Professional Sclerotherapy Treatment for Spider Veins in Tarzana

Sclerotherapy (Spider Veins)

Sclerotherapy is a medical specialty in which the doctor treats cosmetic and functional vein disorders. Many types of doctors deal with vein disorders; however, not all doctors who deal with veins truly understand how to do the job properly so that the problem is solved and does not return. Sclerotherapy spider vein treatment requires precision and experience to achieve lasting results.

Most people come to a sclerotherapist for one of two reasons: appearance and discomfort. Probably the majority are concerned about the cosmetic appearance of “spider” veins just under the skin. True spider veins are fed from the arterial system, and when compressed, they refill from the center, giving the impression of a spider spreading its legs. Patients exploring cosmetic dermatology procedures often seek this treatment for visible vein concerns.

What Are Spider Veins?

Spider veins are small, thin veins that lie close to the surface of the skin. Although these smaller veins are connected with the larger venous system, they are not an essential part of it. A number of factors contribute to the development of spider veins, including heredity, pregnancy and other events that cause hormonal shifts, weight gain, occupations or activities that require prolonged sitting or standing, and the use of certain medications.

Millions of women are bothered by spider veins—those small yet unsightly clusters of red, blue, or purple veins that most commonly appear on the thighs, calves, and ankles. In fact, it’s estimated that at least half of the adult female population is affected by this common cosmetic concern. Non-surgical vein treatment options like sclerotherapy can significantly improve their appearance.

How Is Sclerotherapy Performed?

Sclerotherapy is performed in a doctor’s office. In most cases, a 23 percent sodium chloride sterile solution mixed with lidocaine (a local anesthetic) and heparin is injected into the blood vessel using a very fine needle. A solution without lidocaine is available for people who are allergic to lidocaine. The number of varicose veins injected in one session is variable, depending on the size and location of the veins and the patient’s overall medical condition.

Sotradecol, or STS, is a chemical irritant that causes the vein to shut down and may be mixed with air to create a foam. This is also an effective treatment for saphenous reflux. Mild discomfort may occur, and a cramping sensation may be felt for one to two minutes when larger varicose veins are injected. The sclerotherapy procedure itself takes about 30 to 45 minutes.

What Are Side Effects of Sclerotherapy?

Certain side effects may be experienced after sclerotherapy. Larger injected varicose veins may become lumpy and hard for several months before resolving. Raised red areas may appear at the injection sites and usually disappear within a few days. Brown lines or spots on the skin may be noted at the injection site and, in most cases, fade within three to six months, though they can be permanent in about five percent of patients. Bruising may occur and can last several days or weeks.

What Should I Bring to My Appointment?

You will receive specific instructions on how to prepare for your spider vein treatment. You’ll be instructed not to apply moisturizer, sunblock, or oil to your legs on the day of the procedure. Consider bringing shorts, your physician-prescribed support hose, and comfortable pants to wear home. Many patients researching vein treatment options find preparation helps ensure smoother recovery.

What Should I Expect After Sclerotherapy Treatment?

After treatment, you will be able to drive yourself home and resume regular activities. Walking is encouraged. You will be instructed to wear compression hosiery or wraps to support the treated vessels. Avoid aspirin and anti-inflammatory medications for 48 hours; Tylenol may be used if needed. Hot baths, saunas, and direct sun exposure should be avoided for several days. Patients interested in sclerotherapy treatment in Tarzana can schedule a consultation with Castle Dermatology Institute. For more clinical background, visit Society for Vascular Surgery.

Sclerotherapy FAQs

1. What is sclerotherapy used for?
   Sclerotherapy is used to treat spider veins and small varicose veins for both cosmetic improvement and symptom relief.
2. Is sclerotherapy a surgical procedure?
   No, it is a minimally invasive, non-surgical vein treatment performed in an office setting.
3. How many sclerotherapy sessions are needed?
   The number of sessions varies depending on the size, number, and location of veins being treated.
4. Is there downtime after sclerotherapy?
   Most patients return to normal activities the same day, with compression stockings recommended for recovery.
5. Are sclerotherapy results permanent?
   Treated veins typically do not return, though new veins can develop over time due to genetics or lifestyle factors.