12 doctors weighed in:
Is evlt or sclerotherapy better for the treatment ofvaricose/spider veins?
12 doctors weighed in

Dr. Steven Zimmet
Aesthetic Medicine
5 doctors agree
In brief: Usually both
Spider veins are typically treated with sclerotherapy.
If there are varicose veins, an ultrasound should be done to determine if poorly functioning underlying veins are present. If so, often evlt (endogenous laser) is used to treat them. In some cases ultrsound-guided sclerotherapy is done to the underlying veins. Surface varicose veins are treated with ambulatory phlebecomty and/or sclerotherapy.

In brief: Usually both
Spider veins are typically treated with sclerotherapy.
If there are varicose veins, an ultrasound should be done to determine if poorly functioning underlying veins are present. If so, often evlt (endogenous laser) is used to treat them. In some cases ultrsound-guided sclerotherapy is done to the underlying veins. Surface varicose veins are treated with ambulatory phlebecomty and/or sclerotherapy.
Dr. Steven Zimmet
Dr. Steven Zimmet
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Dr. Mark Nielsen
Phlebology
3 doctors agree
In brief: Yes, kind of
Evlt, laser treatment, is generally used to treat the source or cause of the varicose veins.
...The vein with malfunctioning valves which leads to the formation of varicose vein. Sclerotherapy, the injection of a substance to close the vein, is used to treat both varicose veins and spider veins.

In brief: Yes, kind of
Evlt, laser treatment, is generally used to treat the source or cause of the varicose veins.
...The vein with malfunctioning valves which leads to the formation of varicose vein. Sclerotherapy, the injection of a substance to close the vein, is used to treat both varicose veins and spider veins.
Dr. Mark Nielsen
Dr. Mark Nielsen
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Dr. James Isobe
Phlebology
2 doctors agree
In brief: RFa and EVLT
Sclerotherapy of spider veins using detergents polidocanol and sotradecol works well.
The superficial axial veins gsv and ssv can be ablated using rfa and evlt. The ropy varicose veins can be removed with microphlebectomy methods, and all of the above can be completed as an office based procedure, without any sedation, under local anesthesia.

In brief: RFa and EVLT
Sclerotherapy of spider veins using detergents polidocanol and sotradecol works well.
The superficial axial veins gsv and ssv can be ablated using rfa and evlt. The ropy varicose veins can be removed with microphlebectomy methods, and all of the above can be completed as an office based procedure, without any sedation, under local anesthesia.
Dr. James Isobe
Dr. James Isobe
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Dr. Ted King
Phlebology
2 doctors agree
In brief: Different things
Endovenous thermal ablation (evlt, rf) have become the standard of care for treatment of straight veins below the surface of the skin.
We call these the saphenous trunks. Most of varicose vein trouble comes from these veins not working. But for more visible, squiggley, and smaller veins, sclerotherapy is a better choice. Often the best treatment is a combination of the two.

In brief: Different things
Endovenous thermal ablation (evlt, rf) have become the standard of care for treatment of straight veins below the surface of the skin.
We call these the saphenous trunks. Most of varicose vein trouble comes from these veins not working. But for more visible, squiggley, and smaller veins, sclerotherapy is a better choice. Often the best treatment is a combination of the two.
Dr. Ted King
Dr. Ted King
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Dr. Joel Gotvald
Surgery - Vascular
1 doctor agrees
In brief: May need both
Depends on your anatomy.
If you have varicose veins, then u often also have venous insufficiency (will need ultrasound to prove) & this will might require a ELVT or radiofrequency ablation if a saphenous vein in your leg has failed. If you have no saphenous failure then EVLT not needed. Sclerotherapy is useful for spider veins & many cases of varicose, & can be useful for perforator reflux as well

In brief: May need both
Depends on your anatomy.
If you have varicose veins, then u often also have venous insufficiency (will need ultrasound to prove) & this will might require a ELVT or radiofrequency ablation if a saphenous vein in your leg has failed. If you have no saphenous failure then EVLT not needed. Sclerotherapy is useful for spider veins & many cases of varicose, & can be useful for perforator reflux as well
Dr. Joel Gotvald
Dr. Joel Gotvald
Thank
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