Sclerotherapy for Leg Veins
Understanding Cosmetic Vein Procedures: Sclerotherapy for Leg Veins

If you've been looking for a way to treat visible veins on your legs, especially those smaller spider veins that seem to multiply over time, sclerotherapy might be the answer you’ve been searching for. This minimally invasive cosmetic procedure has been a go-to solution for effectively treating unwanted veins, improving both the appearance of your legs and, in some cases, helping with discomfort. Here’s everything you need to know about sclerotherapy and what you can expect from this treatment.
What is Sclerotherapy?
Sclerotherapy is a treatment for spider veins and small varicose veins in which a specially formulated solution is injected directly into the vein. This solution irritates the vein walls, causing them to collapse and stick together. Eventually, the treated vein is absorbed by the body and fades from view.
This procedure is performed right in the clinic, usually taking less than 30 minutes, depending on the number of veins being treated.
Who is a Good Candidate for Sclerotherapy?
Sclerotherapy is ideal for those who want to minimize or eliminate spider veins or small varicose veins that can cause cosmetic concerns or mild symptoms such as itching or burning. Some people find that sclerotherapy not only improves the appearance of their legs but also alleviates discomfort associated with certain types of vein issues.
However, sclerotherapy might not be suitable for individuals with larger varicose veins, deep vein thrombosis, or for those who are pregnant. Before starting treatment, a vein specialist can assess your leg veins to determine if sclerotherapy is right for you.
Benefits of Sclerotherapy
- Quick and Minimally Invasive: Sclerotherapy is a quick procedure with minimal discomfort and no need for anesthesia or incisions.
- Minimal Downtime: You can usually return to daily activities almost immediately after treatment.
- Noticeable Results: Treated veins begin to fade within weeks, and the majority are fully resolved within three to six weeks.
- Improves Appearance and Comfort: Not only does sclerotherapy help with the appearance of your legs, but it can also reduce discomfort in cases where veins cause itching or burning.
What to Expect During the Procedure
During your sclerotherapy session, your healthcare provider will clean the skin around the area being treated. Using a fine needle, they will inject the sclerosing solution directly into the veins. You may feel slight stinging or cramping at the injection site, but this sensation typically fades quickly.
Once the vein is treated, a compression bandage may be applied to help close off the vein and minimize bruising. Most patients experience only mild side effects, such as slight swelling, itching, or bruising, which subside in a few days.
Recovery and Aftercare Tips
After the procedure, you might be advised to wear compression stockings or bandages for a few days to aid healing. To maximize results:
- Avoid prolonged sitting or standing for the first 24 hours.
- Stay active with light walking, as this can help circulation and aid healing.
- Avoid direct sunlight on the treated area to prevent pigmentation issues.
- Avoid hot baths or saunas for a few days, as heat can cause veins to reopen.
Most people resume normal activities immediately, although it’s best to wait a day or two before resuming more strenuous exercise.
How Many Treatments Will I Need?
The number of sessions varies based on the severity and number of veins treated. Many patients see significant results after one treatment, but follow-up sessions may be needed for optimal results.
Are There Any Side Effects?
Sclerotherapy is generally safe, with a low risk of complications. However, potential side effects include temporary bruising, swelling, and redness at the injection site. Rarely, patients may experience small blood clots or allergic reactions to the sclerosing solution. Discuss any concerns with your healthcare provider before treatment.
Final Thoughts: Is Sclerotherapy Right for You?
If visible veins are making you feel self-conscious about your legs, sclerotherapy could be a great option. It’s minimally invasive, provides lasting results, and can dramatically improve the appearance of spider and small varicose veins. With the guidance of a vein specialist, you’ll be able to determine whether sclerotherapy aligns with your goals and find a plan tailored to you.
