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Unsuccessful Sclerotherapy. Another Option for Vein Treatment?

You may be a good candidate for laser treatment for your leg veins. We frequently treat leg veins with laser and have a high patient satisfaction rate. Our laser is effective at treating broken capillaries and small spider veins to larger darker veins. Laser treatment, like sclerotherapy, may require several treatments and may make veins look worse before they look better (usually for less than 4 weeks). Unfortunately both sclerotherapy and laser treatment run the risk of worsening the appearance and neither treatment guarantees the veins will be gone for good.

Clinical Context

Laser treatment works differently than sclerotherapy. Sclerotherapy uses a chemical to irritate the vessel wall so it scars shut. Laser uses light absorbed by the blood inside the vein, heating it until the vessel wall seals. The vein doesn't disappear right away: it often darkens first as the treated blood breaks down, then fades over several weeks as the body clears it. Both approaches can require multiple sessions depending on vein size and depth.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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