Microsclerotherapy

The Phlebology Clinic / Services / Venous treatments / Compression sclerotherapy / Microsclerotherapy

Mikroskleroterapia pajączków w Klinice Flebologii.

Laser vein sealing
Vein bonding

Introduction

Microsclerotherapy is a minimally invasive treatment method used in phlebology to close small, malfunctioning, or dilated blood vessels in the skin or subcutaneous tissue. The procedure involves injecting a special chemical agent, known as a sclerosant, into the lumen of the vessel. This agent irritates the vessel lining, leading to fibrosis (scarring) and closure of the vessel. At the Phlebology Clinic, we utilize advanced microsclerotherapy techniques, employing ultra-fine needles to ensure high precision and minimize patient discomfort. Microsclerotherapy can be performed using either a liquid sclerosant or a diluted foam (foam microsclerotherapy), and the choice of technique depends on the specific characteristics of the treated lesions.

Zamykanie pajączków na udzie. Mikroskleroterapia.

What can be treated using microsclerotherapy?

Microsclerotherapy is an effective treatment method for vascular lesions of both cosmetic and medical nature. Indications for performing microsclerotherapy include:

spider veins (telangiectasias) – small, red or purple vessels, often appearing on the legs as a precursor to venous disease; untreated telangiectasias not only spread but can also lead to more serious circulatory problems, which is why it is worth consulting their appearance with a phlebologist;
dilated reticular veins (venulectasias) – these are bluish, enlarged small veins visible under the skin, within the drainage area of which spider veins quite often develop; this occurs both through the mechanism of increased inflow and impaired outflow.

Typowe pociążowe telangiektazje i wenulektazje tylnej powierzchni uda i dołu podkolanowego powstałe w wyniku niewydolności żylnej miednicy, wymagające w pierwszej kolejności leczenia przyczynowego.

small varicose veins of the reticular veins – minor, tortuous dilatations of veins that can cause local discomfort;
supplementation of other treatments – microsclerotherapy is often used after causal treatment of venous insufficiency and as a supportive method after unsuccessful percutaneous laser therapy for spider veins.

Microsclerotherapy is often used as a first-line treatment for small vessels, as well as a complement to other therapies. It is a versatile method that can be used to treat lesions on the legs and other areas of the body, such as the intimate areas or breasts. At the Phlebology Clinic, we offer comprehensive diagnostics and selection of the appropriate treatment method, including microsclerotherapy, tailored to the individual needs of the Patient.

Main principles of spider vein treatment on the legs.

Key information on the venous procedure

TYPE OF TREATMENT

using: vision, ultrasound, backlighting
INVASIVENESS

minimum (1/5)
TREATMENT AREA

nogi, rzadziej inne części ciała
PERFORMING ENSEMBLE

phlebologist, nurse assistant
DURATION

15-45 minut
TYPE OF ANAESTHESIA

brak, miejscowe
BOLDNESS

minimum (1/5)
RISK OF COMPLICATIONS

minimal to low (1-2/5)
CONVALESCENCE

4-10 dni

Price range

Phlebology

Minimally invasive venous procedures performed under ultrasound guidance

compression microsclerotherapy of spider veins and reticular veins (one leg) **

PLN 700
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sclerotherapy treatment performed in an area of the body other than the lower limb (e.g. perineum, labia, buttocks, breasts, etc.).

800 PLN
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Description of the microsclerotherapy procedure

The microsclerotherapy procedure is typically short and minimally invasive. Its duration depends on the extent of the lesions and usually takes between 15 and 45 minutes. Depending on the size of the treated vessels and their underlying cause, the phlebologist uses:

ultra-fine needles – for injecting the sclerosant in liquid form (in the case of treating spider veins and reticular veins);
slightly thicker needles when wanting to administer microfoam into the vessel (this modification is necessary for slightly larger vessels);

Mikroskleroterapia przy użyciu mikropiany. — **Microsclerotherapy with the use of microfoam. A technique used to close larger spider veins and their underlying feeder veins.**

medication in the form of foam under visual control, when there is a need to close larger subcutaneous vessels;
foamed medication under ultrasound guidance (a modification of ultrasound-guided foam microsclerotherapy) – sometimes the vessels lie deeper in the subcutaneous tissue, or telangiectasias fill from a perforating vein; in such cases, ultrasound guidance is necessary (this increases the precision of administering the obliterating agent), and foamed sclerosant is used

The microsclerotherapy procedure does not require anesthesia as it is virtually painless. The patient may only experience minor discomfort in the form of a stinging or burning sensation at the injection site. After the procedure, compression plasters or cotton pad compression are applied to the treated areas, and a special compression stocking is put on. Following each sclerotherapy treatment – including microsclerotherapy – a 30-40 minute walk is necessary.

Post-microsclerotherapy care

After the microsclerotherapy procedure, the Patient should always follow the phlebologist's recommendations. Typical post-procedure recommendations include:

brisk walking – immediately after the procedure, a short walk (approximately 30 minutes) is recommended to aid circulation and prevent thrombotic complications;
wearing compression garments – compression stockings (CCL1/2) should be worn for 7-10 days after the procedure to consolidate the treatment effect and accelerate healing;
avoiding overheating the skin of the legs – during the recovery period, it is advisable to avoid saunas, tanning beds, and hot baths. Treatments for small vessels are best performed during the cooler seasons of the year;
avoiding strenuous exercise – for 7-10 days after the procedure, strenuous physical activity and prolonged standing should be avoided. The patient should be aware that treatment may require several sessions, performed at intervals of 2-6 weeks.

The treatment effect is an individual matter and depends on many factors, such as: the background of venous insufficiency, the extent of vascular lesions on the legs, skin type, predisposition to the formation of collateral circulation, and individual healing ability.

Complications of compression sclerotherapy treatment

Microsclerotherapy is a relatively safe procedure; however, like any phlebological procedure, it carries a risk of certain complications.
Najczęściej obserwowane skutki uboczne to:

transient redness and thickening at the injection site – these resolve spontaneously within a few days;
transient skin discoloration – may occur in some patients but usually disappear after a few weeks or months;
allergic reactions – very rare, but possible;
inflammation in the area of the obliterated vein – may occur at the injection sites, more common in summer with higher temperatures;
skin necrosis – a very rare complication, associated with extravasation of a larger amount of the drug outside the vessel or administration of the obliterating agent into an arterial vessel; sometimes it results from a minor skin fistula;
matting (telangiectatic web) – up to 10% of patients may experience this complication in the treated area (it usually occurs when using excessively high concentrations and with an incorrect sequence of performing obliterating procedures);

At the Phlebology Clinic we make every effort to minimise the risk of complications and our specialists remain available to patients during the recovery period. If you experience any worrying symptoms, please contact our Registry immediately.

Treatment methods

I came to the Clinic after two lower limb operations and a recurring problem. Here, I was offered treatment starting with establishing the cause through pelvic angiography and removing the problem that arose there. Only after that was the rest taken care of. The staff at the clinic and the doctors are friendly and willing to answer the strangest questions:) I sincerely recommend

Justyna Szopa

Opinia z:

5/5