Visual Sclerotherapy for Spider Veins

Visual sclerotherapy is the classic treatment for visible spider veins on the legs. The clinician treats veins that can be seen at the surface using a fine needle and sclerosing solution.

This treatment is best for cosmetic spider veins and small visible veins that are not being driven by untreated underlying reflux. If symptoms, varicose veins, or recurrent spider veins are present, ultrasound evaluation may be recommended first.

• Red, blue, or purple spider veins
• Small visible surface veins
• Cosmetic vein clusters on thighs, calves, ankles, or behind the knees
• Selected small veins causing local burning or itching

A fine needle is placed into the visible vein, and a small amount of sclerosing solution is injected. The vein closes and gradually fades.

Results develop gradually. Many patients need multiple sessions spaced apart.

Compression may be recommended. Patients are commonly advised to walk, avoid hot baths briefly, avoid intense exercise briefly, and protect treated areas from direct sun while healing.

Visual sclerotherapy for spider veins is generally cosmetic and not covered by insurance.