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.
Sclerotherapy can be a mode of non-laser and non-surgical treatment for treating spider and varicose veins. During this 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. Behind the thigh region, 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. Sclerotherapy is a kind of procedure that is used very commonly to treat varicose veins or spider veins. The average cost of sclerotherapy for spider veins surgery in Singapore ranges from 5000 USD to 7000 USD and it may vary from patient to patient. It is hard to give the exact cost of sclerotherapy, as it will also depend on the extent of spider veins that need treatment, the doctor’s fee for consultation, and ultrasound testing of the veins.
There are a variety of things that a doctor will take under consideration to check whether the patient is an appropriate candidate for sclerotherapy, these include the medical records and therefore the presence of pre-existing problems with blood coagulation. A patient can even be considered as an unsuitable candidate for the procedure if they are pregnant or have heart disease. The region being treated is another factor to be taken under consideration, as veins near the guts cannot be treated with sclerotherapy. This is because these veins might be needed for bypass surgery in the future. During the initial consultation, you need to inform your doctor if you are on any medication or if you are taking supplements on a regular basis. Patients are generally advised to avoid anti-inflammatory drugs before a procedure. The process of getting sclerotherapy is fairly simple; the vein is injected with a salt solution. Like any injection, there is going to be minor pain and a little temporary discomfort at the location of the injection. A session can take about half an hour and if there are multiple veins that are being treated; the doctor might recommend performing the treatment in multiple sessions. Most people see a big improvement in their condition after a session. Removing all traces of spider veins from the skin by sclerotherapy can restore confidence.
Here are a few factors that commonly affect the cost of sclerotherapy in Singapore -
Type of surgery - The approach that is used for the surgical procedure.
The time required - It can last for nearly 15- 45 minutes.
Consultation fees of the surgeon, consultant, and the team involved for the procedure.
Hospital and surgical facility costs
Depending on the severity of veins - Usually, 2-3 sessions are required. Several sessions are required to completely eliminate all the varicose or spider veins.
Type of solutions used
sodium tetradecyl sulfate
hypertonic saline solutions
Depending on the size of the damaged veins the following regions are treated
face (frequently the sides of the nose)
These are some of the best clinics for spider veins treatment in Singapore -
Vascular Surgeon Singapore
The Vascular & General Surgery Centre
Dr. Leo Plastic & Reconstructive Surgery - Plastic Surgeon in Singapore
Vein & General Surgery Clinic
Novena Vascular & Varicose Vein Centre
Vascular & Interventional Centre
Vascular Care Singapore - Vein Clinic
Dr. Priya Sen Skin and Laser Centre
LS Aesthetic Clinic
The Vein Clinic
KCS Medical Group
Dr. Eileen Tan
These are some of the best surgeons for sclerotherapy treatment in Singapore -
Dr. Donald Ng
Dr. Christopher Ng
Dr. Regina Zuzarte-Ng
Dr. Candice Wang
Dr. Ivan Tan Khee Hon
Dr. Anita Soosay
Dr. Joyce Lim
Dr. Priya Sen
Dr. Eileen Tan
There is a 90% success rate of surgery and improvement in people who have undergone sclerotherapy in Singapore. It might take up to four months for larger veins to heal and disappear while smaller veins will disappear in around 6 weeks. The veins wither away and therefore the condition is extremely unlikely to recur in treated veins. Despite taking precautions, one cannot guarantee that sclerotherapy will prevent the condition from occurring in new veins. The procedure has been refined over the years and it is now considered a highly safe and effective means of treating varicose veins. If you have got medical reasons for getting sclerotherapy, like prolonged swelling or pain within the extremities, it's possible to urge coverage for the procedure.
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