Sclerotherapy

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All spider vein and varicose vein treatments are overseen by Dr. Pierre Mayrand MD, LMCC, CIME and performed by our very own Nurse Practioner Melaine Desjardins-Bard. Once again, we are proud to offer these services in both official languages.

Varicose veins are a common cosmetic culprit for both women and men. Fifteen to 20 percent of people have some degree of varicose veins, which are usually green or blue and bulging. They can also cause pain or aching in the legs and feet. Spider veins are a milder form of varicose veins that tend to be blue, purple, or red and have smaller size vessels.

The reasons varicose veins occur include pregnancy, family history, obesity, standing or sitting for long periods of time, and age. Several ways clients can help avoid varicose veins from occurring or getting worse in appearance include engaging in exercise, keeping weight to normal limits, not wearing high heels, and not sitting or standing for long periods of time.

They should also avoid crossing legs constantly, which causes unwanted pressure. If there are significant varicosities, compression stockings are recommended and can be prescribed by a licensed professional and worn daily.

The gold standard therapy for spider and small varicose veins is still sclerotherapy. Sclerotherapy irritates the inside of the vessel with a solution called a sclerosant, which is typically made of hypertonic saline, sodium tetradecyl sulphate (STS), or polidocanol.

The latest technology is when STS or polidocanol are mixed with air or carbon dioxide for Foam Sclerotherapy. Foam Sclerotherapy can be done with ultrasound guidance to make sure the sclerosant solution is within the desired vessel. These treatments can be mildly to moderately uncomfortable, and it takes a few treatments, performed one month apart, for best results.

The sclerosant solution irritates the vessel, and then the body resorbs the damaged vessel and removes it. When the body breaks down the blood vessel, hemosiderin, an insoluble form of tissue storage iron, is often released, causing a reddish brown discoloration that can last for months.

It is best to treat these vessels in the winter in case of any hyperpigmentation to allow time for it to fade before shorts and bathing suit season. Other minor complications can include bruising, discomfort, infection, or inflammation, which is very rare.

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Sclerotherapy at a Glance


The Spa 654 Club

*Actual Fredericton The Spa 654 Club client

Treatment For Clearing of spider and small veins
Expected Result Sclerotherapy removes unwanted visible spider and small veins. Treatments are short (under 30 minutes). You will see results after each session and results are cumulative. For more information about Sclerotherapy, we encourage you to contact us to schedule an in-office consultation.
Treatment Time 30 minutes, including client preparation. Most treatments last about 15 minutes with further sessions every two (2) weeks as required.
Recovery Moderate activity is recommended after treatment, resume normal or more strenuous activities the following day. Hot baths or compresses, whirlpools, saunas and direct exposure to sunlight of the treated area should be avoided for 48 hours after treatment.
For Best Result The number of sessions required for optimum results is determined by the number of veins present. Keep all appointments and maintain as necessary
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How will I know if I am a Candidate for Sclerotherapy?

Prior to the procedure, you will have an in-depth consultation with the nurse and doctor, who will decide if you're a good candidate for sclerotherapy. Clients who are pregnant, lactating or bedridden are not candidates for sclerotherapy. You can have sclerotherapy if you take birth control pills. If you have had a blood clot in the past, your eligibility will be decided on an individual basis and will depend on the overall health of the area needing treated as well as the reason for the clot.

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