Reviewed by: Joshua M. Newman, M.D.
Sclerotherapy is a trusted and highly effective varicose and spider vein laser treatment. If you’re thinking about this minimally invasive procedure, you probably have many questions. For the first 10 common questions, check out our previous blog.
AMARA believes in providing clear, research-backed answers so you can make the best decision for your health and confidence. Here are the top 10 most common questions about sclerotherapy, answered.
1. Does Sclerotherapy Permanently Remove Spider Veins?
Sclerotherapy eliminates treated spider veins, but it does not prevent new ones from forming. Once a vein is successfully treated, it will not return, as the body absorbs and removes it. However, genetics, lifestyle, and other factors can contribute to the appearance of new spider veins over time. Fortunately, maintenance treatments can help keep your legs looking smooth and clear.
2. How Effective Is Sclerotherapy?
Sclerotherapy has a high success rate. Studies show that the treatment improves the appearance of spider veins in 75-90% of cases after just a few sessions. The number of treatments needed depends on the severity of your veins, but most patients see noticeable improvement after one to three treatments.
3. Is Sclerotherapy Only for Cosmetic Purposes?
This is a myth. While many people seek sclerotherapy for cosmetic reasons, it can also improve circulation and reduce symptoms like aching, swelling, and heaviness in the legs. Some insurance plans may even cover the procedure if it is deemed medically necessary due to pain or vascular issues.
4. Who Is a Good Candidate for Sclerotherapy?
Sclerotherapy is ideal for individuals with visible spider veins or small varicose veins who want a non-surgical solution. However, this treatment is not recommended for:
❌ Pregnant women
❌ Individuals with deep vein thrombosis (DVT)
❌ Those with certain blood circulation disorders
If you’re unsure whether sclerotherapy is right for you, consult with an expert at AMARA for a personalized evaluation.
5. Can Sclerotherapy Be Combined with Other Vein Treatments?
Yes! Sclerotherapy can be used alongside other vein treatments to enhance results, especially for patients with larger varicose veins or persistent vein issues.
- For larger varicose veins – Endovenous laser therapy (EVLT) or radiofrequency ablation (RFA) can be used first to treat deeper veins before sclerotherapy is applied to smaller surface veins.
- For stubborn or recurring spider veins – Sclerotherapy can be combined with laser therapy to target tiny veins that may not respond as well to injections alone.
6. How Do I Prevent Spider Veins After Sclerotherapy?
While treated veins won’t return, new spider veins can form over time due to genetics, prolonged sitting or standing, and lifestyle factors. Here’s how to help prevent them:
- Stay active – Regular movement improves circulation and reduces vein pressure.
- Wear compression stockings – These can support healthy blood flow, especially if you stand or sit for long periods.
- Elevate your legs – Helps reduce swelling and prevents blood from pooling in the veins.
- Maintain a healthy weight – Reduces strain on your veins.
Avoid excessive sun exposure – UV rays can weaken vein walls and contribute to spider veins.
7. What Is the Recovery Time After Sclerotherapy?
One of the biggest advantages of sclerotherapy is that it requires no downtime. Most patients can resume normal daily activities immediately, though it’s advised to avoid:
🚫 Strenuous exercise for 24-48 hours
🚫 Hot baths, saunas, or direct sun exposure on the treated area for a few days
For best results, your provider may recommend wearing compression stockings to improve circulation and enhance the healing process.
8. How Long Until I See Results?
Treated veins typically begin to fade within a few weeks, with full results visible after one to three months. Larger veins may take longer to disappear. New veins can form over time, but they can also be treated with sclerotherapy, and varicose vein removal.
9. Is Sclerotherapy Safe?
Yes, when performed by an experienced specialist at AMARA, sclerotherapy is a safe and well-established procedure. It has been used for decades to treat venous issues. Serious complications are extremely rare.
10. Will My Insurance Cover Sclerotherapy?
In most cases, sclerotherapy is considered a cosmetic procedure and is not covered by insurance. However, if the treatment is deemed medically necessary due to symptoms like pain or swelling, partial coverage may be available. Check with your insurance provider or AMARA’s financing options for details.
Book a Consultation at AMARA
AMARA’s spider and varicose vein clinic specializes in sclerotherapy and other advanced vein treatments to help you achieve smooth, beautiful skin. If you’re ready to say goodbye to spider veins, schedule an appointment with our experienced team today at 941-499-7823!
While we strive to provide accurate and up-to-date information, medical knowledge is constantly evolving, and new research may change the nature of certain conditions. Please remember to consult with a healthcare professional or dermatologist for proper diagnosis, treatment, and guidance regarding a medical condition.