Home Sclerotherapy: Leg Veins & Spider Veins

Sclerotherapy: Leg Veins & Spider Veins

Sclerotherapy is a minimally invasive treatment option that is considered the gold standard for eliminating spider veins and varicose veins. These damaged blood vessels usually affect the lower extremities and are typically benign, although many patients choose to have them treated for cosmetic purposes. Sclerotherapy treatment involves a healthcare provider, like Dr. Michele Green in NYC, injecting a sclerosing agent into the blood vessels, which causes them to collapse and fade within several weeks. To ensure safety, efficacy, and optimal results, sclerotherapy treatment must be performed by an experienced board-certified dermatologist like Dr. Green. At her private dermatology office in New York City, Dr. Michele Green performs sclerotherapy treatments daily to provide her patients with clear, smooth, beautiful legs.

Common side effects of sclerotherapy can include swelling, bruising, or tenderness at injection sites. Most patients will require a series of sclerotherapy treatment sessions, with each spaced approximately four weeks apart, to get the best cosmetic results. In addition to sclerotherapy for addressing varicose and spider veins, Dr. Green also offers the V-Beam laser treatment for broken blood vessels and telangiectasia. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will physically assess your skin condition, collect a thorough medical and family history, and review any previous cosmetic procedures you may have had to determine which treatment options are best suited to your needs and goals.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best cosmetic treatment options, including sclerotherapy and V-Beam laser treatment for spider veins and varicose veins. Dr. Green takes a holistic approach and embraces a less-is-more philosophy, customizing each patient’s skin rejuvenation treatment plan to cater to their specific concerns and aesthetic goals best. She is consistently identified as one of New York’s best dermatologists by Super Doctors, Castle Connolly, The New York Times, and New York Magazine for her dedication to her patients and expertise. If you struggle with the appearance of varicose veins or spider veins and are interested in a non-invasive treatment option for skin rejuvenation, Dr. Green is here to help.

What are spider veins and varicose veins?

Varicose veins are a common skin condition that occurs when blood vessels are weak or damaged. Veins carry blood from the body back to the heart and have valves that prevent it from flowing backward. If the valves are weakened or damaged, blood can pool, causing the veins to enlarge and become distorted. Varicose veins typically appear swollen, twisted, and deep blue or purple in color and tend to affect the lower extremities. Varicose veins may not necessarily require medical intervention, although they can sometimes cause some discomfort, and many patients choose to have them treated for cosmetic purposes. Some of the symptoms of varicose veins include throbbing, heaviness, leg aches, cramping (especially at night), swelling, and skin discoloration around the veins. These painful symptoms can be exacerbated if you are in one position for too long, such as standing or sitting for extended periods. Heaviness, aching, and swelling in the legs can also occur after walking a great deal.

Spider veins, also known as telangiectasia, are visible broken blood vessels. Spider veins are similar to varicose veins but smaller. Typically, spider veins appear blue or red and are closer to the skin’s surface. Spider veins are commonly found on the lower extremities but may also develop on the face. Both spider and varicose veins are prevalent, affecting nearly 20% of all adults, and both conditions become more prevalent with age. Spider and varicose veins are present in both men and women but are more common in women. Factors such as age, pregnancy, obesity, an inactive lifestyle, and family history can influence the likelihood of developing spider or varicose veins.

Whether you are affected by spider veins or varicose veins, cosmetic treatment options are available that can reduce or eliminate their appearance. Vein treatments should only be performed by an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green in NYC, to ensure safety, efficacy, and optimal results.

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What causes varicose veins?

Varicose veins are caused by weakened or damaged blood vessels. Blood circulates throughout your body within two channels: arteries, which transport blood from your heart to the rest of your body, and veins, which circulate blood from your extremities back to your heart. Gravity assists the arteries in delivering blood to the lower extremities. However, to pump blood back to your heart from your legs, your circulatory system has to work against gravity. Valves in the veins prevent blood from flowing backward, but if they are weakened or damaged, blood can pool in the veins. This causes the elastic walls of the vein to swell and twist, leading to the appearance of varicose veins. Age, genetics, pregnancy, obesity, and an inactive lifestyle can contribute to the appearance of varicose veins. Additionally, standing or sitting for an extended period can negatively impact blood circulation in the lower extremities and contribute to the development of varicose veins.

What are the risk factors for developing spider veins or varicose veins?

Age – The risk of developing varicose or spider veins increases as one ages. Over time, the valves in the veins can become damaged by the regular wear and tear of spending a lot of time on one’s feet or sitting in the same position for a long period of time.

