Sclerotherapy is one of the most trusted treatments for varicose and spider veins. It’s quick, effective, and requires almost no downtime, which is why so many patients choose it to restore the look and comfort of their legs. Knowing what to expect ahead of time can help you feel relaxed, confident, and fully prepared for your sclerotherapy session.
Sclerotherapy is a minimally invasive vascular procedure used to treat varicose veins and spider veins. During the treatment, a vein specialist injects a special solution, called a sclerosant, into the problem vein. This solution irritates the inside of the vein, causing it to collapse and seal shut. Over time, the body absorbs the closed vein, leaving your legs clearer and healthier. Although the technique has been used for decades, modern tools make the process smoother and more comfortable than ever.
Preparation is simple, but a few steps help ensure a smooth experience. Avoid shaving or applying lotion to your legs on the day of the appointment, since both can irritate the skin. Wear comfortable, loose clothing so the specialist can easily access the treatment area. Most importantly, bring your compression stockings, as you’ll need to put them on immediately after your session to support the healing process.
A sclerotherapy appointment is typically completed in under an hour. The specialist starts by cleaning the skin. A very fine needle is then used to inject the sclerosant into the targeted vein. You may feel a quick pinch or a mild warmth as the solution enters. The doctor may gently massage the area afterward to help the medication spread evenly through the vein. The entire process is precise, controlled, and designed to keep discomfort to a minimum.
Sclerotherapy is performed in the office, and you stay awake and comfortable the entire time. Because the injections are shallow and the needles are extremely thin, anesthesia is not needed. It’s normal for the injection sites to look slightly red or raised right afterward, but these reactions fade quickly. Most patients are surprised by how simple and relaxed the procedure feels.
Right after the treatment, your doctor will help you into your compression stockings. These provide the pressure needed to keep the treated veins sealed and encourage proper healing. Light walking is recommended, as movement supports healthy circulation and helps prevent blood clots. You’ll be able to go home shortly after your appointment.
Recovery from sclerotherapy is usually very short. You can resume most normal activities the same day, though it’s best to avoid strenuous exercise for the first 24 to 48 hours. You may notice mild bruising or redness at the injection sites, but this settles quickly. Over the first week, the treated veins begin to fade. Wearing your compression stockings as directed will help maximize your results.
Depending on how many veins need treatment, multiple sessions may be recommended. Most patients see visible improvement within three to six weeks, with full results continuing to develop over several months. A follow-up visit allows your specialist to evaluate your progress and decide if additional treatment would be beneficial.
Sclerotherapy is a safe and effective way to treat varicose and spider veins with little downtime and long-lasting benefits. Understanding what to expect at each stage—from preparation to recovery—can help ease anxiety and ensure a smooth experience. With the right care and expert guidance, this treatment can restore both the comfort and appearance of your legs. Request an appointment with us today!
Sclerotherapy is most effective for small and medium varicose veins and spider veins. Larger or more complex veins may respond better to treatments like endovenous laser ablation (EVLA).
Coverage depends on whether the treatment is medically necessary. If you have symptoms like pain, swelling, or skin changes, insurance may approve it. Cosmetic treatment alone is usually not covered.
Many patients see noticeable improvement within three to six weeks, with full results appearing over the next few months as the treated veins fade.
