Sclerotherapy is an injectable treatment that eliminates visible spider veins and smaller varicose veins from the legs and other areas of the body without anesthesia and downtime.
- Downtime: Very Minimal
- Pain Level: Minimal
- Results Duration: Long-Lasting
Visible spider veins and smaller varicose veins on the legs and other areas of the body
Redness, swelling, and bruising at the injection sites
Primarily used on the legs
Some patients require more than one treatment session to achieve an optimal outcome
Topical anesthetic administered prior to treatment
Elimination of visible spider and varicose veins
Elimination of veins within 3-6 weeks
Sclerotherapy is an injectable endovenous treatment that eliminates spider and smaller varicose veins. This 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 veins treatment due to its safety and efficacy.
A combination approach with endogenous lasers may sometimes be used as well to achieve an optimal outcome for our patients. Asclera® (polidocanol) also received FDA clearance and we have added this very safe and effective solution to our sclerotherapy treatment options. Our board-certified physicians have extensive experience in leg vein treatments and can customize your treatment plan to ensure the best possible results for you.
How does Sclerotherapy Work?
Sclerotherapy uses a sclerosing agent, which is injected directly into the visible vein. The solution seals the vein closed, so it collapses and the body can reabsorb it gradually. Over time, the vein disappears from view, and blood naturally reroutes to healthy veins nearby. The treatment does not require any anesthesia or downtime. Since the vein is completely eliminated, the results are long-lasting.
Do Sclerotherapy Injections Hurt?
Sclerotherapy is administered using a very fine needle that causes little, if any, discomfort. Some patients report a slight burning sensation as the solution goes into the vessel. However, the feeling typically lasts less than a minute. This treatment does not require any anesthesia and most patients tolerate the procedure well without the need for a topical numbing cream.
When Will I See Results?
It takes some time for treated veins to be reabsorbed by the body, so you may not see positive results right away. Most patients see a full result within 3-6 weeks after treatment. Some patients might require a series of treatment sessions to eliminate all the veins.
How Long is the Recovery Time After Treatment?
You should be able to resume your regular schedule immediately following your sclerotherapy treatment. We do require our patients to wear compression stockings for 1-2 weeks after treatment to promote healthy blood flow and ensure complete healing in the area. You might experience some tenderness and mild swelling around the injection sites for a day or two after your procedure, but it should not be enough to limit your activity level.
Real Patients Before and After photos
Sclerotherapy to Remove Leg Veins
Sclerotherapy Injections for the Treatment of Leg Veins
Sclerotherapy Injections for the Treatment of Spider Veins
Sclerotherapy In The News
Do Men Undergo Sclerotherapy Treatments?
Although sclerotherapy is not as common among men as women, it is growing in popularity among our male patients. According to the American Society for Aesthetic Plastic Surgery, more than 4,500 men underwent sclerotherapy treatments in 2018. As treatments advance and effectively treat some varicose veins as well as spider veins, that number is likely to increase.
There are different approaches, however, when treating men versus women, and our dedicated dermatologists take these real differences into account during every treatment.
Questions and Answers
Q: Is Sclerotherapy Safe?
A: Yes. When sclerotherapy is administered by an experienced, board-certified physician, the treatment is both safe and effective. Sclerotherapy techniques have been used for decades, demonstrating a strong track record of safety. All the sclerosing agents we use have been approved by the FDA for this purpose, giving our patients peace-of-mind in knowing the procedure has been thoroughly tested prior to use.
Q: How Long Do Results Last?
A: Since sclerotherapy eliminates the treated vein, it cannot return. However, you may develop other spider or varicose veins in the same area if there is an underlying condition present that is not treated. If you continue to see spider veins appear, it is a good idea to schedule an assessment with a vein specialist to determine whether there is an underlying problem that needs to be addressed to ensure visible veins do not continue to appear.
Q: What If I Am Experiencing Side Effects With My Spider Or Varicose Veins?
A: In most cases, these visible veins appear without any other noticeable symptoms. However, some patients might experience fatigue in the affected leg, leg heaviness, swelling at the end of the day or cramping. The good news is that the treatment that eliminates the appearance of the vein will likely relieve the other symptoms as well.
Q: Are There Any Side Effects To The Sclerotherapy Treatment?
A: Although sclerotherapy does not typically require any downtime afterward, there can be some mild side effects like redness, swelling, and bruising around the injection points. Most patients see these symptoms subside without intervention within a matter of days. Wearing compression stockings immediately following your treatment can also minimize side effects, even while promoting healthy blood flow and healing to the area.
Q: How Long Will It Take To See Results?
A: It is likely you won’t see the results from your sclerotherapy session right away. Once the sclerosing agent seals the vein closed, it is absorbed by the body over time. Most patients will see their results within three to six weeks. Larger veins might take a bit longer to disappear.
Q: Is Sclerotherapy Right for Me?
A: You may be a very good candidate for sclerotherapy if you have visible spider or varicose veins you would like to get rid for cosmetic reasons or to improve minor symptoms like leg heaviness or cramping. Schedule a consultation with one of our doctors who can examine you in person and determine whether sclerotherapy is the right option for you.
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