Microsclerotherapy - Veins
Which veins are suitable for microsclerotherapy?
Microsclerotherapy should not be used on thread veins
above the heart and particularly not in the face. Above the heart, "thread veins
" cannot be simple veins as blood would drain away from them back to the heart. Therefore the physiology of these veins is different from that of thread veins
below the heart, where gravity fills the thread veins up
with blood. In addition, injection into thread veins
on the face, particularly around the nose and cheeks, can lead to the sclerotherapy injection draining through the portal veins and into veins around the brain called the "cavernous sinus". Although rare, if the sclerotherapy solution caused a thrombosis of this structure (called a "cavernous sinus thrombosis") then the patient would become very unwell and have symptoms not dissimilar to a stroke. As the skin on the face is always exposed to the sun, it is very resilient to heat and radiation and so these veins are best treated by laser, intense pulsed light (IPL) or electrolysis type techniques.
As the skin of the legs is rarely exposed compared to that of the face, it is very sensitive to radiation and heat. As such, thread veins of the legs are optimally treated by microsclerotherapy but laser and intense pulsed light (IPL) are not optimal as they run the risk of burning this skin which is more sensitive to radiation.
This website was last updated on 11/10/16.