Hormone Fluctuations – Women are more likely to develop varicose or spider veins than men due to more frequent natural hormone fluctuations. Certain hormones that are more prevalent in female patients can weaken or damage the walls of the blood vessels, causing them to become more relaxed. This, in turn, can lead to improper blood flow and result in pooling of blood in the veins. The risk is even greater for women on hormonal birth control or who become pregnant.

Genetic Predisposition – Researchers have found that people with a family member with varicose veins are more likely to develop the condition themselves.

Obesity – Studies have shown that patients who are overweight or obese are at a greater risk for developing varicose veins or spider veins. Being overweight means that there is more pressure on the veins in the lower extremities, which can lead to damaged blood vessels.

Sitting or Standing for a Long Time – Staying in one position, such as sitting or standing in one place for long periods, is also a risk factor for developing varicose veins. Frequently standing for extended amounts of time can put a lot of pressure on the blood vessels in the lower extremities. Over time, this can wear away at the valves, which are essential for proper blood flow. Furthermore, blood does not circulate well if you stay in one position. Therefore, remaining in one position for prolonged amounts of time can also be a risk factor for developing varicose or spider veins.

Can varicose veins be prevented?

While varicose veins cannot be prevented entirely, there are lifestyle adaptations that can be made to help reduce the risk of developing them. To do so, it is essential to promote proper blood flow in your body by exercising frequently, consuming a high-fiber diet, wearing shoes without a high heel, and ensuring that you are adjusting your position so you are not sitting or standing in one place for too long. Maintaining a healthy weight and losing weight if you are overweight is also recommended. While certain behaviors can help prevent the development of spider and varicose veins, they can also be caused by factors like aging and genetics. Luckily, there is a variety of safe and effective treatment options at expert dermatologist Dr. Green’s office in New York City. Dr. Green often combines sclerotherapy and laser therapy to eliminate varicose veins’ unsightly appearance and ease any potential physical discomfort that they may be associated with.

What is sclerotherapy treatment used for?

Sclerotherapy treatment is a minimally invasive procedure that is used to reduce or eliminate spider veins and varicose veins. The treatment involves a healthcare provider like Dr. Green injecting a sclerosing solution, such as Asclera®, directly into targeted veins. Although varicose and spider veins are typically benign, their appearance can negatively affect one’s self-esteem and quality of life. Within a series of sclerotherapy treatments, patients can achieve clear, healthy-looking, beautiful legs and restore their self-confidence. When the sclerosing agent is injected, the injected veins scar and collapse, and blood flow is rerouted to healthy veins. The treated veins are naturally processed by the body and fade away within several weeks. Sclerotherapy is a unique, non-invasive treatment that can stop the formation of varicose and spider veins and return your legs to look younger, more even, and more precise.

What is sclerotherapy for varicose veins?

When it comes to eliminating the appearance of bulging, twisted varicose veins, sclerotherapy is the gold standard treatment. Varicose veins are a common condition affecting approximately 20% of adults, and in the United States, more than 300,000 sclerotherapy treatments are performed yearly. Sclerotherapy treatment is an effective procedure that requires no downtime or recovery time. The process involves the injection of a liquid, called a sclerosing agent, into the varicose or spider veins. The sclerosing causes the veins to collapse and disappear, eliminating the appearance of the treated veins and any associated physical symptoms. FDA-approved sclerosants in the United States include sodium tetradecyl sulfate (a detergent) and polidocanol (Asclera). In the past, hypertonic saline was used as a sclerosant, but it had the disadvantage of causing increased matting or neo-vascularization, pain, and skin discoloration.

In Dr. Green’s New York City office, she uses the FDA-approved sclerosant called Asclera, which is injected into the affected veins using a small needle. The treatment causes minimal discomfort, mainly when performed by an expert, board-certified dermatologist like Dr. Green. Dr. Green has over two and a half decades of experience in cosmetic dermatology and has performed thousands of sclerotherapy treatments at her private, boutique dermatology office in Manhattan’s Upper East Side neighborhood. When you consult with Dr. Green regarding sclerotherapy, she will physically assess your skin condition, collect a thorough medical and family history, and review any previous treatment options you may have tried. She will then work with you to develop a personalized plan for skin rejuvenation that guarantees you achieve and maintain the best cosmetic results so that you look and feel like the best version of yourself.

How does sclerotherapy work?

