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Sclerotherapy is a non-surgical procedure, commonly performed for the treatment of spider and varicose veins. ::Read More

No, sclerotherapy is considered a cosmetic treatment and is not covered by insurance or medicare.

The cost for sclerotherapy is $300 per treatment session. The first treatment involves an extra $100 cost to cover the special dressings and compression stockings that need to be worn following sessions.

Complications occur in less than 1% of patients. The most common complication is to have a small dark mark or bruise at the injection site for a while. For most patients these marks fade very quickly, usually within two to three weeks. Some patients develop very tiny veins as a result of sclerotherapy. For most patients these fade quickly and for others very gentle conservative treatment with laser is necessary. Rarely, hyperpigmentation can occur following sclerotherapy. This may be the result of some leakage of blood through the vessel wall at the time of sclerotherapy. Most hyperpigmentation will subside over time. Allergies to sotradecol are rare, but can occur.

Most patients find the treatment slightly uncomfortable but much less so than they had imagined.

We usually leave 1 month in between sessions to allow time for healing.

Compression stockings are used to keep pressure on the area to produce a better result and to increase comfort for the patient. You need to wear these the day of treatment and overnight that night (without removing them). You will then wear them during the day for the next 4 days (total of 5 days). You can remove them at night before going to bed and prior to showering.

You will not need to take time off work other than for your appointment. However, you should not plan to have any strenuous exercise or fly internationally for at least the first 48 hours.

You will be wearing special dressings and compression stockings. It is a good idea to wear pants or a long skirt for your appointment. It is best if the pants are not too tight or stretchy as the pressure bandages will make your legs look lumpy. The veins do tend to go slightly darker in color before they disappear due to the color of the blood inside the vein as it closes.

Each session typically lasts 30 minutes. Both legs can be treated in one session. Of course, some patients have so many veins that we cannot get to each and every vein in one session.

Veinwave - veinwave can be used in along with with sclerotherapy for veins that are smaller in diameter. Lasers - lasers are not yet at a stage where they are helpful in the treatment of larger leg veins. Lasers are best used for treating abnormal blood vessels on the face, new matting or very fine red surface veins.

People differ in the extent of their problem and therefore in the amount of treatment needed. The number of treatments is typically between 3-6 treatments.

Treated veins can sometimes recur. Touch-up treatments will minimize this. The more treatments you have, the better the results will be.

After several treatments (3-6) most patients can expect a 70-90% improvement in the appearance of their legs. Your legs will initially look worse because of bruising and blood entrapment. The improvement may be very gradual, with some vessels taking up to 2 months to show maximum benefit. Treatments are usually performed monthly, sometimes
more regularly.

Sclerotherapy works by irritating the lining of the vein and stopping blood flow in it. Over a period of weeks to months the vessel fades from view, eventually becoming barely or not at all visible. Depending on its size, a single blood vessel may have to be injected more than once.