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.
These thread-like veins are only 3mm in diameter and usually appear on the face and legs. They are called spider veins because they can take on a web-like pattern. This is how they derive the name. Small spider veins on the face and neck are usually red while the larger spider veins found within the legs appear blue. The veins themselves are translucent as the color comes from the blood traveling inside them. While these veins do not usually cause any harm, they can have an impact on a person’s appearance. The cost of spider veins treatment in South Africa starts at around 1300 USD and is billed per session. One session can last anywhere between 15 minutes to 30 minutes.
In order to perform sclerotherapy, a fine needle is utilized to inject a liquid agent (sclerosant) directly into the vein. This solution treats the inner lining (intima) of the vein, which causes total obliteration of the venous lumen. It is followed by compression with a decent bandage. To achieve this, the vein is injected while it is filled with as much blood as possible (for example, by elevating the leg).
The substances that are usually used nowadays are the hypertonic saline solution or sodium tetradecyl sulphate.
For the procedure of sclerotherapy, once the solution is injected, the adjacent tissues are wrapped using compression bandages and a dressing is given. This helps the venous walls to stay together. The vein later turns into the connective tissue that fades into the underlying structures. Both varicose veins and spider veins are treated with sclerotherapy. Usually, one treatment session is sufficient for patients. However, it varies for different individuals and cases based on the extent of treatment required. For all of those procedures, the quantity of pain sensation will vary, depending on the person’s general tolerance for pain, the extent of the treatment procedure, the region of the body that is being treated, complications involved, and other factors. No pain is felt during this procedure because the surgery is performed under anesthesia. After the anesthesia wears off, the patient will likely experience pain near the site of injection. For sclerotherapy, the degree of pain also will depend upon the dimensions of the needle used and which solution is injected. Most people find hypertonic saline to be a little painful as compared to other solutions. A burning and cramping sensation for several minutes can occur when it is injected. Some doctors mix a light local anesthetic with saline to minimize the pain. The cost of spider veins treatment in South Africa also depends on -
Consultation with the doctor
Anesthesia - It is required only in rare cases. It is usually performed as an outpatient procedure.
Number of sessions required
Degree of damage to the veins
Location of the clinic
Type of treatment
These are some of the best clinics for spider veins treatment in South Africa -
The Aesthetics HQ
Sunninghill & Waterfall Clinic
Derma Therapeutics Aesthetic & Cosmetic Clinic
Advanced Skin Solutions
SkinTx Medical Spa and Wellness Centre
Shaping You Laser Studio
Vivacite Aesthetic Medical
Med Aesthetics Sandton
Sandton Beauty Clinic
The Academy Of Plastic Surgery
These are some of the best doctors for sclerotherapy in South Africa -
Dr. Frikkie Rademan
Dr. Claire Jacobsohn
Dr. Y.V Popov
Dr. Johan Blignaut
Dr. Dawid Potgieter
Spider vein treatment procedures have more success rates all over the world including South Africa. It is usually around 85% to 90%. Most procedures take some time for a patient to recover, hence with regular exercise one can see improved results.
These are the most preferred cities for sclerotherapy in South Africa -
South Africa has several top-quality hospitals, such as:
Below are some of the parameters which reflect the quality of these hospitals:
South Africa is known to have strict government regulations for controlling the quality of care provided by the government and private hospitals. The hospitals have world-class doctors and top-notch infrastructure and provide a wide range of facilities to meet the needs of patients.
The healthcare system in South Africa is accredited by Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA). In order to ensure coordinated and integrated care is provided by healthcare facilities, COHSASA sets and assesses standards for all sectors and departments of a healthcare system. The SafeCare program launched by COHSASA, JCI, and SafeCare Foundation ensures the implementation of internationally recognized standards to improve health care delivery. Initially, a two-year accreditation is awarded to hospitals and clinics that adhere to standards and the period can be extended if the hospitals continue to deliver expected quality care.
A large number of medical tourists visit South Africa every year due to low-cost treatment and modern infrastructure. South Africa’s growing popularity in medical tourism is also attributed to factors like a large pool of accredited hospitals, advanced technology, world-class facilities provided by hospitals, global exposure of doctors. Liberal laws for the use of stem cells in South Africa have helped it attract a large number of medical tourists for advanced medical treatment. The hospitals in South Africa strive to take the stress out of your medical holiday by helping you with all kinds of organization and administrative tasks, as well as provide all-inclusive care and assistance on a 24/7 basis.
With quality at their core, the well-trained and highly qualified doctors in South Africa provide world-class treatment. Majority of doctors in South Africa have received rigorous training in countries like Cuba and Australia which makes them competent in dealing with even the most complicated cases with great ease. The doctors deliver great results in dental procedures and fertility treatments and provide complete patient satisfaction through a holistic approach. Some important factors which contribute to the production of good quality doctors in the country are education at premier colleges, adherence to global standards, patient-centric approach, and incorporation of the human touch in treatment.
You can avail a medical visa to South Africa and stay in the country for 90 days to seek treatment. Further extension of the duration of the stay is decided by the High Commission of the country where the patient belongs from. People need to apply for a temporary residency permit in case they have to stay in the country for more than three months. The validity of a visa begins the same day it is issued by the High Commission in South Africa. A visa application is accepted until 30 days prior to the departure date. Here is a list of documents that you will require for applying for a medical visa:
The most sought-after procedures in South Africa are total knee replacement, meniscus repairs, hip replacement, anterior cruciate ligament (ACL) reconstruction. South Africa has also gained popularity for delivering excellent results in cosmetic surgery and infertility treatment. Egg donation program is available in South Africa and it is even possible to select your donor, as well as gives you the option of having a surgical or non-surgical procedure, all with very low waiting times. People select South Africa to avail these procedures due to several reasons, such as world-class hospitals with superior infrastructure and highly-skilled doctors, fast recovery, and use of cutting-edge medical technology.
South Africa has a number of modern urban centers, such as Cape Town, Johannesburg, Pretoria, and Durban. Cape Town a major tourist attraction that has a rich culture, world-class doctors, and modern health facilities. The reasons for the popularity of these cities are multiple food options, connectivity through airlines, and cheap accommodation. Johannesburg’s public and private healthcare industry coordinates with South Africa's medical schools to create internationally recognized medical specialists and the quality of medical care is on par with Great Britain.
Yes, vaccination is compulsory before visiting South Africa. The vaccines recommended by WHO and the National Travel Health Network and Centre are Rabies and tetanus, hepatitis B, typhoid, cholera, Yellow fever, hepatitis A. Infants 6 to 11 months old travelling to the country should get 1 dose of measles-mumps-rubella (MMR) vaccine before travel. Typhoid vaccine is recommended for most travellers, especially those staying with friends or relatives or visiting smaller cities or rural areas. You can connect with your doctor or the hospital in South Africa for the required vaccines. Also, refer to the travel advisory issued by the government.
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