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fade after a few months, or call for additional sclerotheraphy.<br />

Your physician may well wait as much<br />

as a year before deciding on additional treatment.<br />

After the procedure, you should avoid extremes<br />

in temperature for 48 hours. No hot baths,<br />

although showers with tepid water are allowed.<br />

Stay out of the sun, the swimming pool, the hot<br />

tubs. Walking is definitely encouraged if not<br />

mandatory (wear that compression stocking!), but<br />

not strenuous exercising, jogging, weightlifting.<br />

The cost of sclerotherapy varies enormously<br />

depending on the severity of the condition, your<br />

doctor, where you live, and, of course, your insurance<br />

policy. Be very sure to discuss all costs<br />

and insurance matters with the doctor so you<br />

won’t be unpleasantly surprised when the bills<br />

come in. Get a written estimate and contact your<br />

insurance carrier so you know exactly how much<br />

you will be liable for. If the procedure is being<br />

done for medical reasons—to relieve pain and<br />

swelling, for example—you are probably covered.<br />

If it is solely for cosmetic reasons, your company<br />

will probably not recognize it as a covered benefit.<br />

Check your policy and have a heart-to-heart<br />

with your doctor to see if there may be an under-<br />

lying condition that necessitates the procedure.<br />

You’ll almost definitely need a letter from your<br />

doctor explaining your condition if this is the case.<br />

If you are treated in a medical facility that employs<br />

doctors—that is, they are salaried and don’t<br />

charge for individual services—your costs might<br />

also be minimal.<br />

Although no hospital stay is necessary, there<br />

are some additional costs you should be aware of.<br />

Again, these may or may not be covered by your<br />

medical insurance. These included medications,<br />

operating room supples (if the doctor charges<br />

separately), and special surgical stockings. Be<br />

wary if anyone tries to sell you books, DVDs, or<br />

any other materials relating to your procedure.<br />

The doctor or his staff should provide all you need<br />

to know for free.<br />

There are usually no long-term effects from<br />

sclerotherapy, other than the positive one of getting<br />

rid of the unwanted veins. Spider veins are<br />

part of the superficial venous system—the vast<br />

percentage of blood circulation is performed by<br />

large veins under the leg muscles. The most apparent<br />

result will be how much better you look in<br />

your shorts or that new bikini. IMAGE<br />

66 IMAGE Fall 2008

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