Sclerotherapy is a safe and effective treatment option involving an experienced healthcare provider injecting a sclerosant into damaged leg veins. The sclerosant is usually a chemical irritant, osmotic agent, or detergent. The sclerosing agent forces the veins to scar and collapse and, as a result, to be reabsorbed into the body as local tissue. When this occurs, it causes blood flow to be rerouted through other veins. As the damaged blood vessels are reabsorbed into the body, the appearance of spider or varicose veins on the skin’s surface disappears. Further, the procedure can relieve much of the physical feelings of discomfort that varicose veins can sometimes produce, including any swelling, cramping, and burning associated with varicose veins. When you have your initial consultation appointment with Dr. Green, she can examine the treatment area to determine whether you are a good candidate for sclerotherapy treatment.

Who is a candidate for sclerotherapy?

A good candidate for sclerotherapy is someone in good health who wants to eliminate varicose or spider veins for cosmetic or medical reasons. If you are concerned that you might have underlying venous disease, it is best to consult with a vascular surgeon or other qualified healthcare professional. It is essential to determine if there is underlying arterial or venous insufficiency. Venous insufficiency predisposes one to increased blood clots, leg swelling, and skin ulcerations. Many patients who suffer from aching, swollen, burning, or night cramps benefit from sclerotherapy.

Pregnant and breastfeeding patients are not candidates for sclerotherapy. You may not be a good candidate if you take oral contraceptives. A history of blood clots would also be a contraindication for sclerotherapy treatment. If you are actively smoking, you are not a good candidate since this can also cause an increased risk of blood clots. When you consult with internationally renowned board-certified dermatologist Dr. Michele Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will collect a thorough medical and family history, physically evaluate your skin condition, and review any previous treatment options you may have utilized to confirm whether you are a good candidate for sclerotherapy treatment.

How to prepare for your sclerotherapy treatment

It is best to avoid blood thinners, such as aspirin, Aleve, Motrin (ibuprofen), and other anti-inflammatory medications, vitamins, and herbal supplements, for at least one week before your sclerotherapy treatment. This step will help prevent encountering side effects like bruising following sclerotherapy. Some patients require pre-treatment with an oral antibiotic, which should be discussed during your consultation with Dr. Green. It is best not to apply any lotions or creams to the treatment area immediately before or after your sclerotherapy injections. Avoid waxing or shaving the treated areas within 24 hours before your procedure. When you consult with Dr. Green regarding sclerotherapy treatment for varicose and spider veins, she will provide you with all of the pertinent information required to ensure that you achieve the best results.

What to expect during Sclerotherapy treatment

If you are a good candidate for sclerotherapy, a topical numbing cream should be applied one hour before the procedure to minimize any localized discomfort from the injection of the treated veins. Dr. Green will prescribe the numbing cream to your selected pharmacy. To protect your clothing, plastic wrap can be placed over the numbing cream in the treatment area. Once you arrive at Dr. Green’s private dermatology office in NYC, the numbing cream will be removed and the skin sterilized to prepare for injections.

Dr. Green uses a fine needle to inject the sclerosing agent into the targeted veins. The sclerosant causes the injected veins to scar and collapse internally, then fade within several weeks. The procedure can take between 10 and 30 minutes or more, depending on the size and scope of the treatment area and the severity and number of veins being treated.

After your sclerotherapy, the treated areas may be wrapped with a long stretch bandage to add extra pressure. Compression stockings are recommended after treatment for both spider and reticular veins. You can return to most normal activities directly after your sclerotherapy treatment. Dr. Green will provide you with all of the important aftercare required for achieving and maintaining the best cosmetic results and schedule a follow-up visit approximately one month after your procedure to assess your progress. Most patients require more than one sclerotherapy treatment, with most having an average of 2-5 treatments. Each sclerotherapy treatment should be spaced 6-8 weeks apart.

Post-Sclerotherapy Treatment

What to do after sclerotherapy

Following sclerotherapy treatment, you can resume most normal daily activities, including working and light exercising. Physical activity is beneficial after sclerotherapy as it helps prevent blood clots from forming in the treated area. The most crucial post-sclerotherapy treatment instruction is to wear mild compression stockings for at least seven days. Dr. Green recommends wearing the compression stockings as much as possible between the scheduled sclerotherapy treatments. Compression stockings aid in recovery after sclerotherapy, improving blood circulation and preventing pain and swelling in the legs and ankles. The compression also helps reduce bruising and blood clotting.

