Aesthetic Vein Session: Sclerotherapy Technique and Safety
Building a Cosmetic Vein Practice
Opening remarks made the case for adding cash based cosmetic sclerotherapy to a venous practice with trained staff and dedicated equipment such as vein lights and infrared visualization, framing it as a natural extension of care already keeping patients in office.
Sclerosant Selection and Injection Technique
Histology showed every spider vein arises from a feeding dermal perforator that must be punched or sclerosed alongside the visible vessel, with sclerosant concentration, dilution, and tumescent anesthesia all shaping damage, staining risk, and final cosmetic result.
Recognizing and Managing Complications
Speakers reviewed rare severe complications including anaphylaxis, deep vein thrombosis, intra-arterial injection, tissue necrosis, and neurologic events tied to right to left shunts, alongside common benign postsclerotherapy pigmentation and telangiectatic matting and their management.
Hands, Feet, Face and Multimodal Treatment
Closing talks covered sclerotherapy and phlebectomy technique for hand, foot, and facial veins, including consent for rare blindness risk with facial injection, and a live demonstration combining foam sclerotherapy, tumescent, laser, and micro-phlebectomy for complex spider vein clusters.
