A. This is a question I have heard frequently over the past 30 years I have been doing sclerotherapy for unsightly leg veins. I strongly recommend you treat as these veins appear. You will look better and your legs will feel better with treatment. With the new Asclera sclerosant, pain is negligible. You must wear stocking after each session, but normal activities are permitted (a very important issue for a busy mom). As soon as you become pregnant, we would suspend treatments (most likely, you would be finished in less than 3 months anyway) because pregnant woman are at increased risk of blood clots and sclerotherapy might increase the risk in pregnant women. I would recommend also that as soon as you become pregnant, you be fitted for support stockings to prevent worsening of the veins during the pregnancy. Good luck.
Q.Which is better: laser or injections for blue veins on my legs that do not bulge? I went to a med spa where the nurse told me laser, but my dermatologist says injections. I just hate needles!
A. There is an old saying: "when someone owns an expensive hammer, everything begins to look like a nail". Sclerotherapy remains the most effective, safe and cost-efficient procedure for spider and reticular veins. The needle is very tiny and the new sclerosants do not sting. Foam sclerotherapy is the best option for healthy patients with these blue reticular veins that you describe. Your dermatologist was right!
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