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Spider Vein Treatment Through Sclerotherapy

If you suffer from spider veins, Sclerotherapy Spider Vein Injection Treatment might be an optimal solution for you. Sclerotherapy is a vein injection treatment used to eliminate spider veins in the legs. The abnormal veins are injected with a concentrated solution using a very small needle resulting in only mild discomfort. This spider vein injection procedure causes the veins to gradually shrink and fade away. Experienced sclerotherapists work with patients to provide safe and effective treatments to lessen the appearance of varicose and spider veins, helping to make legs more attractive. With sclerotherapy available, there is no reason you can't get rid of those spider veins and varicose veins to have the lovely legs you've always wanted. Although this technique is time-tested and causes little discomfort, at our Jacksonville Med Spa at the Renaissance Center for Cosmetic Renewal, you will always have the added assurance of an on-hand physician to address any questions or concerns.


What are spider veins?

Spider veins or “telangiactasia” are small veins under the skin usually developing from dilated blood channels connected with underlying larger veins.

What is sclerotherapy?

Sclerotherapy is a major method of treatment for spider veins in which a solutions called a sclerosants is injected into the veins to cause eventual closing of the vein making it disappear.

Will sclerotherapy “cure” my spider veins?

The majority of patients having sclerotherapy will have marked improvement in their visible spider veins. Rarely are there poor results with little or no improvement (“Poor results” means the veins have not totally disappeared after several treatments.) Unfortunately, there is no cure for your genetic tendency to develop new spider veins.

How many sessions will I need?

The number of treatments needed to clear or improve the condition differs from patient to patient, depending on the extent of varicose and spider veins present. The average number is 3.

What are the possible side effects and/or complications of sclerotherapy?

The most common side effects experienced with sclerotherapy include:

  • Hyperpigmentation- In most patients, the treated veins become darker immediately after treatment. This usually fades in 2-4 weeks; however, in rare cases it can persist up to 12 months or can be permanent.
  • Matting- this refers to the development of new tiny veins in the treated area, which forms a “mat” of redness. It may occur 2-4 weeks after the treatment and usually fades within 4-6 months. It occurs in up to 18% of women receiving estrogen therapy and in 2-4% of all patients.
  • Trapped blood- occasionally the closing of the vein is slow to occur and a small pocket of blood remains as a dark blue clot. This can be removed with a small needle puncture within 2-4 weeks after the treatment. This is NOT a dangerous form of clotting.
  • Ulceration- In less than 1% of patients receiving sclerotherapy, a small blister may form at the injection site, open and become ulcerated. Should this occur, it usually heals within 8 weeks and the scar eventually returns to normal skin color.
  • Allergic reaction- Allergic reaction to the sclerosants is very rare; such reactions would be mild in the form of skin reaction or hives. Our office policy is equipped with medications that can be used in the case of allergic reaction.
  • Itching- mild itching or tingling may occur along the treated vein for up to 2 hours after the treatment and may persist a day or so.
  • Bruising- bruising at the injection sites is very common, but usually disappears by 4 weeks.
  • Pain- An extremely small needle is used for injections into the veins and very little discomfort is associated with the actual injection. The veins treated may be tender to touch with mild pain at the injections site. Mild burning or stinging may be experienced immediately following the injections, but usually subsides when hose are applied and walking resumes.
  • Phlebitis- In less than 0.1% of patients, swelling of the vein with pain may occur and may cause and ankles to swell. This is not dangerous and usually subsides in a few days.

Post treatment instructions:

  • Walk for 20-30 minutes immediately following the treatment and daily.
  • Apply graduated compression hose immediately following the treatment, sleep in them 1 night and wear daily for 1 week or as directed by your injector.
  • Avoid: prolonged heat exposure (hot tubs, tanning beds, etc.), running or jogging, high impact aerobics, long periods of sitting or standing still.
  • Expect veins to look worse before looking better in approximately 4 weeks.
  • Remove cotton balls and tape the next morning.

If you would like to learn more about sclerotherapy for spider vein treatments, please feel free to email Denise at denise@obiplasticsurgery.com or fill out our contact form and one of our associates will return your inquiry shortly.

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Recommendations for Healthy Legs

  • Regular Exercise – walking, Stairmaster, aerobics, swimming, elliptical machine or biking 30 minutes, 5-7 days per week will help reduce pain, aching and tiredness.
  • Elevate Your Legs – elevating legs above the level of the heart for at least 10 minutes 1-2 times a day may help with aching and swelling.
  • Move Legs Frequently – flexing ankles 10 times will pump the blood out of the legs like walking. Repeat every 10 minutes while standing or sitting.
  • Avoid Wearing High Heels – high heels interfere with the normal pumping action that occurs when walking and may lead to aching or cramping.
  • Maintain Proper Weight – moderate weight loss may reduce aching in the legs due to varicose veins and diminish the rate at which spider veins develop.
  • Wear Support Hose – graduated compression hose are available at pharmacies, medical supply stores, on-line or at physicians’ offices.

Taken from American College of Phlebology, The Fundamentals of Phlebology: Venous Disease for Clinicians, 39.


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