Sclerotherapy and Ultrasound-Guided Sclerotherapy

Additional Information

Sclerotherapy is a highly effective and minimally invasive way to treat spider veins. Our spider vein treatment in Phoenix near Scottsdale, Arizona will help get rid of unsightly spider veins for a defined period of time. It is important to note, however, that this procedure will not permanently get rid of spider veins if the underlying cause is not addressed. During your consultation with the Southwest Vein & Laser Institute, we will help you determine if this treatment is appropriate for you, and what procedure, Trans-Illuminated Sclerotherapy or Ultrasound-Guided Schlerotherapy, will work best for you.

Spider veins do not pose a threat to your health and the removal of such veins is purely cosmetic. Since these veins serve no function, removing them does not cause any circulation or other problems.

The procedure involves injecting a tiny needle filled with a sclerosing solution which collapses the spider vein. Each affected area is generally treated more than once depending on the size and severity of the spider veins. The outpatient procedure can be performed in our office and does not require anesthesia. Pain is generally minimal (some patients may experience a minor sting as each injection occurs) and upon request we can apply a topical local anesthetic to further minimize discomfort.

For the best results, we recommend two to four treatments to completely get rid of spider veins. Each treatment last only 30 to 60 minutes and can even be done over the lunch hour. After each treatment, we recommend that patients take Tylenol and Advil to overcome any minor pain that they may experience. We will provide you with detailed instructions for taking the recommended medications to relieve discomfort.

If you live in Phoenix, Scottsdale, or near to the valley (we're conveniently located near Glendale, Cave Creek, and Arrowhead), and would like to learn more about this spider vein microinjection procedure, please give our office a call. We'd be happy to schedule a consultation.


Frequently Asked Questions

What is sclerotherapy?
Sclerotherapy is a microinjection procedure to treat spider veins. The procedure involves injection of a sterile solution (called a sclerosing solution) into the small veins using a very fine, thin needle. This solution irritates the vein lining causing it to undergo fibrosis and eventually disappear. Multiple veins can be injected at each session. The sclerosing solution used may be either hypertonic saline or sodium tetradecylsulfate.

What are spider veins?
Spider veins are most common in women in the age groups 30-50. This has been related to the hormone estrogen and pregnancy. Spider veins look like a network pattern in a circular fashion. These light purple veins usually appear in a lattice pattern and are completely harmless. 

Where is the procedure done?
It is usually done in the doctor’s clinic. It generally does not require any type of anesthesia. The patient is asked to come to the clinic in loose fitting clothing and the spider veins are identified. With a very fine needle, these spider veins are injected with a chemical that will destroy the vein. There is minimal pain. For those who are unable to tolerate the pain, a topical local anesthetic can be pasted on the skin about 30 minutes before the procedure. 

What chemicals are used for sclerotherapy?
The spider veins are destroyed by injecting a small amount of a chemical in the vein. The sclerosants is either hypertonic saline or sodium tetradecyl sulphate. The chemical irritates the small vein and causes it to undergo fibrosis and eventually disappear.

Can sclerotherapy be used to treat large varicose veins?
Unfortunately, sclerotherapy is generally used for the very small superficial veins next to the skin. Sclerotherapy is not effective for large veins and requires large amounts of the sclerosants with the potential to be absorbed. When large veins are treated with sclerotherapy, a stronger solution and a higher volume is required. Following the treatment for larger veins, compression hose stockings are usually recommended to be worn for at least 2 weeks. It is best to get spider veins treated in the winter months as one can easily wear stockings.

How many sclerotherapy treatments are required?
It varies from individual to individual but typically 2-4 treatments are required for the best results. In patients with milder cases, 1-2 will suffice. The treatments are more when there are more veins or slightly larger veins.

Do I have to limit any activity after the treatment?
Walking is highly recommended soon after the procedure. But any high activity sports should be avoided for the first 2-3 days.

Does sclerotherapy hurt?
There is a little sting associated with each injection. The burning sensation lasts few seconds. Most individuals tolerate the procedure and do not require any type of anesthesia. The majority of patients claim that the procedure is much less than painful than what they anticipated.

What happens if spider veins are not treated?
Absolutely nothing. Spider veins are small veins which are entirely of a cosmetic nuisance. They do not form blood clots, they do not ache, and they do not cause swollen feet or pain. One may elect to observe them.

Can sclerotherapy be done on the arms or face?
No, absolutely not. Sclerotherapy should never be done on the face and hands. The hand veins may not look pretty at times, but they should never be treated. Even though veins on the face are being done with sclerotherapy, the injections can be painful and the results are variable. If the facial veins are very conspicuous, laser is a better option than sclerotherapy.

Is there any harm in removing spider veins?
Spider veins have no function and removing does no harm. The only reason they are removed is because of their unsightly cosmetic.

Can anyone undergo sclerotherapy?
Almost anyone with unwanted spider veins can be treated, except women who are pregnant or nursing. Other relative contraindications include those with skin infections, uncontrolled diabetes, fever, history of deep vein thrombosis, anticoagulant therapy those patients taking corticosteroids.

Is there any preparation required before sclerotherapy?
No preparation is required before the procedure. It is recommended that one stop smoking and stop taking aspirin a few day before the procedure. Any patient on a blood thinker is not a candidate for sclerotherapy.

What happens after sclerotherapy treatment?
There is some mild pain which can easily be overcome with Tylenol. The injected site will appear bruised and swollen for a few days. Continual wearing of the ace bandaged will relieved the swelling and pain. The bruising usually disappears in 2-3 weeks. One will have no problem with walking. After the first 2 days, most patients can resume their normal activities.

How long is each sclerotherapy session?
Generally, most individuals have multiple spider veins and only up to 15-20 injections can be done at seating. Each treatment session lasts up to 30 minutes. After the treatment, sterile dressings are placed over the injection site and the entire leg is covered with an ace bandage. The ace bandage is left on for 2-3 weeks until the patient returns to see the doctor.

When can the treatment be done?
Sclerotherapy is an elective procedure and can be done whenever the individual wants to have it done. The procedure does not take more than 30-60 mins and can even be done during an office lunch break.

Treatment is done on an outpatient basis during convenient office hours. You can resume most activities shortly after each session.

What are side effects of sclerotherapy?
Besides some stinging pain, sclerotherapy can rarely cause a few side effects. Allergic reactions are rare. A few individual may develop intense itching at the site of injection. If the chemical is injected outside the vein, profound discoloration and pain can occur.

Does insurance cover sclerotherapy?
Unfortunately, spider veins and sclerotherapy are considered cosmetic in nature and the cost of treatment is not covered by any insurance companies. The cost of treating spider veins with sclerotherapy ranges from $2-300 per leg.