Direct Vision Sclerotherapy

Direct vision sclerotherapy is the treatment of choice for spider veins (telangiectasia). It involves injecting an agent (sclerosant) into the abnormal superficial veins using a fine needle. It can also be used for blue superficial veins (reticular veins), and sometimes for small visible varicose veins. The sclerosant damages the vein wall at the injection site and causes the vein to become hardened (sclerosed). Successfully treated veins will fade as the body gradually removes them. In many patients, sclerotherapy can relieve the symptoms caused by varicose veins. With this procedure, veins can be dealt with at an earlier stage, helping to prevent further complications.

Sclerotherapy has been the main stay of treatment for smaller veins for decades. Over the years, the techniques and sclerosants have improved. Hypertonic saline was the most commonly used agent in the past, however it has been superceded by newer sclerosants, such as Polidocanol, which has a much lower adverse effect profile and is considerably more effective. The modern sclerosants can be used in a liquid form, or they can be injected as a foam, which further increases their safety and effectiveness for the treatment of larger veins.

During a session of direct vision sclerotherapy, multiple veins will be injected. Whilst this may sound uncomfortable, most patients report remarkably little discomfort or pain. Generally speaking, the majority of patients presenting with spider veins have evidence of underlying venous reflux ‘feeding’ the spider veins. In these instances, the underlying reflux will require treatment with ultrasound guided sclerotherapy (UGS) or endovenous laser ablation (EVLA) first. More than one session of treatment may be required. Medically prescribed compression stockings are essential to achieving the best outcome, and will need to be worn for a prescribed period of time to assist in resolution of the veins. You will be given written after care instructions following your procedure.

Direct vision sclerotherapy remains the current gold standard treatment for removal of spider veins or telangiectasia. It is important to remember that the choice of treatment is based on the degree of extent of venous disease identified by clinical assessment and ultrasound venous mapping, rather than what is visible.

How much does vein treatments cost?

We understand you are curious to know how much the procedure you are thinking of having might cost.

The cost of vein treatment can vary considerably depending on different factors, such as the extent, distribution and severity of the abnormal veins. It is therefore not possible to give a cost estimate without gaining a proper understanding of the extent of your venous problem.

To request an appointment with Dr Jennifer Leung to discuss your suitability for a vein treatment please email us or call us on 02 6255 8988.