What is Sclerotherapy?

Sclerotherapy is a treatment using a solution (Asclera Polidocanol) injected directly into the affected vein. The sclerotherapy solution causes the vein to scar, forcing blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades. ASCLERA (polidocanol) injection is a prescription medicine that is used during sclerotherapy procedures to treat two types of veins within the legs: uncomplicated spider veins (very small varicose veins ≤1 mm in diameter), and uncomplicated small varicose veins (1 to 3 mm in diameter) known as reticular veins.

Before and After Photos

What is involved with a Sclerotherapy vein treatment?

Most patients describe a small, sharp sensation during treatment attributed to the needle sticks. Occasionally, patients may experience slight burning as the ASCLERA® (polidocanol) is being administered. The number of injections depends on the number and size of the veins being treated. Treatment time for Sclerotherapy is typically a 60-90 minute long procedure. Compression hose are to be worn immediately following the procedure and continuously for the first 48 hours; if a patient does not have compression hose, we have them available for sale at our office. After the first 48 hours, compression hose are to be worn during the day for the next 12 days, and the patient may remove the hose while sleeping. Bruising and redness is to be expected immediately following your sclerotherapy vein procedure and could last up to 4 weeks following your treatment. At times, it is normal for a patient to see treated areas appear to look worse before they get better.


Who is not a good candidate for Sclerotherapy vein treatment?

  • Pregnant or nursing individuals
  • Patients with a history of DVT (deep vein thrombosis) or severe arterial disease
  • Patients with open wounds or active infections in the treatment area

What is the cost of a Sclerotherapy vein treatment?

Prices for Sclerotherpy are based on a per-treatment session amount. Prices start at $500 and does not include the required compression hose ($50 + tax).

What are the results from a Sclerotherapy vein treatment?

Because all individuals are different, it is not possible to completely predict who will benefit from the procedure. Some patients will have very noticeable improvement, while others may have little or no improvement. A series of treatments is sometimes needed for maximum results, and with a typical treatment the patient will see results 3-6 weeks following the procedure. Patient follow-through following a sclerotherapy treatment is important. Post-operative instructions concerning appropriate restriction of activity, use of appropriate compression garments, and use of sun protection need to be followed in order to avoid potential complications and unsatisfactory results. Veins that respond to treatment generally don't come back, but new veins may appear.