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Thread: Sclerotherapy FAQ

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    Junior Member twrightmd is on a distinguished road twrightmd's Avatar
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    Default Sclerotherapy FAQ

    My name is Dr. Thomas Wright. I am a board-certified phlebologist, a certified sonographer, and the director of Laser Lipo and Vein Center. These are some answered questions about sclerotherapy..hope they can help!

    Q: There is a large vein on my face that doesn't appear to be a broken capillary or spider vein. Could sclerotherapy be used to treat it, or would something else be better?
    A: Sclerotherapy is an excellent treatment for large bluish veins that usually on the temples. Sclerotherapy, however, is not very good at treating the fine reddish vessels in the center of the face.

    Q: Is it bad for your health to have sclerotherapy? It seems dangerous to inject chemicals like that directly into the bloodstream. Couldn't they spread and cause damage to other veins/areas of the body?
    A: The known risk of toxicity from foam sclerotherapy is extremely low. The effects of sclerotherapy are generally quite localized to the treated veins and the communicating veins nearby. The injected solution is quickly diluted a few centimeters form the injection sites, and generally does not cause damage to other areas.
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    Junior Member twrightmd is on a distinguished road twrightmd's Avatar
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    Default More Sclerotherapy FAQ

    Q: How much ibuprofen or other pain killer is used before the procedure?

    A: Typically no pain killers are given before the procedure, although ibuprofen may be taken prior. We do give a small amount of ativan for some patients who are anxious to make them more comfortable. After the procedure, generally only anti-inflammatories are needed for the mild tenderness, if any.


    Q: Does ultrasound guided sclerofoam cost more? Is the extra monitoring worth the extra trouble or possible cost?

    A: Ultrasound guided sclerotherapy is typically covered by insurance. Ultrasound guidance is absolutely necessary for the procedure which would be dangerous without it.
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