Our office offers patients sclerotherapy as part of comprehensive spider vein treatment. Dr. Malvehy offers advanced sclerotherapy techniques including ultrasound guided sclerotherapy and foam sclerotherapy. Dr. Malvehy has performed thousands of sclerotherapy treatments, has published scientific literature on the topic, and has taught national courses for specialists seeking to learn it.
Sclerotherapy is the process of injecting a medication into a vein in order to “sclerose” or close the vein. While many practices use salt water or saline for injections, Dr. Malvehy exclusively uses Asclera, the only brand-name FDA approved medication for sclerotherapy. Besides reduced pain when compared to older, saline solution, treatment with Asclera offers more consistent results.
Sclerotherapy for spider veins may be performed during the initial consultation and usually takes 20-30 minutes. Any reticular, feeder, or root veins will be injected first, in order to provide a more durable and effective treatment. Dr. Malvehy may ask you to wear a compression stocking for 72 hours following treatment, depending on the dize and location of the treated area. Bruising afterwards is typical. Treated veins will be absorbed over the course of several weeks. A complimentary follow-up visit may be performed 3-6 weeks after treatment to speed healing. Patients should avoid sun exposure during the immediate post-treatment period. Most people have a 50-70% improvement in the appearance of spider veins after a single treatment of an area. Larger areas and more dense spider vein complexes may require multiple treatments to cover.
Patients living in or visiting the East Bay Area and greater San Francisco Bay Area can have sclerotherapy performed on the day of the initial consultation at our office in Pleasanton.