Varicose Veins
Dr. Lisa Perez Dr. Lisa Perez

Sclerotherapy for Varicose and Spider Veins

What is sclerotherapy?
Sclerotherapy is a procedure to remove spider veins and small varicose veins non-surgically.

How is the procedure performed?
The veins are injected with a medication using a small needle. This medication irritates the walls of the vessels causing the vessels to collapse and eventually fade away. This usually takes several visits during which the patient may receive 10 to 12 injections per visit. A visit usually lasts about 20 minutes. After the procedure, the patient will be asked to wear compression stockings for at least a few days.

Who is a good candidate for sclerotherapy?
Any patient with small to medium sized varicose veins and spider veins is a good candidate for sclerotherapy. Large varicose veins usually do not respond well to sclerotherapy and often require other techniques to eliminate them. If a patient is currently pregnant or breastfeeding, we encourage them to wait before initiating treatment. Patients with certain medical conditions may not be good candidates for sclerotherapy and should discuss this with their treating physician.

Is sclerotherapy painful?
Since sclerotherapy is minimally invasive, it is relatively painless. Some patients may experience some bruising, redness or itching at the site of the injections.  These side effects resolve quickly, however.

How many treatments are required?
This depends entirely on the patient and the extent of the veins that need to be treated. Most of our patients require anywhere from three to six sessions per leg.

Is there any recovery or downtime following the procedure?
There really is no down time other than minimizing strenuous activity for a few days after the procedure.

Can sclerotherapy be done on the arms or face?
Yes, it can be performed on the arms and face, although we don’t currently perform it in these areas.

What type of results can patients expect?
Patients get very good results with sclerotherapy. We are usually able to eliminate the unsightly veins and any symptoms that the patient may be experiencing secondary to them. Sclerotherapy does not prevent new veins from appearing, but if needed, patients can return for further injections at that time.