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Sclerotherapy is a cosmetic medical procedure used to eliminate varicose veins and spider veins. This procedure involves an injection of a solution that irritates the lining of the blood vessel, causing it to collapse, stick together and form a clot. Over time, the vessel turns into scar tissue that fades from view. The injection is performed using a very fine needle, however mild discomfort and slight burning may be experienced.

About Sclerotherapy


  • As a general rule, the more veins present the more treatments will be required. Treatments are usually scheduled every four to six weeks until the process is complete.
  • It is best to schedule sclerotherapy during the months when your legs are covered and you may more conveniently wear your compression hose. We recommend compression hose for one to three days after treatment depending on the size of the vessels treated.
  • If large varicose veins are present along with the spider veins it is recommended that these be treated first. State-of-the-art treatment now includes endo-venous closure with heat provided by laser or radiofrequency technology.
  • The cost of the procedure is related to the amount of medication used.

  • We expect mild bruising and occasional tenderness at the injection sites.
  • At times a small, harmless superficial blue clot will result from the treatment, a sure sign that the vein has closed down.
  • The clot may be extracted using local anesthesia to improve the appearance.

BEFORE your appointment

  • Please avoid aspirin-containing products, ibuprofen (like Advil and Motrin), or other anti-inflammatory medications for 3 days prior to your appointment, this will decrease you chances of bruising.

AFTER your appointment

  • You may remove the spot Band-aids and compression wraps at bedtime unless otherwise instructed.
  • Patients who have had larger caliber veins treated may be asked to wear light support hose for three days following the procedure.
  • Light exercise, such as walking, is permitted the day of the procedure. You may engage in more vigorous exercise three days following treatment.
  • Expect to see some degree of redness and swelling (both are signs of inflammation) in the days to weeks following sclerotherapy.
  • Inflammation of the vein is required for its closure.
  • Allow at least a one month interval between treatments; you will see a gradual improvement.
  • Sclerotherapy is not covered by insurance and is considered a cosmetic procedure. Multiple treatments may be required for some stubborn vessels.

Before & After

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Have questions or concerns? Please call us at 615.279.5656.

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