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What about laser treatment of spider veins? A: At VI we commonly use a combination of injection sclerotherapy and laser treatment of spider veins.

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What about laser treatment of spider veins? A: At VI we commonly use a combination of injection sclerotherapy and laser treatment of spider veins.

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Q: How do you decide which to use, injection sclerotherapy or laser? A: Size of the vein to be treated is the biggest determinant. At VI we try to do as much as we can first with injection sclerotherapy. This method is much more efficient and less expensive than laser alone, because you can treat many more veins in a shorter period of time. Also, the laser is effective only when it is used on the tiniest of veins. Depth of skin color is another determinant. Our laser works best with medium and lighter skin tones. Q: Does treatment for my spider veins hurt? A: Minimally. First, for injection sclerotherapy, we use micro needles. The sclerosant we use is called Polidocanol, (aethoxysclerol) which was developed as a local anesthetic, so it doesn’t burn or sting as some other sclerosants do, (in particular, hypertonic saline). Polidocanol is in a class of sclerosants called “detergent” sclerosants.

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