Sclerotherapy Client Information and Consent
I. Treatment Details and Purpose
- Procedure Name: Sclerotherapy
- Purpose: To improve the cosmetic appearance of superficial leg veins (e.g., spider veins and small varicose veins). Sclerotherapy involves injecting a solution (sclerosant) directly into the vein, causing it to scar and collapse, forcing blood to reroute through healthier veins. The collapsed vein is eventually reabsorbed by the body.
- Sclerosant Used: Hypertonic Saline
- Expected Results: Improvement in the appearance of treated veins. Multiple treatments (sessions) are typically required to achieve optimal results, as not all veins respond completely in a single session. Treated veins may take 4 to 6 weeks, or even several months, to fully resolve and fade.
II. Preparation: The Day Before and Day of Treatment
- 24 Hours Before: DO NOT apply any lotions, oils, creams, or sunscreen to your legs. The treatment area must be clean and free of residue.
- The Morning Of: DO NOT shave your legs.
- Bring your compression hose
- Clothing: Wear loose-fitting, comfortable clothing that can be easily rolled up or removed for treatment. You may bring a pair of shorts to wear during the procedure if you prefer.
- Medication/Food: Eat a light meal before your appointment. Inform your provider of all medications and supplements you are currently taking.
III. Procedure Overview
- The treatment area will be cleansed with an antiseptic solution.
- A small amount of the sclerosant solution will be injected directly into the targeted vein using a fine needle. You may feel a mild burning or cramping sensation at the injection site.
- A small cotton ball or gauze will be applied to the injection site and secured with tape.
- After all sites are treated, a compression bandage or graduated compression stockings will be immediately applied to the entire treated leg.
IV. Post-Procedure Expectations & Aftercare
- Immediate Appearance: The treated veins will appear dark red or purple and may be temporarily raised or "bumpy." Mild swelling and bruising are common.
- Pain/Tenderness: Some mild tenderness or aching may develop in the treated areas. This is usually mild, lasts up to several days, and can typically be managed with extra-strength Acetaminophen (Tylenol or comparable pain reliever). Avoid aspirin or anti-inflammatory drugs (like ibuprofen) unless directed by your provider.
- Compression Therapy: The compression hose/stockings are a critical part of the healing process. They must be worn continuously during the day for 2 weeks post-procedure.
- Dressing Removal: Remove the cotton balls and tape after 24 hours. Keep the compression hose on.
- Activity: WALK IMMEDIATELY after your procedure for at least 15-20 minutes. This is vital for promoting circulation.
- Activity Restrictions (1 Week): Avoid strenuous activity such as high-impact aerobics, heavy lifting, or running for one week.
- Heat Restriction (24 Hours): Avoid hot baths, saunas, hot tubs, or any extreme heat for 24 hours. Lukewarm showers are permitted.
- Bruising & Pigmentation: Bruising can take several weeks to resolve. Brownish pigmentation (hemosiderin staining) may occur at the treatment sites; this usually fades over several months but, in rare cases, can be permanent.
V. Potential Risks and Side Effects (Please Read Carefully)
While sclerotherapy is generally safe, potential risks include:
- Bruising and Redness: Common, temporary.
- Pigmentation: Brownish discoloration of the skin, usually fades, but may be long-lasting.
- Matting: Development of tiny, faint red vessels near the treated area; may require further treatment.
- Ulceration/Skin Breakdown: Rare, but if the solution escapes the vein, it can cause a small sore that requires immediate attention and may scar.
- Allergic Reaction: Rare, can range from mild to severe (anaphylaxis).
- Blood Clots: Extremely rare, but possible. Seek immediate medical attention if you experience sudden, severe leg pain, swelling, or shortness of breath.
VI. Client Consent and Acknowledgement
I acknowledge that I have read and understand the information provided above regarding the sclerotherapy procedure, including the purpose, preparation, aftercare instructions, and potential risks. I have had the opportunity to ask questions and have received satisfactory answers.
I understand that Signature Medical Spa does not accept healthcare insurance and payment is due at the time of service. Two business days’ notice of appointment change or cancellation is required to avoid a $75 late cancellation /change fee.
