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Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. Sclerotherapy involves an injection of a solution (generally a salt solution) directly into the vein. The solution irritates the lining of the blood vessel, causing it to collapse and stick together and the blood to clot.
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Sclerotherapy is the procedure used to treat unwanted small vessels, called spider veins, usually found on the legs and thighs. A solution is injected into the vein using a very small needle usually a 32 or 33-gauge needle which is smaller than the needle used for Botox. This Sclerosing agent (chemical that destroys the wall of the blood vessel to be treated), typically either STS (Sodium Tetradecyl Sulfate) or Polidocanol, substance causes the vein to turn white and gradually disappear. Multiple veins can be injected during one appointment; however, if the affected area is extensive, an individual may wish to complete treatment in multiple sessions.

Although laser treatments for spider veins are being used in some cases, the consensus of many experts is that Sclerotherapy is the most effective treatment available. Varicose veins are larger and in some cases can be treated successfully with Sclerotherapy.

However, depending on the size and condition of the vein(s) individuals with varicose veins may be referred to a Vascular surgeon for treatment. If you are experiencing calf or leg pain or soreness, your medical may insurance may cover a procedure with a vascular surgeon but you must see your primary care physician.

Spider veins on the face (facial capillaries) are not treated with sclerotherapy. Response to Sclerotherapy is very positive, with most patients achieving a 50-90% correction of spider veins. It is important to emphasize that complete disappearance of the vessels is gradual and may require multiple sessions. In some cases, veins may reappear, or a new vein may occur in the same area over time. A spider vein may be re-injected after a period of time. 


The possibility of reversible side effects includes: 

  • Stinging or pain at the site of injection, usually subsiding in 10-15 minutes after treatment
  • Bruises at the injection point
  • Inflammation of treated vessels
  • Lumps in injected veins, particularly larger ones
  • Brown pigment lines (iron staining) which remain for as long as 12 months
  • Superficial ulcerations due to vessel breakdown (rare) Sclerotherapy Instructions 

At Ageless MD we recommend you come into the office for a scheduled consultation prior to your Sclerotherapy session. During this consultation it will be determined if you are a candidate for Sclerotherapy, and if so, all of your questions regarding the procedure will be answered at this time. This way, when you come for your session, time will not be taken away from your appointment discussing the procedure. The average consultation lasts approximately 15 minutes. Sclerotherapy sessions can be scheduled for 30 minute increments and the pricing is according to the time involved in performing the procedure and not according to the amount of product used. Please be advised we try to stay on time for our sclerotherapy appointments. Arriving late will limit the time of your treatment. Your treatment will end on time so the next client will not be delayed. If you reschedule or cancel your appointment, please notify the practice at least 24 hours in advance to avoid being charged the full service fee. Please be advised we do not perform sclerotherapy on pregnant or breastfeeding women. 

Sclerotherapy aftercare instructions:

  • It is crucial to walk immediately after the treatment
  • There can be no jogging, swimming or other high impact physical activities for 7-10 days after treatment
  • Sun exposure must be limited for 2-4 weeks after the treatment. If necessary to go into the sun, use SPF 30 or greater at all times.
  • Wear compression stockings for 72 hours and then during the day while on feet for up to two weeks.
  • Any form of heat must be limited for 24 hours after the treatment such as saunas or hot baths
  • Stay hydrated and limit sodium, and alcohol intake to reduce excess swelling.
  • Call 1 (888) 885 – 1901 with any questions regarding your treatment