Visual Sclerotherapy

Visual sclerotherapy is a minimally invasive procedure used to treat small visually unappealing veins in the legs, hands, chest and elsewhere. The procedure is called “visual” sclerotherapy because the target veins are visible to the naked eye. When these vessels are not visible, we use ultrasound to identify them . During visual sclerotherapy, an FDA-approved medicine called 1% polidocanol is injected into the vein. This medicine causes the vein to shut down and slowly become absorbed by the body. 

There are two types of visual sclerotherapy: foam and liquid. Liquid is typically used in telangiectasia and small spider veins. Foam sclerotherapy involves mixing the liquid sclerosant with gas to increase potency and improve results. Foam is used in spider veins and larger veins. 

After the procedure, a compression stocking is worn for at least 3 days. We recommend longer, up to 1 week. Doing so improves success of the treatment and reduces the side-effects, such as skin darkening and bruising. Walking and other normal activity is encouraged the day of the procedure. Most people return to work the next day. 

Depending on the quantity of veins to be treated, multiple sessions will be required. We perform sclerotherapy every 4 weeks. 

Depending on the location and severity of the vein disease, we will combine this therapy with micro-phlebectomy 

While visual sclerotherapy is a cosmetic procedure not covered by insurance. Many patients find the procedure very valuable. Dr. Andrew will review including visual sclerotherapy to your vein plan of care.

Schedule an appointment with Dr. Andrew today to talk about your legs and whether visual sclerotherapy is right for you.