A member asked:

How is sclerotherapy for spider veins done?

11 doctors weighed in across 4 answers
Dr. Steven Zimmet answered

Specializes in Aesthetic Medicine

Sclerotherapy: Sclerotherapy uses small needles to make injections into the unwanted veins. A # of medications are commonly used, including sotradecol, asclera, dextrose/saline, & hypertonic saline. Most experts don't recommend Hypertonic Saline as it burns a lot & has a higher risk of scarring. A treatment typically takes about 30 minutes. After care includes stockings, walking, & avoidance of hot baths a week.

Answered 6/25/2014

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Dr. Steven Zimmet answered

Specializes in Aesthetic Medicine

Injections: Sclerotherapy uses small needles to make injections into the unwanted veins. A # of medications are commonly used, including sotradecol, asclera, dextrose/saline, & hypertonic saline. Most experts don't recommend Hypertonic Saline as it burns a lot & has a higher risk of scarring. A treatment typically takes about 30 minutes. After care includes stockings, walking, & avoidance of hot baths a week.

Answered 9/28/2016

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Dr. Ted King answered

WIth an injection: A small amount of a chemical called a sclerosant is injected into the vein. There are different types of sclerosants but they all do the same thing. They cause the vein to become inflamed. The inflammation causes the vein to collapse on itself, to seal off and, as a result, it is absorbed by the body and disappears. Usually it is recommended that compression stockings be worn afterwards.

Answered 3/26/2013

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Tiny needle!: Spider veins are injected with a very tiny needle. The chemical injected will remove the inner wall of the vein and cause it to close. Your body will then gradually absorb the treated spider vein over weeks/months. Sclerotherapy is well-tolerated.

Answered 9/18/2013

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