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Sclerotherapy is an efficient therapeutic method that includes the treatment of varicose veins and spider veins. It usually involves the treatment of small varicose veins and the procedure is performed by injecting sclerotherapy solution (usually a salt solution) into the veins.

Sclerotherapy is recognized as the proven method of treating varicose veins. This procedure is often done for a cosmetic purpose – improvising the appearance of both varicose and spider veins.

Sclerotherapy Procedure

Sclerotherapy procedure is performed to obliterate or destroy veins. However, there are other techniques involved in removing the offending veins, such as surgical removal, endovenous laser destruction, and percutaneous laser light for small veins.

During the Sclerotherapy Procedure

In most of the cases, Sclerotherapy injections are administered through a fine needle directly into the vein. In the case of small veins, hypertonic saline is occasionally used based on the size of the vein. During the sclerotherapy process, a patient might experience mild discomfort and cramping for about two minutes, especially when larger veins to be treated and injected with the chemical.

Duration of the Sclerotherapy

The procedure lasts for about 15 to 30 minutes (approximately). However, the number of veins to be injected in one session depends on the size and the location of the veins, as well as the individual’s overall medical condition.

Preparating for Sclerotherapy

Before the procedure, your doctor will instruct you to stop taking aspirin, ibuprofen, or blood thinners or any anti-inflammatory drugs for a certain period.

You will also be instructed to avoid shaving or apply any lotion on legs before coming for the procedure. Be transparent and strictly follow the instruction given by your doctor.

Post Sclerotherapy Procedure

Aftercare is very significant once the sclerotherapy is completed.

You will be required to wear compression dressings such as stockings or bandages for about two to three weeks, to maintain the treated veins. A follow-up appointment is very important so that your doctor can evaluate your progress. Strictly follow instructions given by your doctor.

Potential Side-Effects

Every procedure has certain potential complications and also in the case of sclerotherapy. You witness inflammation, swelling, bruising, small skin sores, capillary dilation, pain due to injection, air bubbles may rise in veins. The allergic reaction may be possible due to the solutions used during the treatment. Some side-effects may go away in days, and some may disappear in months.


Sclerotherapy is an outpatient procedure and will be discharged on the same day. Walking and moving your legs is an important part of the aftercare to prevent blood clots from appearing, You will be able to see the results in there to six weeks. For larger veins, it may take at least four to six months. To achieve results, you may have to undergo multiple treatments.

Best Candidates for Sclerotherapy

Before undergoing for sclerotherapy procedure, you will have an initial VIDEO CONSULTATION, followed by a complete medical examination, whether sclerotherapy obliteration is suitable for you. You will come across with reputed and highly experienced dermatologist to determine if you are the best candidate for sclerotherapy.

You will be screened for an ultrasound to determine the area of veins that are involved and to be treated.

Your doctor will examine the involved veins to be treated. Also, check for any underlying blood vessel disease and if you have any blood clots in the past. You will also tell the doctor if you are on medications, previous surgeries (if any), or any health issues. Depending on the overall health condition, your doctor will decide the procedure. However, sclerotherapy is not recommended for women with pregnancy.

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