Sclerotherapy can be used to treat both varicose and spider veins. With minimal to no discomfort (reported by most patients), a tiny needle is inserted into the vein to inject small amounts of sclerosing solution. The solution causes the injected vein to close up or sclerose. Typically these closed veins will gradually be reabsorbed by the body and disappear. Sclerotherapy relieves symptoms due to varicose and spider veins in most patients. The procedure is performed in the office, in sessions that last approximately 30-45 minutes. The number of sessions required will depend on the extent of veins present.  Slight bruising and some pigmentation may occur, but usually resolve within a few weeks.
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EuroFoam-SV® is a new method of treatment for spider and reticular veins that was developed in Europe. Dr. Agostini has used this technique in combination with special creams of his design to provide patients with optimum results. This advanced treatment minimizes pigmentation, requires fewer sessions and reduces chances of recurrence of the treated veins.
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The largest varicose veins associated with extensive valvular dysfunction and multiple points of reflux occasionally require surgical intervention. Fortunately, with the development of an advanced microsurgical technique called ambulatory phlebectomy, this can be performed in a minimally invasive fashion. This is done through tiny incisions that generally do not require stitches, allowing for a very fast recovery and early return to normal activities. It does not require hospitalization.
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