The harley street vascular

Spider vein micro-sclerotherapy and needle phlebectomy

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The harley street vascular

Introduction to Spider Veins Treatments

Spider veins, also known as telangiectasias and reticular varicose veins, are small, dilated blood vessels visible near the skin’s surface. They often appear on the legs and face and can be red, blue, or purple. They resemble a spider web or tree branches in appearance. While they are mostly a cosmetic concern, they can also cause discomfort for some people.

What Causes Spider Veins?

Various factors contribute to the development of spider veins. Primarily, they occur when valves within the veins weaken, leading to blood pooling and vein dilation. Several factors enhance the risk of developing spider veins, including:

  • Genetics
  • Hormonal Changes
  • Obesity
  • Age
  • Prolonged Standing or Sitting

Understanding these factors is important in preventing new spider veins and deciding the appropriate treatment option.

Indications for Spider Vein Treatments

Spider vein treatments address cosmetic enhancement and physical discomfort associated with the condition. Indications for treatment include:

Aesthetic Concerns

Many people seek treatment to improve the appearance of spider veins, which can be prominent in visible areas like the legs and face.

Insurance providers in Singapore typically don’t cover spider veins treatments as they are considered cosmetic procedures aimed at improving appearance rather than addressing medical concerns.

Physical Symptoms

Symptoms such as aching, throbbing, itching, or burning sensations in the affected areas can prompt the need for treatment.

Prevention of Progression

Treating spider veins can help prevent the development of more significant venous issues.

What is Micro-sclerotherapy?

Micro-sclerotherapy is a leading treatment for spider veins and small varicose veins. It uses a sclerosing solution to close off these unsightly vessels. The technique involves injecting a sclerosing solution directly into the affected veins using a very fine needle. This causes the walls of the veins to stick together, eventually turning the vein into scar tissue that fades over time.

We specifically use a special Varixo microfoam technique that allows us to inject very fine low concentration sclerosant microfoam and sometimes combine this with activation of the veins with blue light for better sclerosant action. This reduces the risk of complications and provides a better cosmetic result.

Micro-Sclerotherapy Procedure

The micro-sclerotherapy procedure is designed to provide a minimally invasive solution for spider vein removal.

  • Patient Preparation: The patient is placed in a comfortable position, and the skin over the treatment area is cleaned and disinfected.
  • Blue light activation: Simple blue light as from a mobile phone screen, but in a more concentrated beam, is used in some patients to warm the target veins for better sclerosant action
  • Application of Sclerosant: Using a micro-needle, the practitioner carefully injects the microfoam sclerosant solution into the spider veins. The number of injections depends on the number and size of the treated veins.

Potential Side Effects

Although micro-sclerotherapy is deemed safe, some people may experience minor side effects, such as:

  • Bruising or discoloration (pigmentation) at the injection site
  • Swelling and discomfort around treated areas
  • Infrequent allergic reactions to the sclerosant

These effects are typically temporary, fading within a few days to weeks. Most patients can return to their daily routines immediately, with minimal downtime.

What is Needle Phlebectomy?

Needle phlebectomy, also known as microphlebectomy or ambulatory phlebectomy, is a minimally invasive surgical technique for removing larger spider veins. Unlike micro-sclerotherapy, which involves injecting a solution into the veins, needle phlebectomy involves physically removing the veins through tiny needle-point punctures in the skin.

This procedure is particularly effective for veins that are too large for sclerotherapy but too small for more invasive surgical treatments. It’s performed under local anaesthesia, and the patient can usually return to normal activities shortly after the procedure.

Needle Phlebectomy Procedure

The needle phlebectomy procedure is a detailed method aimed at removing problematic veins with precision and minimal discomfort. This is usually performed in combination with an endovenous procedure, but also sometimes in the out-patient setting under local anaesthesia.

  • Skin Preparation
    To reduce the risk of infection, the area around the veins to be treated is cleaned and sterilised.
  • Anaesthesia
    A local anaesthetic is administered to numb the treatment area, ensuring the patient feels no pain during the procedure.
  • Incision and Vein Removal
    Small incisions or punctures are made along the vein’s path. A specialised tool, such as a phlebectomy hook, is then used to hook and gently extract the vein through the incisions.
  • Closure of Incisions
    The small punctures or incisions made during the procedure are so minor that they usually do not require stitches. They are typically closed with small adhesive strips and heal with minimal scarring.
  • Application of Compression Dressing
    After removing the vein, a compression dressing or stockings are applied to the area. This compression aids in healing and helps to reduce swelling and bruising.

