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Sclerotherapy is the gold standard and ideal treatment option for any persons who suffer from spider veins and larger reticular veins. This procedure involves injecting an a solution called Asclera into the vein. This solution causes the vessel to close up and disappear over time. Multiple treatments are typically needed.


At your consultation, it will be determined if sclerotherapy is medically appropriate for you. Sometimes deeper larger more complicated veins are feeding the spider veins. Those may need to be evaluated by a vascular specialist first.

During the sclerotherapy treatment, the “sclerosing” agent is injected into the vein. The solution causes inflammation in the walls of the vein, causing them to stick together. When the needle is withdrawn, the solution is massaged along the vessel. The procedure is usually painless, though you may experience a slight burning, itching or tingling sensation.

Treatments vary from person to person depending on size and number of vessels that need treatment. Results may take up to 6 weeks and may continue to improve for up to one year. Most patients require multiple sessions in order to fully treat their spider veins.


Following your treatment, you may have some bruising and redness at the injection sites. You will need to wear compression hose for 72 hours to maximize your results. Keep that in mind when scheduling your treatment. The cooler months are typically the most popular time to get sclerotherapy.