Treatment of Varicose Veins Using the Cryo Laser After Foam Technique

Sclerotherapy is the treatment of choice for telangiectasias and reticular veins. The most common side effects of this procedure are hyperpigmentation and matting, which are feared due to their aesthetic damage and difficulty of treatment. Combined treatments with laser and hypertonic glucose sclerotherapy (CLaCS) have been described with excellent results, but limited to treatment of veins 2 mm or less in diameter. Cryo Laser after Foam sclerotherapy (CLaF) is a procedure to treat reticular veins in the lower extremities that utilizes first foam sclerotherapy with polidocanol than immediately followed by transdermal Nd:YAG 1064 laser treatment and we can treat veins up to 5 mm. This report presents a successful case of varicose vein treatment using combined transdermal laser and sclerotherapy with foam sclerotherapy with polidocanol to treat veins greater than 2.5 mm in diameter.