What not to do after sclerotherapy

Avoid the activities listed here for 48 hours after the sclerotherapy treatment:

Airplane travel
Hot baths
Whirlpools
Saunas
Direct exposure to sunlight or sunbathing on the treated areas
Heavy exercise

How long to wear compression stockings after sclerotherapy

Compression stockings should be worn for at least fourteen days after the sclerotherapy treatment. Dr. Green recommends wearing the compression stockings as much as possible between the scheduled sclerotherapy treatments. Compression stockings can be worn during sleep for the first 48 hours, then they can be worn during the daytime while you are active and taken off during the nighttime while you sleep. Wearing compression stockings after sclerotherapy treatment reduces the risk of developing side effects, which is essential to post-sclerotherapy care. When you have sclerotherapy treatment with Dr. Green at her private, boutique dermatology office in NYC, she will provide you with a list of recommended compression stockings if you are unsure where to purchase them.

What happens if you don’t wear compression stockings after sclerotherapy?

Compression stockings are an essential part of the recovery process following sclerotherapy. After the treatment, Dr. Green typically prescribes compression stockings for the two weeks following the procedure. Compression stockings are beneficial in several ways: by keeping compression on your lower extremities, the stockings help to minimize bruising and swelling, improve circulation, and reduce the risk of developing blood clots. As such, the risk of developing mild and severe side effects decreases if you wear your compression stockings for two weeks following the sclerotherapy treatment.

What to avoid after sclerotherapy

After a sclerotherapy treatment, you will be instructed to wear compression stockings for one week. These stockings help to “compress” the treated vessels and make the treatment results more effective. It is essential to avoid the following for the next 48 hours.

Airplane travel
Hot baths
Whirlpools
Saunas
Direct exposure to sunlight or sunbathing in the treated areas
Avoid heavy exercise

How to sleep after sclerotherapy

Sclerotherapy is a minimally invasive treatment option for reducing or eliminating spider and varicose veins that involves almost no downtime and relatively few restrictions. Many patients find comfort in placing a pillow or two underneath their lower legs beneath the knee joints to reduce pressure while sleeping. For 48 hours after sclerotherapy treatment, compression stockings should be worn as much as possible, except while bathing. They should be worn for at least one week after your sclerotherapy treatment. Compression stockings aid in recovery and help prevent encountering potential complications of sclerotherapy by improving blood circulation and preventing pain and swelling in the legs and ankles. The compression also helps reduce bruising and blood clotting.

How long does it take spider veins to disappear after Sclerotherapy?

Typically, the treated veins take at least four to six weeks after injections to fade away. Larger veins may take longer to disappear after sclerotherapy, and may not fade for up to six months. After your sclerotherapy treatment, Dr. Green will schedule a follow-up appointment to check your progress and determine whether an additional treatment session is needed to achieve the best results.

What are the side effects of sclerotherapy?

Mild localized side effects and potentially severe allergic reactions are associated with sclerotherapy.

Localized side effects include:

Pruritus
Red areas or raised bumps at the injection site that should disappear within a few days
Allergic reaction in the treatment area
Bruising near the injected vein can last for days or weeks
More prominent veins can develop hard lumps, which may take months to dissipate
Discoloration or hyperpigmentation can develop as a result of the injections
Neo-vascularization can occur with the development of new minute blood vessels, which are called telangiectatic matting

More severe side effects, which require immediate medical intervention, include:

Development of small ulcers at the injection site
A sudden swollen leg
Signs of inflammation or infection
Deep vein thrombosis (DVT) and pulmonary embolism
Risk of blood clots
Necrosis due to inadvertent injection of a sclerosant into an artery.

Visit FDA.gov for more information.

What is the process of Sclerotherapy Treatment for Spider Veins?

It is important that sclerotherapy treatment is performed by an experienced healthcare professional, such as Dr. Michele Green in NYC, to ensure safety, efficacy, and optimal results. Dr. Green uses the FDA-approved sclerosant Asclera® (polidocanol), which irritates the lining of the blood vessel, causing it to seal up and become invisible. After the vein collapses, the body slowly absorbs the remaining tissue until the skin becomes smooth and clear. Patients can expect a sclerotherapy session to last between fifteen and forty-five minutes, depending on the number of veins needing injection. Asclera® is injected directly into each vein with a fine needle, and multiple injections are carried out in a single treatment session. It should be noted that most patients will require more than one treatment session, and these are typically spaced one month apart to allow the sclerotherapy treatment to heal and the spider veins to disappear. The average number of sclerotherapy sessions is four treatments, although that number can vary based on the number of spider veins present. If you have any questions regarding the process of sclerotherapy treatment with Dr. Green, she can address them during your initial consultation at her private dermatology office in NYC’s Upper East Side.

