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Sclerotherapy

Spider veins on the legs are aging and unsightly. Sclerotherapy is the answer. Minute injections of saline and a sclerosing fluid are injected into the veins. Over time they disappear.   Dr. David Van uses a special light that allows him to see other veins that would surface in a year or two and treats those before they show.

Sclerotherapy Treatment
Frequently Asked Questions


Q: What is Sclerotherapy?
A: Sclerotherapy is a procedure where a sclerosing (scarring) agent is injected into the vein. This causes the vein wall to become inflamed and to seal together. When the vein can no longer carry blood, it is no longer visible through the skin. This procedure is considered the "gold standard" in the industry, meaning that it is the most effective treatment around today. We also perform laser procedures to remove/clear up superficial veins not removed by sclerotherapy.

Q: How many treatments will I need?
A: Certain veins may require three or four treatments before they disappear. Others will disappear with one treatment.

Q: This all sounds painful. How painful is it?
A: Very small needles are used, and the discomfort during injection is minimal.

Q: Do I have to wear support hose after my treatment?
A: After injection, your legs will be compressed with small gauze pads and a compression stocking (either calf high or a pantyhose). This compression support must stay in place for three days and two nights, during which time you will not be able to shower or have a complete bath. Then the stocking alone is used (except during sleep) for an additional two weeks, during which you may resume your normal bathing routine. Cool baths or showers are advised.

Q: Can I play sports and run after my treatment?
A: After your treatment you may resume normal activities. However, aggressive exercising (such as jogging, tennis, or high-impact aerobics) should be avoided one to three weeks following treatment.

Q: Will new veins form, requiring more treatments?
A: Because humans function and work in the erect position, there is extra pressure on the veins of the leg. There is a tendency for new spider veins to form. Even after most of your veins have been removed by schlerotherapy, be aware that new veins can be injected before they become too large or too numerous. Use of compression hose on a regular basis can reduce the likelihood of recurrence.

Q: Is the treatment dangerous?
A: We schedule a consultation to see if you are a good candidate for schlerotherapy. For example, people with diabetes are not good candidates. During the consultation we do extensive testing (including Doppler) on your legs to make sure your blood flow is sufficient to ensure good healing following your procedure. There is a rare occurrence of small skin ulcers after an injection. This can be caused by the irritation of the injection.  In more than 70,000 injections, this complication has occurred 37 times. These ulcers are the size of a pencil eraser, and can heal without incident leaving just a small white scar.

Q: What should I do to prepare for my treatment?
A: Wear loose slacks, sweat pants, or a skirt and comfortable, loose shoes to accommodate the dressing. You might want to bring loose-fitting shorts to wear during the injection procedure. Do not use bath oil, lotion, or powder on your legs the night before or on the day of your injection treatment.