Leg Vein Treatment
Sclerotherapy and endovenous laser procedures can be used to remove visible leg veins without surgery or downtime.
- Downtime: minimal
- Pain Level: Minimal
- Results Duration: Long-Lasting
Visible spider and smaller varicose veins on the legs
Redness, tenderness, bruising and swelling
Primarily used on the legs
Additional treatment sessions may be necessary to achieve an optimal outcome
Medication is injected to the visible veins, laser energy can also be delivered directly into the vein so it collapses and disappears from view
Topical anesthetic applied prior to treatment
Elimination of visible veins on the leg
Results appear in days following treatment
Leg Vein Treatment
Visible veins on the legs are not usually a serious medical concern, but they can be a cosmetic nuisance. Today, a variety of nonsurgical treatments are available to remove unwanted veins with minimal discomfort and downtime.
The board-certified doctors at the Laser & Skin Surgery Center of New York commonly treat leg veins with an injectable procedure known as sclerotherapy. Treatment involves a series of essentially painless injections directly into the unwanted vessels causing them to collapse and ultimately get reabsorbed by the body. Sclerotherapy is considered the gold standard in spider vein treatment and it can also be used to eliminate some smaller varicose veins. Asclera® (polidocanol) recently received FDA clearance and we have added this very safe and effective medication to our therapeutic approach.
We can also use endovenous laser ablation to remove larger varicose veins. This procedure uses a narrow fiber, inserted into the vein, to heat the vessel so it collapses. Endovenous ablation is a good option for veins that protrude above the skin’s surface.
How does Leg Vein Treatment Work?
Visible veins can be eliminated by coagulating the vessel so it seals closed and collapses. Sclerotherapy does this by administering a sclerosing agent into the vein that seals the walls of the vein. CoolTouch CTEV delivers gentle heating into the vein via a narrow fiber to produce a similar effect. Treated veins collapse and the body reabsorbs them. The treated vein cannot return, producing permanent improvement for patients. Blood flow reroutes naturally through healthy veins nearby.
Does Leg Vein Treatment Hurt?
Most patients report little or no discomfort with sclerotherapy or laser vein treatments. Some feel a slight burning and the sclerosing agent goes into the vessel, but the sensation only lasts a minute or so. Laser treatments are often compared to a rubber band snapping against the skin. Topical numbing cream is available for patients that are concerned about their comfort level during the procedure, but it is rarely necessary.
When Will I See Results?
Most patients will see positive results in the weeks following their treatment, with full improvement in about 4-6 weeks. Larger veins may take up to 4 months to disappear completely. Once the vein is gone, it cannot return.
How Long is the Recovery Time After Treatment?
You will be able to return to regular activities immediately following your leg vein treatment. Patients typically wear compression socks for a week or two after the procedure to promote healthy blood flow and healing in the area.
Real Patients Before and After photos
Sclerotherapy to treat leg veins
Sclerotherapy to treat leg veins
Sclerotherapy Injections for the Treatment of Spider Veins
Leg Vein Treatment In The News
Roy G. Geronemus, M.D., featured in New York Social Diary
Cindy Bae, M.D., visits Kathie Lee and Hoda to discuss the difference between varicose veins and spider veins.
World-renowned Leg Vein Specialist and Cosmetic Dermatologist Dr. Robert A. Weiss is Joining The Laser & Skin Surgery Center of New York
Do Men Receive Leg Vein Treatments?
Yes. We treat men routinely at the Laser & Skin Surgery Center of New York, using both sclerotherapy and laser vein treatments. According to the American Society for Aesthetic Plastic Surgery, nearly 30,000 men had laser veins treatments in 2018, and another 4,500 underwent sclerotherapy. Both of those numbers showed an increase from 2017.
Men and women require different approaches when undergoing any cosmetic procedure, including leg vein treatment. Our board-certified doctors have the experience and expertise to ensure optimal outcomes for all of our patients, regardless of gender.
Leg Vein Treatment
Questions and Answers
Q: Is Leg Vein Treatment Safe?
A: Yes. Sclerotherapy has a long track record of safety and success. The FDA has approved numerous sclerosing agents over the years, allowing doctors some flexibility in how they perform their vein treatments. Most recently, the FDA approved the sclerosing medication Asclera in 2010, for the treatment of varicose veins. All of the laser devices we use for vein treatments are also FDA approved and have a history of safety and efficacy for our patients looking to eliminate visible veins from the legs.
Q: How Long Do Results Last?
A: Since treated veins are reabsorbed by the body, they cannot return. However, other veins in the area may become visible over time, particularly if there is an underlying condition like chronic venous insufficiency present. If you continue to see spider or varicose veins develop, it is a good idea to schedule an assessment with a vein specialist who can diagnose your condition and determine whether additional treatment might be needed.
Q: Are There Any Side Effects?
A: There can be some mild side effects after a sclerotherapy treatment, including inflammation, tenderness and mild swelling around the injection sites. Blood clots can be a risk after treatment, which is why we prescribe compression stockings to our patients to promote healthy blood flow.
Q: How Many Treatments Will I Need?
A: While some patients achieve full results in a single treatment session, it is not unusual to require a series of sessions to eliminate all the visible veins in an area. Our board-certified doctors have extensive experience in leg vein treatments and will be able to advise you on the best treatment plan for you.
Q: Is Sclerotherapy Right for Me?
A: You might be a good candidate for sclerotherapy if you have visible spider veins or smaller varicose veins you would like to eliminate. The treatment is appropriate for any skin type and tone and can be performed on adults of all ages.
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