V-Beam laser treatment for spider veins

V-Beam laser treatment is the gold standard for eliminating visible redness, including that which is caused by broken blood vessels, spider veins, or telangiectasia. V-Beam is also an excellent treatment option for reducing the appearance of post-inflammatory hyperpigmentation, acne scars, stretch marks, surgical scars, vascular lesions, and redness associated with rosacea. The V-Beam can safely be used on many areas of the body, including the face, chest, back, arms, and legs. This laser treatment operates on a wavelength (595 nm) that exclusively targets red pigment while leaving surrounding skin untouched. It is also equipped with a patented Dynamic Cooling Device, which emits a cool burst of air before each laser pulse to minimize any potential discomfort during the procedure. There is zero downtime involved, meaning patients can immediately resume their normal daily activities and schedule their laser treatment sessions with ease. The most common side effect, if any are encountered, is a mild amount of redness in the treated area, which usually resolves within minutes of the treatment. Dr. Green uses the new V-Beam Perfecta, the most cutting edge laser therapy for redness. Most patients require three to six V-Beam laser treatments to achieve ideal results. The laser delivers intense energy to treat the targeted blood vessels but is gentle enough to preserve the surrounding tissue and ensure patient comfort. V-Beam laser treatment can be used to treat spider veins and combined with sclerotherapy treatment to maximize the treatment results.

Which is better for spider veins: sclerotherapy or laser treatment?

When patients ask which is better, sclerotherapy or laser treatments, the answer is that it depends. Both treatment options provide a very safe and effective means for reducing or eliminating the appearance of spider veins and can be used individually or combined for an even more thorough treatment process. Neither treatment option requires any downtime following the procedure, and the risk of side effects for both is minimal. The two treatments have slightly different functions when addressing the cosmetic concerns of spider veins. If a vein is large enough to have a needle injected, sclerotherapy is the treatment for spider veins. However, small or matted veins respond much better to laser therapy with the V-Beam laser treatment. When addressing varicose veins, which are typically more extensive and more swollen than spider veins, sclerotherapy is the recommended treatment option. As such, neither treatment is inherently “better” than the other; instead, the circumstances and specific needs of the patient dictate which treatment is best. When you have your initial consultation with Dr. Green at her private dermatology office in NYC, you will discuss your physical and aesthetic goals, and she will examine the affected area to determine the treatment plan that works best for you.

How much does sclerotherapy cost?

When patients ask how much sclerotherapy is for spider or varicose veins, the answer is: it depends. The cost of sclerotherapy treatment depends on a wide variety of factors, including your geographic location, the size and scope of the treatment area, and the type of institution at which you are receiving treatment. The severity and number of veins to be treated will also influence the total cost of sclerotherapy treatment. Spider veins, for example, are a less severe variation of varicose veins and may require fewer injections than a more severe case. In addition, a board-certified dermatologist who is highly experienced in treating leg veins may be more expensive than a general practitioner. The combination of treatments you are receiving will also affect the overall cost of the procedure – if you are receiving laser treatments in addition to sclerotherapy, for example. When you come in for your initial consultation, Dr. Green’s office will be able to give you a more precise estimate of the cost of the treatment based on your unique treatment plan.

Is Sclerotherapy covered by insurance?

No. Sclerotherapy is a cosmetic procedure, so most insurance companies do not consider it a medically necessary treatment. It is always best to consult your insurance company to verify your benefits and eligibility. Before you begin the sclerotherapy treatment, Dr. Green recommends calling your insurance company at the phone number on your insurance card to find out whether the procedure will be covered.

Does sclerotherapy hurt?

Sclerotherapy involves the injection of liquid sclerosant, Asclera, into targeted veins with a fine needle. No downtime is necessary following the treatment, and you can return directly to your regularly scheduled activities. Regarding discomfort during the procedure, sclerotherapy with Asclera is slightly uncomfortable but not painful. You may feel mild pain during injections of smaller veins, and cramping may occur for one to two minutes after the infusion in more prominent veins. In the past, dermatologists used hypertonic saline, which was much more uncomfortable. To minimize discomfort, Dr. Green will prescribe a topical numbing cream that you can apply to your legs one hour before the treatment session.

Is sclerotherapy safe?

Sclerotherapy has been a safe and effective treatment option in medical practice for nearly one hundred years. The procedure is minimally invasive and requires no recovery time, meaning you can return to your regularly scheduled activities immediately after the procedure. The risk of developing significant side effects is low, and common side effects are minor, such as bruising at the injection site, red bumps around the treatment area, and itching. You may not be a good candidate for sclerotherapy treatment if you are pregnant or have a history of allergic reactions. Patients who have previously experienced allergic reactions to other therapies may also be at a higher risk of allergic reactions for sclerotherapy. When you consult with Dr. Green at her private dermatology office in NYC, she will work with you to determine whether you are a good candidate for sclerotherapy treatment for spider or varicose veins.

