By Bahar Ozbal • Medical review by Fatih Gokalp, MD on February 04, 2021

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What is Sclerotherapy?
Sclerotherapy is the name given to the treatment that enables the destruction of the deficient veins defined as varicose and spider veins by closing them with solution injection. Sclerotherapy, also known as needle therapy in colloquial language, is one of the non-surgical varicose treatment methods and is the most preferred.
In the sclerotherapy method, a solution is injected directly into the vein that cannot perform its function. This solution is usually a salt solution. The solution irritates the blood vessel lining, and this reaction causes the blood to clot and close the vessel. With the Sclerotherapy method, which is completed in an average of 10-30 minutes without the need for anesthesia, the insufficient vessels are closed from the inside, in other words, the vessel is dried.

Everything You Need To Know About Sclerotherapy

Not every person with spider vein or varicose problems is a suitable candidate for Sclerotherapy treatment. First of all, a cardiovascular surgeon should be consulted to evaluate the problematic vein or lymph vessel. After listening to the symptoms and complaints, your doctor will decide if Sclerotherapy is the right treatment for you. Sclerotherapy is the right treatment for you if you have one or more of the following problems.

  • If the veins are causing pain,
  • Legs aching or a feeling of heaviness,
  • If there is deformation and dryness on the skin surface of the legs or feet,
  • If there is a rash in the area of the veins.

The main factors that determine the treatment method of varicose veins are their dimensions. Sclerotherapy method is applied to varicose veins with a diameter of 1-4 mm. As the size of the varicose increases, the chance of sclerotherapy treatment may decrease. Sclerotherapy treatment is done by injecting the drug into a liquid or foam form directly into the relevant vein. The method to be applied is decided after the physical examination and Doppler ultrasonography performed by your doctor before the procedure.
Sclerotherapy application is planned in single or multiple sessions. There is no need for local or general anesthesia during the application. Each session is completed within an average of 20-30 minutes and during this period, approximately 10-15 capillary varicose veins are injected. With the effect of the drug, varicose veins stick and close. Sclerotherapy is a comfortable application. The person does not feel much pain during and after the application. After sclerotherapy, the injection site is covered with gauze and the leg is bandaged starting from the toes or compression is applied to the relevant area by wearing compression stockings.
The recovery process after scherotherapy is very fast. Immediately after the application, in which the final results are obtained in a short period of 1 week, the person can return to his daily life, but there are some conditions that should be paid attention to for 1 week.
It is very important to walk during the recovery period after scherotherapy. It is recommended to walk for at least 15 minutes a day. Exercises such as aerobics should not be done immediately after the treatment, the person should wait 3-4 days to return to active sports activities.
The first 48 hours; Blood thinners should never be taken, and should avoid hot and humid environments. (such as hot bath, sauna, jacuzzi, hot compress application) It should also be protected from sunlight.
After sclerotherapy, tight and tight clothes should not be worn to prevent circulation.
Although rare, complications may occur after sclerotherapy. Bruising, redness and pain in and around the application area are the most common side effects. These complaints usually heal spontaneously within a day or a few days after the application. Another common side effect; It is the pigmentation or color change around the treated varicose vein. This is a problem associated with the dosage of the drug injected. It disappears spontaneously within a few months. The problem of matting may also occur due to the administration of the drug with too much concentration or pressure. In this condition called matting, very thin new capillaries similar to cloud form around the treated varicose veins. Matting is also temporary, like pigmentation. It disappears spontaneously within 1 year.
Although very rare; Sensitivity-allergic reaction, vascular burning, visual impairment, headache and nausea may be experienced against the injected drug.
Aesthetic nose surgeries are not covered by the SSI. However, nose surgeries accompanying a health problem are covered by the SSI.

Written on 30/09/2019


Last Update: 22/04/2021


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7 Sclerotherapy Doctor
Aybanu Gokcen, MD
Kalp ve Damar Cerrahisi
5 (9)
İstanbul / Nişantaşı
Manisa / Alsancak
İstanbul / Suadiye


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