At Porcaro Cosmetic Surgery, Dr John L. Porcaro, Board certified by The American Board of Cosmetic Surgery*, offers Sclerotherapy and Ambulatory Phlebectomy, ideal treatment for most patients suffering from varicose veins, spider veins and reticular veins. If you are like most patients with varicose veins and don't have reflux of blood traveling down your veins (which Dr Porcaro will determine with the use of Doppler Ultrasound) you can be successfully treated with sclerotherapy or ambulatory phlebectomy or both modalities.

 

Dr. Porcaro will discuss your "vein problems" in depth, examine your legs and perform a Doppler exam, which will determine your candidacy for sclerotherapy, excision of the affected veins with micro-incisions-"ambulatory phlebectomy" or recommend laser treatment for you.

You can rest assured you will be treated by a surgeon who completed a year long fellowship training program in vascular surgery and who has extensive experience in the contemporary treatment of spider, reticular and varicose veins!

Sclerotherapy was developed in the 1920s for the treatment of spider veins (telangiectasias), small purple and red blood vessels. Spider veins are hereditary, and while most commonly found on the thigh or lower leg, can form virtually anywhere on the leg, from the uppermost region of the thigh to the ankle. Sclerotherapy has proven to be a very popular nonsurgical cosmetic procedure, and is preferred over laser in the treatment of varicose and spider veins. Sclerotherapy can be an excellent alternative to surgery for most patients.
 
How Dr Porcaro Performs Sclerotherapy:

Dr. John Porcaro will use a Doppler Ultrasound to confirm that you don't have venous  blood traveling "the wrong way" in your leg veins. Once "reflux" has been excluded, Sclerotherapy can be safely and easily performed. Larger veins are usually treated first. Dr Porcaro will use a fiber optic illuminator- The Vein Light- to assist in localizing the veins to be treated. FDA approved Asclera, Dr Porcaro's agent of choice, is painlessly injected into your affected veins  with a micro-needle. The solution causes your vein to turn white (blanch), and then gradually disappear. A typical treatment session lasts 20 minutes. Dr Porcaro recommends patients wear compression hose for 2 wks after the treatment session.  

Key Benefits of Sclerotherapy by Dr Porcaro:

 

 

 

Ambulatory Phlebectomy involves removal of your troublesome  veins under local anesthesia. Dr. John Porcaro will numb the veins with a dilute local anesthetic and the veins are removed thru tiny incisions that are closed with butterfly strips.  The leg (arm or hand) is wrapped for 1-2 days with your activity as tolerated. You will need to wear compression hose for 2 wks after the treatment session for leg vein injections.  

 

Key Benefits of Ambulatory Phlebectomy by Dr Porcaro:

 

Complete correction of your varicose veins is not expected. Only about 50 to 70% of the treated vessels will be permanently gone. Three or more treatment sessions may be necessary, depending on the number of your veins to be treated. On occasion, tiny clots or discoloration can develop at your injection sites which generally resolve in time. If there is an underlying problem with the venous system, however, the veins will recur and you may form new "problem" veins in other areas.

 

 

 

^{See Sclerotherapy photos}