How long does sclerotherapy take?

Sclerotherapy is a minimally-invasive treatment that can be completed in thirty minutes, depending on the scope of the treatment area and the severity and number of veins being treated. There is minimal downtime and few side effects associated, with the most common side effects being a mild amount of swelling, bruising, redness, and tenderness at or near the injection sites. A topical numbing cream will be prescribed by Dr. Green ahead of your sclerotherapy treatment, which should be applied to the entire treatment area one hour before injections. This step will help reduce any potential discomfort during the injections. To protect clothing, plastic wrap can be placed over the numbing cream. Once you arrive at Dr. Green’s private dermatology office in Manhattan’s Upper East Side neighborhood, the numbing cream will be removed and the skin sterilized to prepare you for sclerotherapy injections.

How long does sclerotherapy last?

The amount of time within which results of sclerotherapy begin to show themselves varies depending on the size and scope of the treatment area. If you only receive treatment for spider veins, which are smaller and less expansive than varicose veins, you may see results from the procedure within six weeks. For more prominent varicose veins, it may take three to four months for results to become apparent and multiple treatments. The results of sclerotherapy can last for several years. However, if you are prone to having spider veins, new ones can appear sooner, and there is no guaranteed way to prevent their formation. New spider or varicose veins can be treated with subsequent sclerotherapy treatments.

Is sclerotherapy permanent?

Sclerotherapy will treat unwanted varicose and spider veins and remove them permanently. However, sclerotherapy can not prevent the formation of new spider or varicose veins in the lower extremities that might appear due to age, genetics, or hormones. If new varicose or spider veins are formed on your legs, you can receive sclerotherapy treatment again. Following sclerotherapy treatment, this risk of developing new spider veins can be reduced if you exercise regularly, eat a well-balanced diet, elevate your legs regularly, and ensure that you change your position frequently.

How many sclerotherapy treatments will I need?

The number of sclerotherapy treatment sessions required to achieve ideal results depends on the number of veins, the size and scope of the treatment area, and your general medical conditions. While the number of treatments will vary from person to person, four sessions are typically needed to eliminate the appearance of varicose veins. Treatment sessions should be scheduled approximately one month to six weeks apart, and it is best to have your leg veins injected during winter since the main side effect of sclerotherapy treatment is temporary bruising. By having sclerotherapy of varicose veins performed over the winter, the bruising from the injections will not interfere with your plans, and your legs will be evident by summer.

What is foam sclerotherapy?

Foam sclerotherapy is ultrasound-guided with foam, a treatment option for varicose veins. It is often performed in conjunction with an endovenous ablation procedure. When the foam sclerosant is injected into the targeted vein using a fine needle, it can stay inside the lining of the blood vessel longer than a liquid sclerosant. This is effective in treating minor to medium-sized varicose veins. The treated veins close permanently and the damaged vein is absorbed, processed, and excreted from the body. The blood is then redirected to the surrounding healthy veins to maintain proper circulation. The ultrasound is performed before the foam sclerotherapy treatment to locate the target vein, and it is also performed after the treatment to ensure the injected vein has fully sealed shut. Patients are instructed to wear compression stockings after the procedure to encourage healthy circulation. Foam sclerotherapy and endovenous ablation are typically performed at an outpatient vascular clinic. For more information, visit radiologyinfo.org.

Can I inject spider veins at home?

No! Do not attempt to inject spider veins at home. First, the sclerosing agent that is FDA-approved to treat spider veins is only available for purchase by physicians, and an experienced physician like Dr. Green must perform sclerotherapy. You cannot remove spider veins with over-the-counter or prescribed creams, gels, or pills. Attempting to inject spider veins at home will significantly increase the risk of developing severe side effects.

Regularly wearing compression stockings can help prevent more spider veins from forming by promoting healthy blood flow throughout the legs. Exercise and weight management can also control the formation of new spider veins. Being active and using the muscles helps the legs push blood through the veins and avoid pooling. Maintaining a healthy weight relieves your legs from the extra downward pressure, making it more difficult for blood to travel upward in your veins.

What other treatment options are available for varicose veins?

In some cases, Dr. Green may determine that sclerotherapy is not the right treatment option for your particular case of varicose veins. If valid, several other treatment options exist when choosing which treatment process will work best for you. If you have a relatively mild chance, compression stockings alone can help to improve blood circulation and reduce the amount of blood pooling in the veins. Compression stockings can be an excellent place to start treating varicose veins; they cannot reverse existing ones, but they will help prevent new ones from forming and existing ones from worsening. Laser treatment is another option for varicose veins and can vary from endogenous laser ablation to radiofrequency ablation. Laser treatment can also be combined with sclerotherapy to enhance the treatment results. Patients can turn to surgery, including conventional vascular surgery, in severe cases, such as leg ulcers or severe pain.

