Dr, MArek Doing Face skin Therapy

How it Works

A sclerosant is injected into the selected vein using a fine needle. The medicine acts on the inner lining of the vessel, producing a controlled inflammatory response that makes the walls stick together and the vein close. Blood then returns through other healthy veins.

The closed vessel is gradually converted into fibrous tissue and broken down by the body, so fading takes time. Liquid sclerosant is commonly used for small surface vessels, while foam can displace blood and remain in contact with the wall of a larger vein; foam treatment is often guided by ultrasound. The formulation and concentration are selected according to the vein and the patient.

How We Do It

  1. We review your symptoms, medical history, previous vein treatment, medicines, allergies and clotting risk.
  2. The veins are examined while you are standing. Duplex ultrasound is used when deeper reflux or a larger target vein must be mapped.
  3. The skin is cleaned and the treatment vessels are marked. A fine needle is placed into each selected vein; ultrasound guidance is used when clinically required.
  4. A measured amount of liquid or foam sclerosant is injected. You may feel brief stinging, warmth or cramping.
  5. The clinician observes the response, removes the needle and applies small dressings. Several injections may be performed during one appointment within safe dosing limits.
  6. Compression may be applied according to the treated vein and clinical plan. Walking is usually encouraged, and you receive individual activity, skincare and follow-up instructions.

Side Effects

Temporary redness, itching, bruising, swelling, tenderness, firmness or small trapped-blood areas can occur. Treated veins sometimes look darker or more prominent before improving. Brown pigmentation can take several months to fade and may occasionally persist; fine new vessels called telangiectatic matting can also develop.

Less common complications include superficial thrombophlebitis, skin ulceration or tissue injury, infection and an allergic reaction. Deep-vein thrombosis or pulmonary embolism is uncommon but important. Foam sclerotherapy can rarely cause temporary visual disturbance, headache or other neurological symptoms. Seek urgent medical care for sudden breathlessness, chest pain, coughing blood, marked one-sided leg swelling, severe worsening pain or new neurological symptoms.

Time to Full Effect

Results develop gradually. Small spider veins may begin fading within three to six weeks, while reticular or larger treated veins can take three to four months or longer. Early bruising, firmness or temporary darkening can make the area look worse before it looks better.

The response varies with vein size, blood flow, skin type and the presence of underlying reflux. A review is commonly arranged after the treated veins have had time to settle, and additional sessions may be spaced several weeks apart. Some veins only partially respond or reopen, and untreated veins can become visible later. Sun protection is important because ultraviolet exposure can make post-treatment pigmentation more noticeable.

Does sclerotherapy hurt?

Most people describe brief pinching from the fine needle and mild stinging, warmth or cramping as the sclerosant enters the vein. Discomfort is usually short-lived, although larger veins can feel tender or firm for several days afterwards. Tell the clinician immediately if you experience intense burning or significant pain. The need for local anaesthetic depends on the vessel and technique and is not routine for every small-vein injection.

Can I return to work and exercise after sclerotherapy?

Walking is usually encouraged immediately after treatment, and many patients return to desk-based work the same day or the next day. This does not mean every activity should resume immediately. Your clinician may advise temporarily avoiding heavy exercise, prolonged immobility, very hot baths or saunas, and long periods of sun exposure. Recommendations vary with the type and extent of treatment, so follow the instructions provided for your procedure.

Are sclerotherapy results permanent?

A vein that closes successfully is generally durable and the body gradually removes it, but a treated vein can occasionally reopen. Sclerotherapy also does not stop new spider or varicose veins from developing elsewhere, particularly when underlying venous reflux, genetics, pregnancy, ageing or other risk factors are present. Follow-up assessment and occasional maintenance treatment may therefore be appropriate if visible veins or symptoms return.

How many sclerotherapy sessions will I need?

The number of sessions depends on how many veins are present, their size and depth, whether both legs are treated, the sclerosant dose that can be used safely and how each vessel responds. Some limited areas improve after one session, while more extensive networks may need two, three or additional staged appointments. Sessions are usually separated by several weeks so the response can be assessed before further injections.

Will I need compression stockings after sclerotherapy?

Compression is commonly recommended after leg-vein sclerotherapy, but the garment, pressure and duration are not identical for every patient. They depend on the vein size, treatment technique, circulation and clinician’s protocol. If stockings are prescribed, wear them exactly as directed and contact the clinic if they cause severe pain, numbness, marked swelling or colour change in the foot. Compression supports aftercare but cannot guarantee the final result.

Which veins can sclerotherapy treat?

Sclerotherapy is commonly used for spider veins, reticular veins and selected small or medium varicose tributaries. Ultrasound-guided foam may be considered for certain larger veins when appropriate. It is not suitable for every pattern of venous disease. If duplex ultrasound shows significant reflux in a main superficial trunk, treatment such as endovenous laser treatment (EVLT) may be recommended before or alongside treatment of visible branches.

What is the difference between liquid and foam sclerotherapy?

Liquid sclerotherapy is often selected for small surface spider and reticular veins. In foam sclerotherapy, the sclerosant is mixed with a gas to form fine bubbles. The foam displaces blood and provides greater contact with the vein wall, which can help treat larger or deeper veins and can be monitored with ultrasound. The safest formulation, concentration and volume depend on the target vessel and your medical history.

Do I need a duplex ultrasound before sclerotherapy?

Not every isolated cosmetic spider vein requires a duplex scan. Ultrasound is particularly important when veins are bulging, symptomatic or recurrent, when there is swelling or skin change, or when a larger vein will be treated with foam. It maps superficial and deep blood flow, identifies reflux and helps determine whether sclerotherapy alone will address the cause. The vascular clinician will decide whether scanning is appropriate after assessment.

Is sclerotherapy safe, and what are the risks?

Sclerotherapy is generally well tolerated when the patient, medicine and dose are appropriately selected. Common effects include bruising, tenderness, temporary pigmentation and firmness. Less common risks include matting, trapped blood, superficial thrombophlebitis, ulceration, infection or allergy. Deep-vein thrombosis and pulmonary embolism are uncommon. Foam can rarely cause brief visual, migraine-like or neurological symptoms. A medical assessment is essential because pregnancy, acute clotting, arterial disease, infection, immobility or other factors can alter suitability.

How much does sclerotherapy cost in Dubai?

Sclerotherapy cost in Dubai varies according to the number, size and distribution of veins, whether liquid or ultrasound-guided foam is used, whether one or both legs are treated, and the number of sessions required. Duplex imaging and follow-up may be priced separately or included in a treatment plan. An accurate quotation should follow a clinical assessment, because pricing by a single visible vein does not account for the full treatment required.

  • Avoid applying lotion on the treatment area.
  • Do not shave legs on the day of treatment.
  • Wear loose clothing.
  • No sun exposure 24 hours prior.

  • Wear compression stockings for 1–2 weeks.
  • Avoid hot baths, saunas, or strenuous workouts for 48 hours.
  • Walk daily to promote circulation.
  • Avoid sun exposure to prevent pigmentation.

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