There are two main techniques to treat varicose veins:
1.) Phlebectomy: surgical removal of the veins
2.) Foam sclerotherapy: injection of a medicated foam to close the veins
Sclerotherapy is the least invasive, but patients with large and/or numerous bulging veins may require several sclerotherapy appointments over two or more months. This is because we can only administer a small amount of foam medication per day and larger veins may require two or more injections to close. Larger veins can also become firm and tender after sclerotherapy and/or deposit brownish blood pigments in the skin as the veins are healing.