Smoother Legs Ahead: A Complete Guide to Sclerotherapy for Spider Veins

Spider veins — those small, web-like red, blue, or purple lines on the legs or face — are a common cosmetic concern, especially as we age. While they rarely pose health risks, many people seek treatment for cosmetic reasons or minor discomfort.

One of the most popular treatments is sclerotherapy, a safe and minimally invasive procedure that has been used for decades. This guide explains how sclerotherapy works, what it costs, and the benefits you can expect.

What Is Sclerotherapy?

Sclerotherapy is a medical procedure designed to eliminate spider veins and small varicose veins. It involves injecting a specialized solution (sclerosant) directly into the affected veins, causing the vein walls to stick together, collapse, and seal shut. Over time, the treated veins are reabsorbed by the body and fade from view.

The procedure is performed in a doctor’s office, typically by a dermatologist, vein specialist, or vascular surgeon. No anesthesia is required, and the entire process usually takes 15 to 45 minutes, depending on how many veins are treated.

How Does Sclerotherapy Work?

Here’s a step-by-step look at what you can expect:

Consultation
A doctor will evaluate your veins, take a medical history, and determine if you’re a good candidate. Sclerotherapy is best for small to medium spider veins and is not typically used for large, bulging varicose veins.
Injection Process
Using a fine needle, the provider injects the sclerosant into the targeted veins. You might feel mild stinging or cramping, but the discomfort is usually brief.
Compression and Recovery
After the procedure, compression stockings or bandages may be applied to help the veins seal and improve circulation. Most people can resume normal activities the same day, though you may be advised to avoid strenuous exercise or sun exposure for a few days.
Results
Treated veins gradually fade over three to six weeks. Some veins may require multiple sessions, especially if you have a larger area or recurring spider veins.

What Does Sclerotherapy Cost?

The cost of sclerotherapy depends on several factors, including location, provider experience, the number of veins treated, and the size of the area.

On average:

Per session cost: $300 to $500
Number of sessions: Most people need 1 to 3 sessions for optimal results
Insurance coverage: Typically considered a cosmetic procedure, meaning it is not covered by insurance unless the veins are causing significant medical symptoms (like pain or ulcers)

It’s a good idea to get a detailed price estimate during your consultation, including follow-up sessions if needed.

Benefits of Sclerotherapy

Sclerotherapy offers several advantages, making it one of the most popular treatments for spider veins:

Effective Results
Most patients see a significant reduction or complete fading of treated veins within a few weeks.
Minimally Invasive
No surgery, stitches, or hospital stay is required.
Quick Recovery
You can usually return to work and light activities the same day.
Improved Appearance
Smoother, clearer skin on the legs or face can boost self-confidence, especially when wearing shorts or skirts.
Symptom Relief
In some cases, sclerotherapy can also relieve minor aching, swelling, or burning associated with spider veins.

Is Sclerotherapy Right for You?

Good candidates for sclerotherapy include:

Adults bothered by the cosmetic appearance of spider veins
People with mild symptoms like itching or discomfort from small veins
Those without certain medical conditions (such as deep vein thrombosis or certain allergies)

Your doctor will assess your health, vein condition, and expectations to ensure you’re a good fit for the treatment.

Final Thoughts

Sclerotherapy is a safe, effective, and minimally invasive way to reduce or eliminate unsightly spider veins. With a short procedure time, quick recovery, and lasting results, it’s no wonder this treatment remains a top choice for people seeking clearer, healthier-looking skin.