Tumescent Enhanced Sclerotherapy (TES)

Tumescent Enhanced Sclerotherapy (TES) is a newly developed and clinically tested office procedure that takes traditional sclerotherapy a step further by applying tumescent (meaning making the tissue “tight”) anesthetic solution with a small pump designed for the procedure.

Before	After 5 weeks

A standard sclerosing solution is placed in veins with very tiny needles. This sclerosing solution (not saline) causes the veins to scar up and disappear. This injection is very well tolerated by all patients because the needles used are the size of a human hair. Special magnifying lenses and polarized light are used so the doctor can see the veins in question.

In order to make the solution that is injected in the veins work better, another solution made up of saline, lidocaine and adrenalin is used to compress the veins being treated. This has the effect of isolating the solution in the veins causing compression which can lead to better results. Usually, fewer injections and fewer treatments are needed. Less concentrated solutions are required as compared to conventional sclerotherapy.

Multiple sessions may be necessary and occasional future treatments may be required to achieve and maintain optimal results.