Posted by RJ McCollam | April 26th, 2025
What You Should Know About Sclerotherapy Treatment
Visible veins, whether spider veins or small varicose veins, can cause discomfort and self-consciousness for many people. Fortunately, sclerotherapy treatment offers a proven solution to minimize or eliminate these unwanted veins. As a minimally invasive procedure with a long history of success, sclerotherapy remains one of the most effective options for restoring smoother, healthier-looking skin.
If you’re considering sclerotherapy, here’s everything you need to know.
What Is Sclerotherapy?
Sclerotherapy is a medical procedure designed to eliminate small varicose veins and spider veins. It involves injecting a special solution, called a sclerosant, directly into the affected veins. The solution irritates the vein lining, causing the vein to collapse and stick together. Over time, the collapsed vein is reabsorbed by the body, and blood reroutes through healthier nearby veins.
The treated veins typically fade within a few weeks, though multiple sessions may be necessary for optimal results.
Who Is a Good Candidate for Sclerotherapy?
Sclerotherapy is ideal for people who have:
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Spider veins or small to medium-sized varicose veins
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Good overall health
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No history of blood clotting disorders
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Realistic expectations about results
It’s important to consult with a vein specialist to determine if sclerotherapy is the right treatment for your specific condition. Some larger or deeper varicose veins may require other forms of treatment, such as laser therapy or surgery.
How Is the Procedure Performed?
Sclerotherapy is typically performed in a doctor’s office and doesn’t require anesthesia. Here’s what you can expect:
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Preparation: The targeted area is cleaned, and you’ll usually lie on your back with your legs elevated.
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Injection: Using a very fine needle, the doctor injects the sclerosant solution into the vein.
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Compression: Pressure is applied to the injected area to keep the vein collapsed and promote reabsorption.
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Post-Treatment: You may be asked to wear compression stockings for a few days or weeks to help with healing and prevent blood clots.
A typical sclerotherapy session lasts between 30 and 60 minutes, depending on the number of veins being treated.
Recovery and Aftercare
Recovery from sclerotherapy is relatively quick:
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Walking is encouraged immediately after the procedure to promote circulation.
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Compression stockings or bandages should be worn as directed.
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Avoid strenuous exercise, sun exposure, and hot baths for several days.
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Mild bruising, redness, or swelling is common but usually resolves within a week or two.
Most people return to their regular activities the same day, making sclerotherapy a convenient treatment option.
How Effective Is Sclerotherapy?
Sclerotherapy has a high success rate, particularly for small varicose veins and spider veins:
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Studies show that 60% to 80% of treated veins may be eliminated with one session.
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Some veins may require multiple treatments for the best results.
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Treated veins typically do not reappear, although new veins can develop over time, especially if underlying circulation issues persist.
Following your doctor’s post-treatment care instructions closely can maximize the effectiveness of your results.
Potential Risks and Side Effects
While sclerotherapy is generally safe, it’s important to be aware of potential risks:
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Mild discomfort during injection
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Temporary bruising, redness, or raised areas
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Skin discoloration around the treated vein (usually fades over time)
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Rare complications, such as allergic reactions, blood clots, or inflammation
Choosing an experienced provider minimizes the risk of complications and ensures a smoother healing process.
Frequently Asked Questions
Is sclerotherapy painful?
Most patients describe the procedure as only mildly uncomfortable, similar to a pinprick sensation.
How soon will I see results?
You may start noticing improvements in three to six weeks for smaller veins and up to three to four months for larger veins.
Is sclerotherapy covered by insurance?
If sclerotherapy is performed for cosmetic reasons, it is typically not covered. However, if it’s medically necessary (to treat symptoms like pain or swelling), partial coverage might be available.
Sclerotherapy treatment remains a trusted and effective solution for eliminating spider veins and small varicose veins. With minimal downtime, high success rates, and long-lasting results, it’s no wonder that sclerotherapy continues to be a popular choice among those looking to improve the appearance and health of their legs.
If you’re considering vein treatment, schedule a consultation with a qualified specialist to see if sclerotherapy is the right option for you. A smoother, more confident you could be just a few sessions away!