Laser sclerotherapy is effective in the treatment of very superficial, fine spider veins. In order for laser therapy to be effective, the hand piece must be traced like a pencil over individual veins. Due to the tedious nature of this technique, large areas often require multiple sessions. Patients can return to normal activity immediately after treatment and are encouraged to comply with the compression hose regimen to achieve the best results. Potential side effects of laser sclerotherapy include a few days of redness, swelling or mild discoloration (“matting”) of the skin. This typically disappears within a few weeks or months. Avoidance of direct sun exposure for two weeks following sclerotherapy is recommended. Laser sclerotherapy is often used as an adjunct to injection sclerotherapy.
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