Sclerotherapy is an effective and minimally invasive treatment of varicose and spider veins. It is also known as spider vein treatment. This procedure involves the injection of a solution directly into the affected veins, causing them to shrink and eventually disappear.
Varicose veins treatment can improve the symptoms of venous insufficiency. This therapy is the primary treatment for small varicose veins in the legs. It relieves some of the spider veins symptoms, including ache, burning, swelling and night cramps.
Spider vein treatment typically results in the elimination of up to 50 to 80 percent of varicose veins that are injected with the treatment solution. It is a minimally-invasive procedure that ensures minimal recovery time as the treated veins tend to fade within a few weeks.
Otherwise healthy people with venous insufficiency that is poorly controlled with compression stockings are the best candidates for sclerotherapy.
The eligibility of the candidate is decided based on the overall health of the patient and the area requiring treatment, in addition to the reason behind the clot in the vein. The dermatologist helps select the correct chemical sclerosing agent, which is then injected into the blood vessel to make it collapse.
This treatment is not suitable for pregnant women and females on birth control pills. Selected veins may not be treated using sclerotherapy if that vein could be put into use during future heart bypass surgery.
Sclerotherapy is performed in an outpatient procedure, under the supervision of an expert dermatologist or a cosmetic surgeon. In rare cases, patients may require hospital stay following the procedure.
During sclerotherapy procedure, a selected salt solution is injected directly into the vein with the help of a fine needle. This solution typically contains two sclerosants, namely sodium tetradecyl sulfate and polidocanol (Asclera).
The solution is usually in the liquid form. It works by irritating the lining of the vein, causing it to swell and block the flow of blood. Finally, the vein will become a scar tissue and disappear after some time.
Sometimes a foam version of the solution may be used, usually when a larger vein is involved. Foam is preferred over liquid in this case because it tends to cover more surface area than liquid.
You may experience mild discomfort and cramping for one to two minutes during the procedure, especially when larger veins are injected. Spider vein treatment usually takes approximately 15 to 30 minutes. The number of veins injected in one session depends on the size and location of the veins.
After the procedure is done, your doctor applies compression and massages the area to keep the blood out of the injected vessel and disperse the solution.
There are several variations of the sclerotherapy procedure. The doctor may decide to use laser or ultrasound during the procedure for better guidance and results. The sclerotherapy cost for such procedures is higher than simple injection approach.
You will be able to get up, walk around, and drive yourself home after sclerotherapy procedure. You can resume your regular daily activities on the same day of the procedure. Walking and moving your legs are encouraged to prevent the formation of blood clots.
After sclerotherapy, you will be instructed to wear support hosiery or bandages to "compress" the treated vessels for about two weeks. Your doctor will probably advise you to avoid strenuous exercise and exposing the treated area to the sun for two weeks after the procedure.
In addition, your doctor will ask you to avoid aspirin, ibuprofen, or other anti-inflammatory drugs for at least 48 hours. Tylenol may be used if needed. Usually, it takes three to six weeks to respond, and larger veins respond in three to four months. Spider veins or varicose veins will not reappear if the treated veins respond to sclerotherapy.
Usually, sclerotherapy works for most of the patients, but there is no guarantee for success. Any procedure where the skin is penetrated carries a risk of infection. But the chances of infection requiring antibiotic treatment is estimated to be less than 1 in 1,000.
A few patients may experience bruises, leg pain, blood trapping, and raised and red bumpy skin after the surgery. You must inform your surgeon if you notice any of these side effects.
Besides these, some allergic reactions to sclerosing solutions and local anaesthetics can also occur. They can be serious, but they are extremely rare. A different solution can be used for subsequent treatments when allergic reactions occur.
The average cost of sclerotherapy for spider veins in Malaysia is around 240 USD per session. The number of sessions required by an individual varies from patient to patient. Sclerotherapy may be a non-laser and non-surgical treatment for spider and varicose veins. During the procedure, the doctor injects a solution into the veins, causing them to scar and close. The blood within the spider veins then flows to other healthy veins, helping the spider veins to dissolve. At the back of the thighs, there are spider veins or varicose veins which are visibly enlarged veins. These veins often appear dark purple or blue in color, and sometimes look twisted and bulging. Varicose veins or spider veins are usually treated with the help of the sclerotherapy procedure.
Sclerotherapy is performed as a daycare procedure. Staying in the hospital is only required in rare cases. For the sclerotherapy procedure, a fine needle is used to inject a sclerosing agent in solution form, into the veins to be treated. Sodium tetradecyl sulfate and polidocanol (Asclera) are the two sclerosants that are usually used in the solution. The solution is usually in liquid form. It works by treating the lining of the vein, causing it to swell and block the flow of blood. Finally, the vein will become scar tissue and disappear after some time. Usually, when a larger vein is involved, a foam version of the solution may be used. The foam tends to cover more surface area than liquid and is preferred over liquid in this case. Mild discomfort and cramping for one to two minutes is experienced during the procedure, especially when larger veins are injected. It takes approximately 15 to 30 minutes for a spider vein surgery. The number of veins injected in one session depends on the dimensions and site of the veins. Compression and massages are recommended by the doctor after the procedure. There are several variations of the sclerotherapy procedure. For better guidance and results the doctor may decide to use laser or ultrasound during the procedure. The sclerotherapy cost for such procedures is above the simple injection approach. Few factors that affect the cost of spider veins in Malaysia include parameters such as
consultation with the doctor,
the anesthesia required (only in rare cases),
the number of sessions required,
degree of damage to the veins,
site of injection - thighs, calves, ankle, feet, face (frequently the sides of the nose),
location of the clinic,
surgeons’ fee and
the type of treatment.