Is sclerotherapy painful?

Sclerotherapy treatment is a well-tolerated cosmetic procedure, although some patients may feel a stinging or cramping sensation during the injections. For patients with sensitive skin, Dr. Green may prescribe a topical numbing cream containing lidocaine that should be applied to the entire treatment area one hour before the appointment. Covering the applied numbing cream with saran wrap is recommended to protect clothing. Once you arrive at Dr. Green’s private dermatology office in Manhattan’s Upper East Side neighborhood, the numbing cream will be removed and the skin sterilized for the procedure. Some patients may have residual tenderness, swelling, or bruising near the injection sites following the process, which typically resolves within several days.

Who can perform Sclerotherapy? Who does sclerotherapy?

Dr. Green performs sclerotherapy injections at her private dermatology office in Manhattan’s Upper East Side. Sclerotherapy should only be performed by an experienced healthcare professional in a medical setting, such as a board-certified dermatologist or plastic surgeon. Sclerotherapy treatment, while safe and effective for reducing varicose and spider veins, involve injecting a chemical sclerosing agent into the leg veins. Working with an experienced healthcare professional is essential to prevent unwanted complications or side effects and guarantee the best results. Dr. Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience at the forefront of cosmetic dermatology. When you consult with Dr. Green, she will work with you to create a customized rejuvenation plan that best suits your needs and goals with long-lasting, natural-looking results.

What are the dangers of sclerotherapy?

Sclerotherapy entails the injection of certain chemicals called sclerosing agents into the leg veins. While the procedure is considered a safe and effective treatment option for varicose and spider veins, side effects can include bruising and swelling in the treatment area. These side effects typically resolve on their own shortly after treatment. Patients may also develop severe and rare side effects, including deep vein thrombosis, ulceration, and necrosis. To best prevent these side effects, it is always recommended to have sclerotherapy treatment with an experienced board-certified dermatologist, such as Dr. Michele Green in NYC.

Is foam sclerotherapy dangerous?

Foam sclerotherapy is different than conventional injection sclerotherapy. Sclerotherapy uses a sclerosing agent in its liquid form, whereas with foam sclerotherapy, the sclerosing agent is mixed with air to create a consistency that is like shaving cream. Foam sclerotherapy can be dangerous if inadvertently injected into an artery, so it is critical to have treatment with an experienced healthcare professional like Dr. Green. Foam sclerotherapy is better suited to treating larger veins, and the most common side effects include swelling, bruising, and tenderness at or near the injection sites, which tend to resolve within several days. Like sclerotherapy, patients are encouraged to wear compression stockings and spend some time walking each day after the foam sclerotherapy procedure. The compression stockings will help reduce swelling, and engaging in regular movement like walking helps prevent blood clots from occurring. When you have sclerotherapy treatment with Dr. Green, you will receive all the pertinent aftercare information required to ensure you achieve and maintain the best results.

Can you fly after sclerotherapy?

Flying after sclerotherapy treatment for at least several weeks is not recommended. Patients treated with sclerotherapy can fly a short distance (four hours or less) two weeks after their injections. Long-distance travel should be avoided until at least four weeks after treatment. Patients that engage in other spider and varicose vein treatments, such as endovenous catheter ablation that uses radiofrequency or laser energy, should refrain from flying until at least three weeks after their treatment. The risk of developing a deep vein thrombosis or blood clot following sclerotherapy treatment (or other varicose/ spider vein treatment) increases when traveling on flights. The trouble is even more significant for patients taking an oral contraceptive pill, smoking tobacco, using hormone therapy, or generally in poor health. If you want to treat leg veins and travel, please advise Dr. Green. Dr. Green will work with you to develop a timeline for reducing your leg veins that provide optimal results while keeping you safe and healthy and limiting the risk of developing unwanted side effects.

Can you exercise after sclerotherapy?

Walking each day after sclerotherapy treatment is essential to reduce the risk of developing a blood clot and promote the best results. However, patients should refrain from strenuous exercise for at least 24 hours following sclerotherapy. It is also important to remember to wear compression stockings for about two weeks following sclerotherapy treatment. Compression stockings should be worn throughout the day and can be removed for sleeping. When you have your sclerotherapy treatment with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will provide all the pertinent aftercare information required to ensure you get the best results.

