image79Sclerotherapy is used to remove unsightly reticular veins as a modern alternative to surgical ligation and vein stripping. A patient may need one to several sessions to achieve desired results. Sclerotherapy has been used to effectively treat unwanted veins since the 1930s.

  • What to Expect
  • How it Works
  • Patient Experience
  • FAQs

What to Expect

Results will be noticed gradually and many patients experience 60-80% of treated vessels achieving significant shrinkage and in many cases eventual complete disappearance. Small lumps, bruising, and pigmentation may occur, but bruising typically dissipates within one or two weeks and lumps and pigmentation changes typically resolve within several months.

* Results and patient experience may vary.

How Does it Work?

A tiny needle is used to inject the veins with a sclerosing agent (a substance that displaces congested blood and causes irritation and corrosion of the vein lining), which causes the veins to collapse and be reabsorbed by the body through the natural healing process.

Patient Experience

The procedure is performed on an outpatient basis (return home the same day) in anywhere from 15 to 45 minutes depending on the number of veins treated. Usually there is minimal discomfort following the procedure, and regular activities may be resumed immediately. A patient may need only one session up to several sessions to achieve desired results. Maintenance sessions may be necessary.

Rigorous exercise and excessive standing should be avoided for at least 12 hours and up to 48 hours, and patients may wear medical support hose or a wrap for several days up to several weeks to compress treated vessels to prevent recurrence. Massage should be avoided on the treated areas post-sclerotherapy to minimize likelihood of recurrence.


Is sclerotherapy painful?

You may feel a little sting and a burning sensation for a few seconds with each injection. Most patients tolerate the procedure well and do not require any anesthesia. Some patients may experience cramping.

On which part of the body is sclerotherapy performed?

At Hotchandani Laser, Vein and Cosmetic Surgery , sclerotherapy is only performed on the legs. Although some practitioners treat veins on the face, injections can be painful and results are mixed. Laser treatment is used to treat facial veins at Hotchandani Laser, Vein and Cosmetic Surgery .

What is the recovery time?

You may resume normal activities immediately. Rigorous exercise and other high impact activities should be refrained from during the first 12 hours post-procedure.

What size and kind of veins can be treated with sclerotherapy?

Sclerotherapy is used to treat small reticular veins at Hotchandani Laser, Vein and Cosmetic Surgery . Larger veins are treated using laser endovenous ablation and/or phlebectomy. While some physicians use sclerotherapy to treat small spider veins, Dr. Hotchandani prefers laser alternatives to achieve superior results in those cases.

Will insurance cover the procedure?

Hotchandani Laser, Vein and Cosmetic Surgery no longer bills insurance companies or government insurance programs.