Visible varicose and spider veins can be a frustrating cosmetic concern, especially for individuals with lighter skin tones where these veins tend to stand out more prominently. Whether they appear as bluish, reddish, or greenish lines beneath the surface, they can detract from the skin’s natural appearance and smoothness.
For many people, these veins not only affect self-confidence but also draw unwanted attention—particularly in areas like the legs or face, where flawless skin is often associated with youth and vitality.
Fortunately, there are many methods available to deal with these veins. One of these methods is Sclerotherapy, a very minimally invasive, quick, and often painless solution in dealing with spider veins and smaller varicose veins.
What Is Sclerotherapy?
Sclerotherapy treatment is, in its basic form, a solution that is injected into the veins underneath the skin.
An advanced form called foam sclerotherapy utilizes a foam version of the injected solution, increasing its surface area and making it more effective in dealing with longer and larger veins.
Step-by-Step Sclerotherapy Procedure
The process starts with the surgeon marking the areas where the veins are. They are usually made more visible by pushing blood into them, for example, if the veins are in the legs, the patient stands to exert pressure into them, making them appear more prominently.
Once the veins are marked, the solution is injected using a micro-needle. What it does is it hardens the veins, causing it to fade over the passing of time.
Depending on the size of the target area, multiple injections might be needed, with one injection on average affecting around an inch of area.
Depending on the size of the target, each treatment can last between 30 minutes to a whole hour. On average, around two to three vein sclerotherapy treatments are needed to achieve the best results possible.
Cost of Sclerotherapy and Insurance Considerations
The cost of sclerotherapy can vary depending on the clinic’s location, the size and number of veins being treated, and whether foam sclerotherapy is used. On average, a single sclerotherapy session can cost between $300 to $700.
Since sclerotherapy is considered a cosmetic procedure in most cases, it is typically not covered by health insurance. However, if the veins are causing physical symptoms like pain or swelling, some insurance providers may cover part of the treatment. P
atients are encouraged to consult both their healthcare provider and insurance company to determine coverage eligibility before scheduling a session.
Ideal Candidates and Long-Term Results
Sclerotherapy is ideal for adults in good health who are concerned about the appearance of spider veins or mild varicose veins.
It is especially effective for people who are not pregnant, are non-smokers, and are committed to post-treatment care like wearing compression garments and avoiding prolonged sun exposure.
While the results are often long-lasting, it’s important to note that new veins can form over time, especially if underlying circulation issues persist.
Maintaining a healthy weight, staying active, and avoiding long periods of standing can help prevent recurrence and extend the benefits of your vein treatment.
Recovery from Sclerotherapy
There is very little to no pain whatsoever, oftentimes anesthesia is not needed, unless patients have a very low threshold for pain, or if an area is very sensitive.
Recovery time post sclerotherapy treatment can last between a few days to a few weeks, requiring bandages around the area for the first few days, with support hoses or other support equipment required for the following days, depending on the area treated.
For example, if the target area is the leg, the patient might be required to use a support hose, and keep the leg elevated on a regular basis. Moderate exercise is also suggested in order to stimulate the circulation of blood.
Possible Complications of Sclerotherapy
There are very rare complications with sclerotherapy, such as inflammation of the target area, changes in skin color, blood clotting, and allergic reactions to the solution injected.
Oftentimes, surgeons will test the solution for allergic reactions, so this problem can be caught before it causes harm.
Sclerotherapy vs Laser Vein Removal: Which is Better?
Many patients often compare sclerotherapy vs laser treatment when researching the best option for vein removal. Sclerotherapy is generally preferred for deeper or larger spider veins and small varicose veins, as the injected solution works directly inside the vein.
Laser treatments, on the other hand, are more effective for smaller, finer veins closer to the surface, particularly on the face. In many cases, a combination of both treatments may be recommended by a vein specialist to achieve optimal cosmetic results.
Consulting with a board-certified dermatologist or vascular surgeon can help determine the right approach for your specific condition.