Sclerotherapy is a medical procedure used to treat twisted and enlarged blood vessels, known as varicose veins, especially those that appear on the legs. In addition to varicose veins, this procedure is also effective in treating spider veins, a mild form of varicose veins visible on the skin surface. Sclerotherapy usually works best on small varicose veins.
The sclerotherapy process involves injecting a special solution directly into the affected blood vessel using a needle. This solution triggers scar tissue to form inside the vein, forcing blood to flow through healthier vessels. Over time, the varicose veins shrink and fade.
After the procedure, treated veins usually begin to fade within a few weeks, although in some cases they may not disappear completely. Full results can be seen within a month or more, and in some conditions, varicose veins may require more than one sclerotherapy session.
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What are the benefits of sclerotherapy for varicose veins and spider veins?
Sclerotherapy is usually performed to improve the appearance of veins. Beyond aesthetic purposes, this procedure can also help relieve symptoms related to varicose veins, such as:
- Aching or discomfort
- Swelling
- Burning sensation
- Night cramps
How is the sclerotherapy procedure performed?
Preparation
Before undergoing sclerotherapy, the doctor will examine your condition and ask detailed questions about your medical history. Some of the common questions include:
- Recent illnesses or medical conditions, such as heart disease or a history of blood clots.
- Any allergies you may have.
- Previous treatments for varicose veins and their results.
- Medications or supplements currently being taken, especially aspirin, ibuprofen, naproxen sodium, blood thinners, iron supplements, or herbal remedies.
The use of blood thinners or aspirin may increase the risk of bleeding. Your doctor will provide instructions on when and how to stop taking them before the procedure.
If varicose veins cause symptoms, an ultrasound examination of the legs may also be performed before the procedure.
During the procedure
- Patients lie on their back with legs slightly elevated.
- The area to be injected is cleaned first.
- The doctor then injects a special solution directly into the vein using a small needle.
- This solution irritates the vein wall, causing it to swell shut, block blood flow, and gradually disappear.
- Some patients may feel mild stinging or cramping when the needle enters the vein. If the pain is severe, inform the doctor immediately.
- After the needle is removed, the injection area is pressed and massaged to prevent blood from re-entering and to help spread the solution. Sometimes, a small pad is taped to the injection site to maintain pressure before moving on to another vein.
- The number of injections depends on how many veins need to be treated.
After the procedure
- Patients can usually get up and walk right after the procedure, as movement helps prevent blood clots.
- You will be asked to wear compression stockings or bandages for about two weeks to maintain pressure on the treated veins.
- Avoid shaving your legs or using lotion on the treated area until fully healed.
- Most patients can return to normal activities the same day, though it is recommended to have someone drive you home.
- Doctors may advise avoiding strenuous exercise for two weeks after the procedure.
- The treated area should be protected from direct sunlight for two weeks. If you need to go outside, use sunscreen with at least SPF 30, as sun exposure may cause dark spots on the skin, especially for those with darker skin tones.
Sclerotherapy at RS Mandaya Royal Puri by an Experienced Vascular Surgeon
RS Mandaya Royal Puri provides sclerotherapy services to treat varicose veins and spider veins. The procedure is carried out by an experienced vascular surgeon, Dr. med. dr. Nyityasmono Tri Nugroho, Sp.B, Subsp.BVE(K), commonly known as dr. Yasmon.
He earned his medical degree at Universitas Indonesia and continued his General Surgery residency at the same university. With a strong interest in vascular surgery, dr. Yasmon pursued further studies and professional experience in Germany, where he obtained an official work permit for doctoral programs, fellowship, and as a guest doctor at Bezirksregierung/Government Area of Münster and Arztekammer Westfalen-Uppe, Münster, Germany.
His academic and professional journey culminated in achieving a Dr. med./Ph.D in Vascular and Endovascular Surgery from Westfälische Wilhelms-Universität Münster, Germany. This international academic background strengthened his expertise in treating various vascular conditions, from varicose veins and spider veins to complex vascular diseases with a modern approach. Today, with recognized experience and reputation, dr. Yasmon delivers international-standard vascular surgery services at RS Mandaya Royal Puri.
Dr. Yasmon emphasizes that sclerotherapy is not a one-time solution. For optimal results and to prevent recurrence, patients are advised to continue compression therapy after the procedure. In addition, if spider veins are caused by more serious varicose veins, further examinations such as Doppler ultrasound may be required to ensure the condition of the leg veins. With proper treatment at RS Mandaya Royal Puri, patients can receive comprehensive care from early spider vein cases to more complex varicose vein conditions.
Dr. med. dr. Nyityasmono Tri Nugroho, Sp.B, Subsp.BVE(K) is available at RS Mandaya Royal Puri on:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
- Friday: 16.00 – 20.00 WIB
If you have questions regarding sclerotherapy for varicose veins or spider veins, do not hesitate to consult dr. Yasmon at RS Mandaya Royal Puri.
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