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Hyruval 35 is a cream that reduces skin pigmentation caused by venous disease, and is available at the office.
Dr. Gratton recommends Veinex as a complement to sclerotherapy for maintaining vein health.  It may be purchased at her office.
SCLEROTHERAPY
What is sclerotherapy?
Sclerotherapy is the injection of a sclerosing solution into an unwanted vein.  The sclerosing solution acts as an irritant and destroys the inner wall of the treated vein.  The blood is then rerouted naturally through other healthy veins and eventually the treated vein will disappear.  Sclerotherapy does not harm the circulation —it actually improves circulation by eliminating unnecessary blood vessels.
What can I expect during a sclerotherapy treatment?
The sclerotherapy procedure consists of multiple small injections into the unwanted veins and may cause mild discomfort which is usually minimal.  The number of injections will vary depending on the extent of your vein problem.  Each treatment lasts approximately 30 minutes.  At the end of the treatment and depending on the size of the treated veins, a tensor bandage or cotton balls and tape may be applied.
How do I prepare for a sclerotherapy treatment?
•  Do not take aspirin, ibuprofen (Advil or Motrin), naproxen (Aleve) or other nonsteroidal anti-inflammatory drugs (e.g. arthritis medication) and Vitamin E for two days before your treatment because these medications can increase bruising.
•  Do not shave your legs the day of your treatment to avoid discomfort.
•  Do not apply any cream or lotion to your legs before your appointment.
•  Wear loose-fitting slacks or a long skirt to your appointment.
•  Bring a pair of shorts to your exam and treatment.
Are there any post-treatment instructions?
  • After the injection of small spider veins:
    •  Leave the cotton balls (and tensor if applied) on for one hour.
    •  Walk for 30 minutes.
    •  After removing the cotton balls or when you arrive home, wash your legs.
    •  Apply compression therapy (stockings) after washing legs.
    •  Wear stockings every day and evening.  Remove them at night.
    •  Avoid hot baths, hot showers, alcohol, and aspirin, ibuprofen (Motrin or Advil), and naproxen (Aleve) for 48 hours (unless you are taking aspirin for a heart condition).
    •  Avoid flying for 48 hours after your treatment.
    •  You may apply moisturizing lotion after 24 hours.
    •  Apply sunscreen liberally when exposing yourself to natural sunlight for four weeks.
    •  Wait three to four weeks for repeat sclerotherapy.

    After the injection of large varicose veins:
    •  Do not remove elastic bandage until 24 hours after treatment.
    •  Remove the outer layer bandage (tensor bandage) on the first night and then re-apply it the next morning and wear it all day until the evening.
    •  Avoid "high impact" activities (e.g. running, aerobics, heavy weight lifting) for 48 hours.
    •  Avoid hot baths, hot showers, alcohol and aspirin, ibuprofen (Motrin or Advil), and naproxen (Aleve) for 48 hours (unless you are taking aspirin for a heart condition).
    •  Avoid flying for 48 hours after your treatment.

    After the injection of facial veins:
    •  Apply an ice pack (containing frozen peas or ice, for example) as needed every two hours during the first day.
    •  Avoid aspirin, ibuprofen (Motren or Advil), and naproxen (Aleve) for 48 hours (unless you are taking aspirin for a heart condition)..
    •  Stay out of the sun.
    •  Apply moisturizer/sunscreen liberally after 24 hours.
What can I expect in the long term?
Most patients require a minimum of three treatments at intervals of three to four weeks to achieve a good cosmetic result.  Results are not immediate.  The fading of a blood vessel is a slow process which may take from one to six months.
Please call 416-485-0555 for your consultation.
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