Non-surgical methods have advanced in varicose vein treatment, and one of the prominent options is foam sclerotherapy. This method is frequently preferred for treating fine spider veins and medium-sized varicose veins, offering an effective and aesthetic solution. So, what exactly is foam sclerotherapy, who is it suitable for, and what are its advantages?

What Is Foam Sclerotherapy?
Foam sclerotherapy is a treatment method in which a special sclerosing agent is mixed with air to create foam, which is then injected into the varicose vein using a needle. The foam irritates the inner lining of the vein, causing it to close off and gradually be absorbed by the body. This reduces the visibility of veins on the skin surface and restores normal circulation.

When Is It Preferred?
• Spider veins (telangiectasia)
• Reticular veins (medium-sized superficial veins)
• Veins close to the skin surface that are cosmetically bothersome
• Areas unreachable by laser or resistant to laser treatment
Sclerotherapy is not recommended for large varicose veins; laser or surgical methods are suggested for those.

What Is the Procedure Like?

1. Evaluation: The veins to be treated are examined by Doppler ultrasound.

2. Application: Foam is injected into the target veins using a fine needle.

3. Duration: The procedure usually takes 15-30 minutes.

4. Aftercare: Compression stockings are worn, and patients can continue their daily activities.
   Several sessions may be needed depending on the density and extent of the veins.

What Are the Advantages?
✅ Non-surgical and painless
✅ Immediate return to daily life after the session
✅ High aesthetic success
✅ Easily performed in a clinical setting
✅ No scars or incisions

Post-Treatment Care
• Avoid hot baths, hammams, and saunas for the first 48 hours
• Wear compression stockings regularly
• Avoid sun exposure to prevent pigmentation
• Avoid prolonged standing and immobility
• Support circulation with light exercises such as walking

Who Is Not Suitable for This Treatment?
• Those with active thrombophlebitis (blood clots in veins)
• Individuals with a history of allergic reactions to medications
• Pregnant or breastfeeding women
• Those with severe insufficiency in the deep venous system
A detailed vein assessment must be done before treatment to confirm suitability.

Facts and Misconceptions
False: “All veins completely disappear after foam treatment.”
True: While significant aesthetic improvement is achieved, some spider veins may be resistant and require additional sessions.
False: “The procedure is very painful.”
True: The treatment is quite comfortable; only mild stinging is felt without severe pain.

In Conclusion…
Foam sclerotherapy is a safe, effective, and aesthetic modern solution for spider vein treatment. It quickly improves the red-purple vein appearances that cause cosmetic concerns, especially in women. Treatment plans should be personalized and performed by an experienced vascular surgeon.