I have had Sclera Therapy (saline injection) done three times -- each time several years apart. The first was done when I was in my early 40s, in Dallas, by a physician in a clinic that specialized in Sclera Therapy. The 2nd and 3rd times were on two separate occasions, done by two different practitioners in the same dermatologist's office in San Antonio (FYI, the 2nd time was done by the dermatologist's sister, who, although not an M.D., is licensed to perform Sclera Therapy; this treatment was done when I was about age 50). The 3rd time, done last September (I am 53), was done by the referenced San Antonio dermatologist (M.D.) herself.
The first and second times, I was DELIGHTED. The small blue veins that were beginning to show at various places on my legs (backs of knees, lower thighs) disappeared completely. I had absolutely NO problems!! Naturally, I expected the 3rd time to be as "simple" and successful as the first two, but I was disappointed in the results. I include the following details because I assume you are wanting to know what CAN happen. In the last treatment, two areas -- on my inside calf and ankle -- I had "star-bursts" of extremely small spider veins that extended from a small center point outward, one to about the size of a quarter and the other to a size slightly smaller than a half-dollar. In essence, these spots looked like very light-colored "bruises" in these two areas. I specifically asked the doctor if these areas would be treated in the same way as other single, straighter, bluish veins, or whether she would treat them differently. She said she would treat them the same way -- by saline injection -- and she appeared confident that they would respond in the same way. However, during the procedure, I sensed (by mannerisms and vague comments between the doctor and her assistant) that she was surprised by the amount of saline that she had injected into these two spots. She spent quite a lot time time applying pressure to these two spots and "dabbing" saline back-flow, and finally said, "I'm afraid you will have a little lesion here (on one of the spots.)" However, she said she was "pleased" that the spot had taken the whole syringe of saline because that should ensure that she had reached all of the branches of the "spider". The one on the inside of my calf did form a lesion that initially developed into a watery pit. In the initial follow-up, the doctor told me to keep the place covered with antibiotic cream and a bandaid. The other spot on my ankle initially appeared to be a black bruise about the size of an elongated quarter under the thin skin of my ankle. At her direction, I also covered this spot with a bandaid and antibiotic cream. She told me keeping these places "gooey" (with antibiotic cream) is good and to not let these places dry out before they healed, as this would minimize scaring. It was then that I became the "Bandaid Queen." I religiously applied antibiotic cream and a new bandaid morning, night and every time a took a shower and sometimes in between. At Christmas I was STILL wearing bandages (I had this procedure done 3 1/2 months earlier, in September)! My husband had not even really noticed the spider vein spots that I had before the procedure, but I assure you he noticed the endless Band-Aids and wounds on my legs. I finally stopped wearing Band-Aids last month (February) and I now have purple-pink scars in both places. Moreover, the other places that she treated did not vanish completely, as had happened in earlier treatments. So, I am disappointed in this last treatment and I am reluctant to try this again.
What I am trying to decide are answers to these questions: Since both of the first treatments WERE successful and only the last was such a mess, was it because the first two practitioners were more skilled than the third? Was my problem caused because of the "type" of spider vein being treated (but if so, why didn't the "simple" ones respond by completely vanishing, as they had before)? Would a different method have been more successful (you mention sugar serum, which I have not heard of; I have heard of laser therapy to treat spider veins)? Will I ever have Sclera Therapy again? I think the jury is out on this. My paternal grandmother had very bad varicose veins, so I KNOW I do not want to go there. I assume that I have a genetic propensity for this condition, but I don't know how much environment or lifestyle (she was a hardworking farm woman, I am a professional) contributed to her condition. I will simply have to see if the scars on my legs eventually fade sufficiently (I am putting Vitamin E Oil on them daily) to consider further treatment when and if it becomes necessary. I know that I will NOT return to the third practitioner, because I simply did not feel good about her skill in the procedure.
NOTE: In each case, I was instructed to take support hose to each appointment, put on the hose over the cotton ball/compression bandages that the practitioners applied and promise to wear the hose for at least 24-hours. I also scheduled all of the procedures to be done on a Friday and wore the hose over bandages well into the weekend before removing them and showering. I kept my legs up most of the time -- elevated on a pillow, while watching TV or reading. I am convinced that this contributed to the success of the first two procedures. I think that it is important to follow the physican's/practioner's directions and schedule a day or two of "down time" if you have this procedure done.
GOOD LUCK to you if you choose Sclera Therapy. I have had two great successes, and one trying experience. Rather than develop very unsightly varicose veins, I will probably choose to try it again if I get a recommendation by someone who has had it done successfully by that practitioner.
Best regards,
K.