Cosmetic Sclerotherapy

Cosmetic sclerotherapy is the most effective treatment for eliminating spider veins. This is an out-patient procedure in which your vascular specialist will inject a sclerosing solution into the spider vein. This injection is very well tolerated by all patients because the needles used are the size of a human hair. Special magnifying lenses and polarized light are used so the doctor can see the veins in question. The chemical causes the vein to collapse. Your body absorbs the vein and it eventually disappears with fading of the visual appearance of the treated vein. Healthy veins take over for the ‘old vein’ and your circulation improves. Sclerotherapy can enhance your appearance and your self confidence. The agent we use at CVC is Asclera  which FDA approved and is also known as Polidocanol. Asclera is the most affective treatment presently available for the treatment of spider and reticular veins.

Tumescent Enhanced Sclerotherapy (TES) is a newly developed and clinically tested office procedure that takes traditional sclerotherapy a step further by applying tumescent (meaning making the tissue “tight”) anesthetic solution with a small pump designed for the procedure.  In order to make the sclerosing solution that is injected in the veins work better, another solution made up of saline, lidocaine and adrenalin is used to compress the veins being treated. This has the effect of isolating the solution in the veins causing compression which can lead to better results. Usually, fewer injections and fewer treatments are needed. Less concentrated solutions are required as compared to conventional sclerotherapy.

Achieving the Best Results from Sclerotherapy

For the best cosmetic outcome, you may need at least two to three sclerotherapy sessions. Your doctor may also recommend that you wear special wraps around the treated area and elevate your legs.

Other post-procedure recommendations include:

  • Limit sun exposure
  • Minimize the use of aspirin or anti-inflammatory medications
  • Avoid aerobic exercise for approximately 48 to 72 hours following treatment

You can also avoid skin discoloration in the affected area by:

  • Wrapping the area
  • Elevating your affected leg
  • Massaging your affected leg

Sclerotherapy Side Effects

Side effects of sclerotherapy may include:

  • Allergic reaction
  • Ulceration of injection sites
  • Slight stinging or burning during injection
  • Bruising, which usually fades over the next month
  • Brownish skin discoloration, which usually fades

You may also experience a blood clot when your vein shuts down during
the injection therapy. Rest assured that these blood clots are not
dangerous at all since your body absorbs the vein. They are not the
same as dangerous blood clots which can occur for other reasons in
the deeper veins inside your legs.

Sclerotherapy Complications

Sclerotherapy is generally a very safe and effective procedure.
Occasionally, though, it can result in complications such as:

  • Phlebitis, which is an inflammation of the vein
  • Incomplete elimination of the vein
  • Pain or swelling
  • Developing new spider veins or varicose veins

If you experience any of these side effects or complications,
our team of experienced vascular specialists will work with you
to address and resolve them.

Spider Veins After Treatment

Once we treat your spider veins, they are gone forever and will not reappear. It is possible to develop new spider veins in other areas or even in areas that were previously treated.

Insurance Coverage for Sclerotherapy

Most insurance companies consider injection therapy cosmetic and do not provide coverage or reimbursement for it. We will tell you how much the procedure will cost before we schedule it so you can budget accordingly.


To make an appointment, call us at: (434) 654-1700