Cosmetic or medical: Sclerotherapy is the gold standard for leg veins. If patients have spider veins, but also have aching, cramping, swelling, restless legs, etc- they need to have internal veins called sahenous veins or tributaries treated inside first with minimally invasive, in office procedures done first and then their spider veins treated. If no symptoms, then sclerotherapy followed by laser for tiny red veins.
Answered 3/31/2016
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Treating spider vein: Spider veins on the face are probably best treated with laser or rf thermocoagulation although sclerotherapy works well too if the provider is experienced. Spider veins on the legs are best treated with sclerotherapy. Sometimes a combination of both is used on the legs, but sclerotherapy can treat veins of any size in the legs and laser is often not needed.
Answered 9/19/2013
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Sclerotherapy: Sclerotherapy (injection of a medicine in the vein) is your best option. The medicine can be Sotradecol, Polidocanol or hypertonic saline. It works pretty well. Laser is good also. Treatments are simple and although it takes awhile to heal, the results are pretty good. Hope that helps.
Answered 9/28/2016
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