Microsclerotherapy/vein treatment

This is how you treat tiny "broken capillaries" or fine veins on your legs.

Sclerotherapy involves treating unwanted dilated veins, like varicose veins or smaller veins, by injecting them with an *irritant solution* that makes the vein sticky on the ind=side, so that it closes inside and, to all intents and purposes "disappears".

Microsclerotherapy describes when this treatment is done on small veins 

With a big magnifying polarised headlight I sit at your side and inject (via tiny 30G or 31G needles) a sclerosant solution into your spider veins or broken capillaries. TGA regulations disallow discussion of exactly what, but it's commonly used and the best for the purpose.

I might have to do a dozen or a hundred injections, depending on need, and time.

Typically the treated area gets a bit sore and pink. 

At the two-week review, some veins will look better and other veins will be dark, with clotted blood inside. I will then decide whether to release that clotted blood via needle, or allow it to stay there over more weeks.

After six or eight weeks we typically see our result - an average of 80% improvement

Because it might take two months to see the final result, and because the legs can look worse before they look better, this treatment should NOT be done in late spring and early summer. 

You will want to go to the beach, right? But not with clotted veins on your legs.

Come back in late autumn

Not exactly. 

Although individual veins might well go forever, anyone having sclerotherapy is necessarily, by definition, prone to developing spider veins and broken capillaries on their legs, and will almost certainly develop more in time.

You'll probably need more treatments from time to time.

That's life.

True and typical varicose veins require treatment under duplex ultrasound control and with an ultrasonography performing the ultrasound during the treatment.

Some doctors experienced in this specific technique may be happy to do the ultrasound examinations themselves *while* doing the sclerotherapy, but either way that's not me.

The other point to make is that *if* there is a mix of big dilated/varicose veins *and* tiny veins at the one time *then* the big veins must be treated first. I'll have to refer you off.