Sclerotherapy is a non-surgical procedure that permanently removes unwanted veins and is considered by dermatologists to be the gold standard for the treatment of spider veins. Dermatologists inject a special sclerosing solution with a very fine needle into the blood vessel, which irreversibly alters the vessel wall and causes it to be absorbed by the body so that it fully disappears over time. Studies show sclerotherapy is more effective and less costly than laser treatments. Some patients are not good candidates for the procedure, including patients with a history of phlebitis (or inflammation of the veins), patients who have undergone a mastectomy with lymph node removal, and those with venous or lymphatic abnormalities.

Typically, patients require only one to four sessions performed every four to six weeks. The procedure takes  20 minutes to perform and the results are usually permanent.

Although there is no recuperation period, a pressure bandage or compression hosiery needs to be worn for 3-4 days following the procedure (only during the day; removed at bedtime). Possible side effects include swelling, bruising, discoloration of the skin or, in rare cases, ulceration of the skin. Schedule a cosmetic consultation with one of our physicians to discuss whether this is an appropriate procedure for you.