin staining), which can last up to 12 months.  It’s difficult to predict who will be prone to staining, however with proper technique, the occurrence can be minimized.   For this reason, it is important to wear compression stockings post-treatment and follow up as recommended with your vein specialist.   During your visit, your doctor will also be able to determine if any topical agents are advisable.  Most commonly, medications containing hydroquinone have been prescribed for skin lightening directly targeting melatonin producing skin-cells. The medication is for short-term use only and is generally well-tolerated, though efficacy is not proven.  Any potential side effects of hydroquinone-containing medications should be discussed with your treating physician.  Exfoliants such as chemical peels can also be considered but carry a risk of causing inflammation and potentially further pigmentation.


What about natural substances?

More recently, a natural fade substance, Sclerolucent was developed by VenaSmart that combines Alpha Arbutin, Jojoba Oil, Squalane and Sodium Hyaluronate in a proprietary non-hydroquinone skin-brightening blend.   Sclerolucent can reduce hyperpigmentation and fade bronzing and skin discoloration while nourishing and conditioning the skin.  Should I purchase over the counter creams or pain relief medications?

Although there is little downside to trying alternative treatments, we still recommend that you discuss any new treatment with your vein specialist first.

In Summary

Finding the right vein specialist is the most important step towards getting the right diagnosis and treatment. The Vein Specialist Centers are a premier destination for spider and varicose vein treatment. Our team of vein specialists have been carefully selected based on their training background, reputation, and favorability rating with patients. The experience has been great for our patients and we look forward to helping you. Contact us today to schedule your consultation.

CONTRIBUTING SPECIALIST

Dr. Brotman O’Neill

Harvard Trained | Vascular Surgeon / Vein Specialist

Dr. Alissa Brotman O’Neill is an accomplished vascular surgeon and vein specialist and skilled in applying cutting-edge, minimally-invasive endovascular technology of the aorta and peripheral arteries.

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    560 Northern Blvd #204A
    Great Neck, NY
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