If you have problems with spider and varicose veins, you might want to know what you can do about it. If you speak with a doctor, one thing that they might suggest is sclerotherapy. Below is a quick guide to sclerotherapy and some answers to frequently asked questions about it.

What is Sclerotherapy?

Sclerotherapy is a proven and safe medical procedure that can help patients with eliminating spider and varicose veins. It was developed in the 1930s and is performed by a dermatologist or another type of doctor.

How does it work?

During the procedure, the doctor is going to inject a solution (this is usually a solution made of salt) right into your vein using an extremely fine needle. This solution irritates the blood vessel’s lining and causes swelling. The blood clots as well. As time passes, the vessel becomes scar tissue. It then fades.

How does it feel?

The needle that is used is very fine and it minimizes irritation. That being said, you might feel some discomfort for 1-2 minutes after injection. This is true especially when you are having a larger vein treated.

How long does the procedure last?

It takes around 15-30 minutes, based on how many veins are being treated and their location and size.

What kind of prep do I need to do?

Before treatment, speak with the doctor about the medication that you are taking, including OTC medicine, dietary supplements and herbs, since there are some that aren’t compatible with the treatment.

It’s also recommended that you avoid ibuprofen like Advil, Nuprin, or Motrin, aspirin or other types of anti-inflammatory medications for 48 to 72 hours before your treatment. Tylenol doesn’t affect the procedure though. You also shouldn’t use lotion on your legs before having the procedure done.

What’s the recovery period?

Recovery is simple. You should rest and don’t do any aerobic exercises for several days after your treatment.

Are there any types of side effects?

There may be some side effects that may last for three days or so, but they are usually mild. This usually includes red, raised areas and itching at your injection sites. It’s also possible that you’ll experience some bruising where the injections were done. This sometimes will last a few days or even weeks.

Side effects that are longer lasting might include:

  • Hardness and lumps in bigger veins. This might take a few months before they dissolve.
  • Brown spots or lines at your vein site. These will usually disappear anywhere from 3-6 months.

Tiny, new blood vessels where you had the treatment. These small veins often show up days or even weeks following your procedure. However, they also should fade 3-12 months even without having more treatment.


Based on your health, there’s a chance that your doctor will advise against sclerotherapy. Health concerns that could keep you from getting this type of therapy include

  • Former problems with blood clots
  • Pregnancy
  • Veins that could be used for heart bypass in the future.

If you are having issues with problematic veins, talk to your doctor about sclerotherapy. It might be the answer you are looking for.

Questions about Sclerotherapy?

Let Pura Vida Medical Spa help you with your Sclerotherapy treatment. Call us at 239-919-7872 and schedule a free consultation. On the web, visit puravidanaples.com to learn more about us and our med spa services.

We are conveniently located in Downtown Naples on Fifth Avenue South with ample free parking nearby. After (or before your appointment) visit some of the nearby great restaurants and shopping in our neighborhood.