Potential Side Effects

Possible side effects of needle phlebectomy include:

  • Bruising and swelling at the incision sites
  • Temporary numbness due to nerve irritation
  • Minimal scarring

These side effects typically resolve on their own within a few weeks. The procedure’s efficacy improves the appearance of the skin and can alleviate symptoms associated with venous insufficiency.

Preparing for Treatment

Preparing for either micro-sclerotherapy or needle phlebectomy involves several steps to ensure the safety and effectiveness of the procedure.

Initial Consultation

  • Evaluation of medical history and physical examination of the veins.
  • Discussion of treatment options, expectations, and potential side effects.

Pre-Treatment Instructions

  • Avoid certain medications, such as anti-inflammatory drugs, which could increase bleeding or bruising risks.
  • Refraining from applying lotions or creams on the treatment area on the day of the procedure.
  • Wear comfortable clothing and bring the measured compression stockings to the appointment, as advised.

Comparison between Micro-sclerotherapy and Needle Phlebectomy

Micro-sclerotherapy and needle phlebectomy are both effective treatments for spider veins and small varicose veins, but they have distinct differences in their approach, suitability, and recovery process.

Procedure Approach

  • Micro-sclerotherapy involves injecting a sclerosing solution into the veins, causing them to collapse and fade.
  • Needle phlebectomy removes veins through small incisions using a fine, hook-like instrument.
Suitability

  • Micro-sclerotherapy is typically suited for smaller spider veins and some small varicose veins.
  • Needle phlebectomy is often recommended for larger surface veins that might not respond well to sclerotherapy.
Recovery and Aftercare

  • Patients can usually return to normal activities immediately after micro-sclerotherapy, with some precautions to avoid sun exposure in treated areas for 4-6 weeks.
  • Needle phlebectomy may require a slightly longer recovery time, with recommendations to wear compression stockings for a certain period to aid healing.
Efficacy and Outcomes

  • Both treatments are highly effective, with micro-sclerotherapy being preferable for cosmetic purposes due to its minimal invasiveness.
  • Needle phlebectomy provides a more immediate result in removing larger veins but involves minor surgical intervention.

Recovery and Aftercare

The recovery process for both micro-sclerotherapy and needle phlebectomy is generally straightforward, with patients able to resume most normal activities shortly after treatment. However, there are specific aftercare instructions that help ensure optimal healing and results:

  • Compression stockings or bandages, as recommended, should be applied to support the treated veins.
  • Avoid exposure to the sun especially after micro-sclerotherapy, for a period of 4 to 6 weeks as this can lead to excessive pigmentation at the injected sites.
  • Avoid strenuous exercise and heavy lifting for a period, typically a few days to a week.
  • Monitor the treated area regularly for any signs of complications, such as excessive swelling, pain, or changes in skin colour.
  • Maintain a healthy lifestyle with regular exercise and a balanced diet to support overall vein health.
  • Limit prolonged periods of standing or sitting, and elevate the legs when possible to improve circulation.

Frequently Asked Questions

Can spider veins return after treatment?

While treatment can effectively remove or diminish existing spider veins, it does not prevent new ones from forming. Lifestyle factors and genetic predisposition may contribute to the development of new spider veins.

Are there any natural remedies effective against spider veins?

While natural remedies alone cannot eliminate spider veins, certain lifestyle changes, such as regular exercise, maintaining a healthy weight, and elevating the legs, can help improve circulation and prevent the condition from worsening.

Is there a best age to receive spider vein treatment?

There is no “best” age for spider vein treatment. The decision to seek treatment is often based on personal preference, the severity of the veins, and any associated symptoms. Consultations are advisable to discuss the most appropriate time for treatment based on individual circumstances.

How long does it take to see results from micro-sclerotherapy or needle phlebectomy?

The time to see results can vary. With micro-sclerotherapy, improvements may start to appear several weeks after treatment and continue to improve over several months. For needle phlebectomy, results are often immediate, though full healing and final appearance might take a few weeks to stabilise.

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