In Planning for Your Sclerotherapy Treatment

As you are going to have your first consultation for your spider veins, your legs will be checked. Your dermatologist or surgeon may draw a simple sketch of your legs, mapping out the areas affected by spider veins or other problems. During the examination, you will be assessed for signs of more serious “deep vein” problems, often indicated by swelling, sores, or skin changes at the ankle. A simple laboratory assesment with a Doppler ultrasound device is usually utilized to detect any backflow within the venous system.

If there are identified problems, your surgeon may refer you to a different specialist for further check-up. Why? Problems with the larger veins must be prioritized and treated first. Otherwise, sclerotherapy of the surface veins will be unsuccessful.

The doctor will ask you about any other problems you may have with your legs, such as itching, pain, aching, or tenderness. You will also be asked about your medical history, the drugs you took, or conditions that would exclude you from having treatment. These include hepatitis, AIDS or other blood-borne diseases. People with these disease are not good candidates for sclerotherapy because serious complications can occur. Patients who have cardio problems, or diabetes may also be advised against treatment.

For your safety, it is therefore vital to be open in discussing your history and treatment goals with your doctor. Don’t hesitate to ask any questions or express any concerns you may have. Your doctor should explain the procedure in step by step, along with its risks and benefits, the recovery period and the costs. Take note that Medical insurance usually do not cover cosmetic procedures.

It is your physician who will give you specific instructions on how to prepare for your treatment. Carefully following these instructions will help the procedure go more smoothly.

He may most likely instruct you not to apply any type of moisturizer, sunblock or oil to your legs on the day of your procedure. You may want to bring shorts to wear during the injections. Your doctor may also prescribe you with a support hose and slacks to wear after the procedure.


The procedure is so simple that it requires no anesthesia and it is performed in an outpatient setting, most of the time in the doctor’s clinic.

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