These are some of the top clinics in Malaysia for spider veins treatment -
Dr. Wee Clinic
The LifeStyle Clinic
Sand's End Aesthetics
Dermlaze Skin Laser and Aesthetics Clinic
Terry Lee Clinic Ipoh
Klinik Primer Kota Bharu
Nazirin Skin Clinic
Premier Clinic (Bangsar)
These are some of the best surgeons for sclerotherapy in Malaysia -
Dr. Wee Chian Chuan
Dr. Alan Wong
Dr. Chong Clinic
Dr. Hog Kar Fong
Dr. Jaswinder Singh
Dr. Chiam Meng Li
Dr. Peter Ching
Dr. Wong Jinly
Dr. Nigel Ong Tat Wai
Dr. Jeff Khoo Yong Pheng
The success rate of sclerotherapy in Malaysia is around 85%, however, the percentage can be higher if it is performed by board-certified plastic surgeons. This should be kept in mind that not every patient is suitable for sclerotherapy. So it is best to consult with a surgeon before proceeding.
The popular hospital groups in Malaysia are:
These hospitals have state-of-the-art infrastructure and are well-equipped with advanced technologies. With a two-tier healthcare system in Malaysia, the hospitals are highly advanced because of extensive support from the Malaysian government through investment in medical infrastructure. Malaysian Hospitals, with well-trained staff and excellent facilities, are on par with well-developed countries and have shown significant improvement in the last ten years.
The healthcare systems in Malaysia receive accreditation from Malaysian Society for Quality in Health (MSQH) and JCI. Malaysia has 12 JCI-accredited hospitals and they fully adhere to the global standards set by the organization. MSQH, which promotes safety and quality in the healthcare services in Malaysia, has entered into partnership with Malaysia’s Ministry of Health, Association of Private Hospitals Malaysia and Malaysian Medical Association. There is a lengthy evaluation process for granting accreditation to a hospital in order to ensure international standards are met.
One of the leading medical tourism destinations in the world, Malaysia boasts of having a strong healthcare system supported by public-private healthcare collaboration and governmental participation. Slowly overtaking many other countries as a medical tourism destination, Malaysia is offering affordable healthcare services with cutting-edge technology and skilled professionals. With world-class hospitals, Malaysia has made great achievements in the field of IVF and cardiology. Besides providing world-class treatment, Malaysia also offers an excellent travel experience through its food, cultural diversity, and heritage spots.
Most of the highly-trained doctors in Malaysia are trained internationally before returning to work in their home country. Producing one of the finest doctors in the world, Malaysia has a strict evaluation system in place to ensure that the country has quality doctors with a high level of professionalism. Doctors in Malaysia have received worldwide recognition for their high success rates in IVF and cardiac procedures. Medical tourists under Malaysian Healthcare Travellers Program (MHTP) are eligible for applying for eVISA for traveling to Malaysia and living in the country for a period of 30 days.
Malaysian Healthcare Travellers Program (MHTP) allows all medical tourists to apply for eVISA for traveling to Malaysia and residing there for a period of 30 days. eVISA remains valid for 3 months and it can be availed through online platforms. To apply for an eVisa, a candidate will require:To apply for an eVisa, a candidate will require:
Two attendants can accompany the patient to Malaysia under Medical Attendant Visa.
Some of the most popular treatments available in Malaysia include cosmetic surgery, dental work, vitiligo treatment, cancer care, discectomy, prostate surgery. Malaysia has reached a great height in cancer treatment through gene therapy which has many benefits, such as minimal adverse effects of current chemo-drugs, shorter treatment time, and reduced treatment costs. With a high success rate of 55 to 60, IVF in Malaysia is much affordable and performed using the latest technology. Malaysia has also reported great achievements in orthopedic surgeries and some of the popular procedures include hip replacement, shoulder replacement, knee replacement surgery.
Malaysia has some top cities having world-class hospitals, such as:
The cities in Malaysia deliver a world-class treatment experience through their superior hospitals backed with state-of-art infrastructure and talented doctors. A large number of medical tourists visit Kuala Lumpur and Penang every year because of several reasons like the availability of reasonably-priced hotel rooms, better transportation systems, and connectivity through airlines. A large number of hospitals, scenic value, rich culture, availability of translators, and safety of tourists also contribute to the popularity of these cities in medical tourism.
A medical tourist traveling to Malaysia needs to get below vaccines:
Before traveling to Malaysia, it is suggested to get pre-exposure vaccination against rabies. Also, children are more at more risk. Make sure you get vaccinated for Japanese encephalitis before you travel to Malaysia because this is a common disease there. Anyone traveling to Malaysia from a region with a high risk of Yellow Fever, he/she needs to produce International Certificate of Vaccination.
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