Injectables Sclerotherapy

Sclerotherapy Treats Varicose Veins and Spider Veins

Sclerotherapy is a non-surgical, injection-based therapy that improves the appearance of varicose veins in the legs. The procedure involves the injection of a solution into spider veins (smaller, red-purple in color), and reticular veins (larger, blue-green), causing disruption to the internal lining of the vein. A very fine needle is used to inject the sclerosing solution into the vein with only very minimal discomfort. Most of our patients tend to describe the discomfort as mildly “annoying” rather than painful.

How Does Sclerotherapy Work?

The sclerotherapy solution works by forming a fibrous clot, with the vein eventually being eliminated through the body’s own healing process. This procedure also helps prevent the recurrence or reappearance of spider veins by treating the nearby “feeder” veins.

What Should I Expect During and After the Procedure?

During your initial consultation, your legs will be examined thoroughly. While many patients present with uncomplicated leg veins, occasionally, patients may be referred to a specialist, known as a phlebologist, for a complete evaluation, including an ultrasound exam. The sclerotherapy treatment usually takes approximately 30 minutes. This is followed by placement of compression dressings if needed. In some cases, support stockings are recommended for up to one week after each treatment.

How Long Does It Take to Heal?

It is normal for the treated area to look worse before improvement is seen. Support stockings are used to reduce cosmetic downtime, improve healing times, and prevent recurrence of small vessels after treatment. After your initial sclerotherapy treatment, the treated veins will fade in appearance within a few weeks, but often it may take up to a month to see full results. Multiple treatments are usually required to achieve the desired outcome. Treatments are spaced 6 weeks or more apart to allow complete resolution of the veins treated during the previous session.

Sclerotherapy: Pre-Treatment Recommendations

• If possible, prior to treatment, avoid anticoagulant medications, including Ibuprofen, Motrin, and Aspirin.
• Avoid alcohol prior to treatment to reduce bruising.
• Avoid sun exposure prior to treatment for at least 3-4 weeks and for an additional 4-6 weeks after treatment.

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Sclerotherapy Post-Treatment

First 48 Hours

After treatment, you’ll receive personalized guidance designed to support proper healing and help you achieve the best possible outcome.

1 Week Later

Depending on your individual needs, additional recommendations may be provided to help maintain comfort and support healthy circulation during recovery.

Long-Term Results

To preserve and enhance your results, ongoing care guidance will be offered to help protect the skin and promote long-term benefits.

Some bruising is expected and usually lasts about two to three weeks. This may be followed by mild pigmentation that can persist for several weeks or, in some cases, a few months. Your provider will review this with you and help plan your future treatments accordingly.

Who Performs The Sclerotherapy Procedure?

The sclerotherapy procedure is performed by Jennifer Fick, FNP-C, CANS, a Board Certified Aesthetic Nurse Specialist. Dr. Deschamps-Braly is on hand to consult in more complex cases if necessary.