Sclerotherapy of Reticular and Telangiectatic Veins: How I do it

Introduction The patient’s demand being aesthetic, our answer must be aesthetic and respect an unhurried and progressive treatment rhythm. The development of reticular veins and telangiectasies being slow, the treatment cannot always be quick. The duration of this treatment does not depend on the wish of the patient, but on the necessities of a good result. The sclerotherapy’s length requires method, rigour and prudence. Like any sclerosis treatment, sclerotherapy of Reticular and Telangiectatic Veins has to respect the same basic principles as sclerotherapy of the big veins. 1It has to be built on a mapping which must be as accurate as possible and which gives rise to every leak point, from the biggest to the smallest ones. 2It has to start only after deletion of the different leak points 3It will use a liquid or foam form, depending on the size or the depth of the reticular vein. The treatments of the reticular veins and of the telangiectasies are very similar and can not be dissociated. Indeed, telangiectasies are often fed by the reticular veins.