Q: Dr. Geller, What will happen on my first visit?

A: The doctor will review your medical history and examine your legs to determine the types of veins you have.  Your first injections, if you wish to have a treatment, will then be given by the physician. 

Q: Which veins can be injected?

A: The small "spider veins" and most non-bulging and bulging "blue" veins can be treated with injections. 

Q: What is the solution injected?

A: The solution is called Sotradecol.  Sotradecol was developed in Europe and has been in use for many years.  However, the solution has been diluted so as not to produce any unwanted side effects on the surrounding skin.  In our extensive experience we have seen no systemic effects.  We do not use saline solution because it is painful and less effective. 

Q: How does the solution work?

A: The solution is injected directly into the veins with one of the smallest needles available.  As solution enters the veins it temporarily displaces the blood and causes a gentle irritation to the inner lining of the vein.  The blood returns into the injected area and becomes trapped in the injected veins.  The body then gradually absorbs the trapped blood and veins themselves.. 

Q: Is the solution safe if you are pregnant?

A: For our patients who are pregnant we can use a different solution which is safe for both the mother and baby. 

Q: Will the veins disappear immediately?

A: No.  This is the most important fact in understanding your treatment.  The healing process begins as soon as the solution is injected.  However, in the beginning the healing process is microscopic and is not visible to the naked eye. 

Q: When will I be able to see any changes?

A: Approximately 2-3 weeks after injection you will begin to see a change in color from a deep blue or purple to pink.  The pink color will gradually fade until the veins become invisible.  The length of time varies greatly between patients and the size of veins and may take up to 8-12 weeks.  Some veins may need an extra "touch-up" several weeks after the first injections. 

Q: Will the veins return?

A: No.  The veins that have been injected will not return.  However, since the tendency to have varicose veins is inherited it is very likely that you will develop other veins in the future.  Usually one or two visits every year or so will keep the veins under control. 

Q: Is the injected procedure painful?

A: Since the solution is so diluted there may be only a slight stinging or burning sensation as it is injected.  You will also feel the small pinch of the needle.  It is so minimal that often nothing is felt.

Q: Do I have to stay in bed after the injection?

A: Absolutely not!  We want you to continue your normal activities.  The only restriction is to avoid heavy aerobic exercise and swimming on the day of the injection.  All the activities may be resumed on the following day.  We also request that our patients shower rather than bathe the evening of the injections and refrain from the use of bath oils for 24 hours. 

Q: Do I  have bandages or elastic wrap after injection?

A: Usually there are no bandages necessary.  However, on some larger veins a temporary "pressure" bandage will be applied at the Doctor's discretion. 

Q: How will my legs look after injection?

A: You may notice some slight redness and a few little welts similar to mosquito bites.  This is normal and will disappear in 48 hours.  Very rarely, there will be a temporary discoloration. 

Q: Are there any complications to this procedure?

A: Extremely rarely one may develop a small blister at the injection site.  This will usually heal without scarring.  If this occurs at all it is most likely in older patients with very fragile skin. 

Q: Will I have any pain after the injections?

A: No.  However, you may notice some "itching" or "tingling" for a few hours after injection.  We recommend wet compresses.  Do not scratch areas or apply any ointments. 

Q: What about laser therapy?

A: We use laser on facial veins.  Laser on leg veins has not been proven to be effective.