Spider vein sclerotherapy in Naples is indicated for visible thread veins, telangiectasias and reticular veins of the lower limbs when a phlebological assessment confirms that the problem can be treated safely and appropriately. At Centro Medico Gargano in Naples, treating spider veins is not considered solely an aesthetic procedure: before treatment, it is important to establish whether there is underlying venous insufficiency, particularly when heavy legs, swelling, varicose veins or pain are also present.
Spider vein sclerotherapy in Naples: how it works
Treatment with spider vein sclerotherapy is one of the most widely used approaches to reducing the visibility of telangiectasias, small thread veins and reticular veins of the lower limbs. It involves injecting a sclerosant into the vessel to be treated using very fine needles.
The aim is to produce a controlled reaction in the vessel wall, gradually closing the small vessel, which is subsequently absorbed by the body.
At Centro Medico Gargano, spider vein sclerotherapy in Naples is planned after a phlebological assessment and a vascular assessment with venous colour Doppler ultrasound, which is required before a sclerotherapy session to assess the circulation properly and plan treatment.
Treatment is tailored to vessel size, distribution and depth, and to the characteristics of the patient’s venous circulation.
When spider vein sclerotherapy is indicated
Sclerotherapy may be indicated for:
- red, blue or purple telangiectasias;
- visible spider veins on the legs;
- superficial reticular veins;
- localised small dilated vessels;
- cosmetically noticeable networks of superficial veins.
However, not all spider veins should be treated in the same way. Before proceeding, it is important to establish whether the finding is purely superficial or whether there is underlying venous insufficiency contributing to the problem.
Where venous reflux, varicose veins or haemodynamic abnormalities are present, treating only the spider veins may produce incomplete results or increase the likelihood of recurrence.
Before treatment: venous colour Doppler ultrasound
Before a sclerotherapy session at Centro Medico Gargano, patients need a vascular assessment with venous colour Doppler ultrasound.
The examination assesses the superficial and deep venous systems and identifies any reflux, saphenous vein insufficiency, incompetent perforating veins or associated varicose veins. This allows sclerotherapy to be planned in line with the haemodynamic findings, rather than simply the appearance of visible spider veins.
For the required assessment at Centro Medico Gargano, book Colour Doppler Ultrasound + Vascular Consultation. Any sclerotherapy is scheduled only after colour Doppler ultrasound and a consultation carried out by Dr Ciro Gargano at Centro Medico Gargano.
Sclerotherapy or VeinGogh: which treatment should you choose?
Not all spider veins respond to the same treatment. Sclerotherapy may be particularly suitable for telangiectasias and reticular veins into which the sclerosant can be introduced precisely.
For very small, superficial vessels, treatment with VeinGogh, a technology that delivers micropulses through an extremely fine needle, may be considered instead.
The choice depends mainly on the diameter and depth of the vessel, the colour of the telangiectasias, the presence of reticular veins feeding them, and the characteristics of the skin.
For some patients, the two techniques may complement each other and be used at different stages of the same treatment pathway.
What happens during a sclerotherapy session
During the session, microinjections are made directly into the selected vessels. The amount and concentration of the substance used are determined by the characteristics of the vessels and the clinical situation.
The procedure is normally performed on an outpatient basis. Afterwards, temporary redness, small raised areas along the treated vessels or minor bruising may develop.
Depending on the clinical situation, temporary elastic compression may be recommended, and individual instructions are provided for the period after treatment.
How many sessions might be needed?
There is no set number of sessions for everyone. A small, localised area may require a few sessions, while an extensive network of spider veins and reticular veins may need a more involved treatment programme.
Results are assessed over time because treated vessels do not disappear immediately. In susceptible patients, new telangiectasias may also develop over time, regardless of a good result in previously treated vessels.
After spider vein sclerotherapy
Specific advice is provided after treatment according to the technique used and the extent of the treated areas.
In general, you may be advised to:
- walk regularly;
- avoid prolonged immobility;
- wear a compression stocking when indicated;
- avoid injury or vigorous manipulation of the treated area;
- follow the advice you receive about sun exposure.
Frequently asked questions about spider vein sclerotherapy
Is spider vein sclerotherapy painful?
The injections use very fine needles. Sensations vary from person to person, and there may be mild discomfort or a temporary burning sensation.
Do spider veins disappear straight away?
No. Closing the vessel and its subsequent absorption take time, and results are assessed gradually over the following weeks.
Is colour Doppler ultrasound necessary before sclerotherapy?
Yes. At Centro Medico Gargano, a vascular assessment with venous colour Doppler ultrasound is required before a sclerotherapy session to examine the venous system and plan treatment according to the clinical and haemodynamic findings.
Does sclerotherapy remove spider veins permanently?
Treated vessels may shrink or disappear, but new telangiectasias can develop over time in susceptible people.
Can sclerotherapy and VeinGogh be used together?
Yes, in selected cases they may be used as complementary techniques. The choice is based on the characteristics of the vessels to be treated.
Spider vein sclerotherapy in Naples: consultation and treatment
For the required assessment at Centro Medico Gargano, book Colour Doppler Ultrasound + Vascular Consultation. Any sclerotherapy is scheduled only after colour Doppler ultrasound and a consultation carried out by Dr Ciro Gargano at Centro Medico Gargano.