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CA patients learn what to expect after the sclerotherapy procedure

Posted on: February 21st, 2018 by Dr. Christopher Crosby

Your legs have carried you through some of the best times of your life – down the aisle, soothing sick babies, across the dancefloor, and tearing up the links. The sclerotherapy procedure for spider and lesser varicose veins keeps legs looking great, and aftercare is easier than you think. CA dermatologists at Grossmont Dermatology share this information.

Leg veins and sclerotherapy 

Telangiectasias, better known as spider veins, are small clustered blood vessels near the surface of skin. These colorful dilated vessels are caused by backup in the vascular system, the result of faulty valves in veins.


Sclerotherapy is injection of a sclerosing agent into problematic veins. The solution irritates the lining of a treated blood vessel. It collapses and dies and is eventually absorbed by the body’s natural processes. Meanwhile, blood flow is harmlessly rerouted to healthy veins.


The procedure takes less than an hour. Depending on the number of veins treated, several sessions may be necessary. 

Sclerotherapy aftercare 

There is essentially no downtime after sclerotherapy, and immediate walking is encouraged. There may be slight bruising and swelling, and veins will look more noticeable, before they disappear. If varicose veins are treated, they may feel tender, with hard knots, but this is temporary. Appropriate aftercare minimizes risk of these complications.

General advice:

  • Do not take hot baths or swim for a few weeks.
  • Plan treatment at least two weeks in advance of airplane travel.
  • Wear sunscreen or keep legs covered.


First week:

  • Discomfort is typically mild, and easily controlled with acetaminophen. If you experience itching, Benadryl may help.
  • Elevate legs when sitting or lying down.
  • Normal diet and regular medications are fine.
  • Avoid high impact physical activity for a few days.
  • Try to walk at least one hour per day.

Call [phone] to schedule your sclerotherapy procedure consultation in La Mesa, CA.


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Coastal Skin & Eye Institute/Grossmont Dermatology