Sclerotherapy: Spider Vein Treatment That Works

Are you tired of those unsightly spider veins that seem to appear out of nowhere on your legs, making you self-conscious about wearing shorts or skirts? Spider veins, those small, red, blue, or purple veins that often appear on the legs, can be a frustrating cosmetic concern. Thankfully, there is a highly effective treatment option available – sclerotherapy.

At New York Vein Treatment, our vein doctors specialize in minimally invasive spider vein and varicose vein treatments, including sclerotherapy. Let’s explore everything you need to know about sclerotherapy, from how it works to what you can expect during and after the procedure.

About Sclerotherapy

Sclerotherapy is a proven and highly effective treatment for spider veins. It is a minimally invasive procedure that involves injecting a solution directly into the affected veins. The solution irritates the lining of the blood vessel, causing it to collapse and eventually fade away.

How Sclerotherapy Works

Sclerotherapy is a medical procedure that effectively treats spider veins and small varicose veins by inducing controlled damage to the affected blood vessels. A sclerosing solution, often containing a chemical compound like sodium tetradecyl sulfate or polidocanol, is injected directly into the veins. This solution irritates the vein’s inner lining, causing it to inflame and collapse. Over time, the damaged vein is absorbed by the body’s natural processes, rerouting blood flow through healthier veins. The treated vein gradually fades from view.

The Sclerotherapy Process:

  • Diagnosis: At New York Vein Treatment, we begin by diagnosing the root cause of your spider veins using duplex ultrasound. This allows us to identify any underlying issues, such as chronic venous insufficiency or larger veins that may be contributing to the problem.
  • Personalized Treatment Plan: Once we have a clear understanding of your condition, our board-certified vein doctors will curate a personalized treatment plan tailored to your needs. Sclerotherapy may be recommended as part of this plan.
  • Procedure: During sclerotherapy, a fine needle is used to inject a sclerosing solution directly into the affected spider veins. The solution causes the vein to collapse and stick together, ultimately leading to its closure.
  • Immediate Results: You may notice immediate results after the procedure, with the treated veins beginning to fade. However, multiple sessions may be required to achieve optimal results, depending on the extent of your spider veins.
Are you looking for a spider vein treatment that works? Discover sclerotherapy at New York Vein Treatment — the ultimate minimally invasive spider vein treatment in New York.

Benefits of Sclerotherapy:

  • Sclerotherapy does not require surgery or extensive downtime.
  • Most patients can return to their regular activities shortly after the procedure.
  • Sclerotherapy has a high success rate in eliminating spider veins.
  • Can significantly improve the appearance of your legs.
  • The procedure is generally well-tolerated, with minimal discomfort reported.
  • Recovery time is relatively quick — you can resume normal activities immediately.
  • Provides long-lasting results — the treated veins are unlikely to reappear.

Alternatives to Sclerotherapy

  • While sclerotherapy is highly effective, there are other minimally invasive treatments available for spider veins and varicose veins. We offer a range of options, including:

    • Endovenous Laser Ablation: This procedure uses laser therapy to target and close off problematic veins. It is particularly effective for larger veins and can be used in conjunction with sclerotherapy for comprehensive treatment.
    • Radiofrequency Ablation: Similar to laser ablation, radiofrequency ablation uses heat to close off damaged veins. It is an excellent option for those with chronic venous insufficiency or large varicose veins that can’t be treated with sclerotherapy.
    • VenaSeal: VenaSeal is a relatively new treatment that uses a medical adhesive to seal off problematic veins. It is less painful than traditional procedures and requires minimal downtime. It’s a suitable option for varicose veins and chronic venous insufficiency.
    • Ambulatory Phlebectomy: In cases where physical removal of veins is necessary, ambulatory phlebectomy may be recommended. This procedure involves the removal of superficial varicose veins through tiny incisions on the skin’s surface.

    Selecting the right treatment for your spider veins depends on various factors, including the extent of your condition, your medical history, and your individual preferences. During your initial consultation at New York Vein Treatment, our experienced vein doctors will conduct a thorough assessment to determine the most suitable treatment plan for you.

What to Expect During Sclerotherapy:

  • Preparation: Before the procedure, you may be asked to wear loose-fitting clothing and avoid applying lotion to your legs. It’s essential to discuss any medications you’re taking with your vein doctor, as certain medications may need to be adjusted or temporarily discontinued.
  • Injection: Sclerotherapy is typically performed in an outpatient setting. You will be comfortably seated or lying down during the procedure. Your vein doctor will use a fine needle to inject the sclerosing solution into the targeted spider veins. You may feel a slight burning or stinging sensation during this process, but it is generally well-tolerated.
  • Compression: After the injection, your vein doctor will apply compression to the treated area. This helps to prevent blood from flowing back into the treated veins and promotes healing.
  • Multiple Sessions: Depending on the extent of your spider veins, multiple sessions may be required to achieve the desired results. These sessions are spaced a few weeks apart.