Can sclerotherapy cause blood clots?

Sclerotherapy breaks down the damaged leg veins that can no longer support the body. Sclerotherapy treatment involves injecting chemicals called sclerosing agents into the leg veins, which causes the blood vessels to collapse. One rare side effect of sclerotherapy is blood clots, as blood can become trapped in the collapsed leg vein. If you have had a blood clot in the past, you may be able to have sclerotherapy treatment depending on what caused the clot and the severity. Your healthcare provider will evaluate your risk to determine whether you are a candidate for sclerotherapy treatment. Blood clots, while a rare complication, are serious side effects that require immediate attention from a healthcare professional. Compression stockings should be worn for two weeks following sclerotherapy treatment to minimize the risk of blood clots and to aid with swelling. Patients should also engage in regular movements, such as walking each day, following sclerotherapy to reduce the risk of blood clots.

Is Varithena a type of sclerotherapy?

Varithena is a microfoam treatment option for varicose leg veins caused by issues with the great saphenous vein. A small amount of the microfoam is injected into the diseased vein, causing it to collapse. The most common side effects include bruising and tenderness at the injection sites. Compression stockings should be worn two weeks after the treatment, and patients should refrain from strenuous exercise for one week. Most patients require a single treatment session to obtain their ideal results, which typically lasts about an hour. Varithena is a prescription medication that should only be administered by a board-certified dermatologist. Varithena differs from injection sclerotherapy, which utilizes a liquid sclerosing agent to treat small varicose veins. When you consult with Dr. Green at her private dermatology office in the Upper East Side neighborhood of Manhattan, she will physically assess your leg veins to determine which treatment option best suits your needs and goals.

What is percutaneous sclerotherapy?

Percutaneous sclerotherapy consists of a percutaneous (under the skin) injection of a chemical irritant into damaged blood vessels to cause their destruction and collapse. This treatment option is commonly used for venous and lymphatic malformations as well as for aneurysmal bone cysts.

Does sclerotherapy work?

Yes! Sclerotherapy can be an effective cosmetic treatment option for varicose and spider veins. It is important to consult with an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green, to ensure that you are an appropriate candidate for Sclerotherapy before undergoing the procedure. Studies have demonstrated that 50-80% of injected veins can be eliminated per sclerotherapy treatment session. Most patients will require more than one treatment session to achieve the best cosmetic results. While the treated veins won’t return after injection, new varicose and spider veins can still develop in treated areas. Other factors, including weight, genetics, medications, and overall health, can impact the rate at which new veins form. Patients can treat newly formed veins with future treatment sessions of Sclerotherapy. Sclerotherapy is particularly effective for smaller veins. Smaller veins typically respond to treatment within several weeks, while larger veins can take up to several months to respond to the procedure.

Is sclerotherapy worth it?

Yes! Most patients with unsightly varicose and spider veins agree that sclerotherapy is worth it. Some clinical studies have shown that sclerotherapy can permanently eliminate 90% or more of the treated blood vessels. When sclerotherapy injections are performed by an expert, such as board-certified dermatologist Dr. Michele Green in NYC, the procedure is quick and well tolerated, with few potential side effects. Most patients require several treatment sessions to achieve the final desired results, and although compression stockings must be worn for several weeks following each treatment session, the downtime is minimal. For many reasons, sclerotherapy is a popular cosmetic treatment for varicose and spider veins in the legs. It can help restore self-esteem and boost confidence in whatever you wear, which is always worth it!

How do I get started treating spider veins and varicose veins today?

Sclerotherapy is a quick, minimally-invasive treatment for eliminating the appearance of spider and varicose veins. Dealing with spider and varicose veins is frustrating, especially if you have tried over-the-counter creams and lotions that claim to help them disappear to no avail. Thankfully, non-invasive cosmetic treatment options like sclerotherapy and V-Beam laser treatment are available to make those stubborn veins disappear. Whether your spider veins have developed due to age or genetics, or if your job requires you to sit or stand for an extended period, Dr. Green is here to restore your confidence in your legs and help you want to wear your favorite summer dress again.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best cosmetic treatment options, including sclerotherapy for leg veins. She is consistently identified as one of NYC’s best dermatologists by Castle Connolly, New York Magazine, and Super Doctors for her dedication to her patients and expertise. When you consult with Dr. Green at her private office in Manhattan’s Upper East Side neighborhood, she will work with you to develop a personalized treatment plan that best suits your specific concerns. To book a consultation to find out if you are a good candidate for sclerotherapy, please call our NYC office today at 212 535 3088 or contact us online.