Recovery & Aftercare Guidelines:

  • Compression Garments: You will be advised to wear compression stockings or garments for a specified period. These garments help support the healing process and improve circulation.
  • Avoid Sun Exposure: It’s crucial to avoid prolonged sun exposure to the treated areas for several weeks, as UV rays can cause hyperpigmentation.
  • Physical Activity: Light to moderate physical activity is encouraged, but you should avoid strenuous exercises for a few days following the procedure.
  • Follow-up Appointments: Attend all scheduled follow-up appointments with your vein doctor to monitor your progress and make any necessary adjustments to your treatment plan.
  • Side Effects: Some common side effects include mild bruising, swelling, and temporary discomfort at the injection site. These resolve on their own within a few days to weeks.


Experiencing symptoms of vein disease? Book an appointment with one of the our Vein Specialists in New York.

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Sclerotherapy FAQs

Is sclerotherapy painful?

Most patients experience minimal discomfort during sclerotherapy. You may feel a slight burning or stinging sensation at the injection site, but this discomfort is usually short-lived. Your vein doctor can discuss pain management options if you have concerns.

How long does a sclerotherapy session take?

Sclerotherapy sessions are relatively quick, typically lasting 15 to 30 minutes, depending on the number of veins being treated. Multiple sessions may be required to achieve optimal results.

Are there any side effects or downtime associated with sclerotherapy?

Common side effects of sclerotherapy include mild bruising, swelling, and temporary discomfort at the injection site. However, these side effects typically resolve on their own within a few days to weeks. Most patients can resume their regular activities immediately after the procedure.

How soon can I see results after sclerotherapy?

You may notice immediate results after your first session, with the treated veins beginning to fade. However, it’s important to note that complete results may take several weeks to become apparent. Additional sessions may be necessary for the best outcome.

Can sclerotherapy be used to treat larger varicose veins?

Sclerotherapy is primarily designed for small to medium-sized spider veins. For larger varicose veins, alternative treatments such as endovenous laser ablation or radiofrequency ablation may be recommended. Your vein doctor will assess your condition and recommend the most appropriate treatment for you.

Is sclerotherapy a permanent solution?

Sclerotherapy provides long-lasting results, and the treated veins are unlikely to reappear. However, it does not prevent the development of new spider veins, so maintaining a healthy lifestyle and managing risk factors is essential for preventing future issues.

Are there any risks associated with sclerotherapy?

While sclerotherapy is considered safe, like any medical procedure, there are potential risks and complications. These are rare and may include allergic reactions to the sclerosing solution, skin discoloration, or the formation of small blood clots. Your vein doctor will discuss these risks with you before the procedure.

How can I prepare for a sclerotherapy session?

Preparation for sclerotherapy may include wearing loose-fitting clothing on the day of the procedure and avoiding lotion application to the treatment area. It’s crucial to discuss your medications with your vein doctor, as certain medications may need to be adjusted.

Is sclerotherapy covered by insurance?

Insurance coverage for sclerotherapy may vary depending on your individual insurance plan and the medical necessity of the procedure. At New York Vein Treatment, we offer free insurance verification to help you understand your coverage and make informed decisions.

Visit Your Nearest New York Vein Treatment

At New York Vein Treatment, we have convenient locations in Midtown Manhattan and the Financial District to serve our patients. Our Midtown Manhattan location at 290 Madison Ave Suite 202 is within walking distance of iconic landmarks such as Grand Central Station and Penn Station. In the Financial District, you can find us at 156 William St, 3rd Floor, close to the 9/11 Tribute Museum, New York Stock Exchange, and The Seaport.

We understand that navigating insurance can be a concern for many patients. That’s why we offer free insurance verification even before your first appointment. Our team will work with your insurance provider to determine your coverage and help you make informed decisions about your treatment options. Whether you’re dealing with spider veins, varicose veins, or other venous issues, our team is dedicated to providing personalized care and comprehensive treatment options to help you achieve healthier legs. Schedule your consultation today.




Veins Specialist NYC

He leads the team of vein doctors offering the highest level of care at our Spider and Varicose Vein Treatment Center NYC.



Veins Specialists NYC

Highly sought after for his expertise and excellent outcomes in Vein Treatments in Manhattan.



Veins Specialists NYC

She has extensive experience with vein performing procedures based on New York City.


Dr. Caroline Novak

Veins Specialists NYC

She is an Internal Medicine and Vein Disease specialist with experience in minimally invasive treatments at our Long Island clinic.


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