Problem: Spider Veins

Spider veins are clusters of small blood vessels just under the surface of the skin that appear as spider webs or tree branches. They are usually a dark blue or purple color and can sometimes itch or burn. Spider veins occur when a capillary, the smallest type of blood vessel, becomes swollen due to venous insufficiency. Spider veins are a cosmetic problem so they do not require medical attention, but they can make you feel self-conscious so there are some cosmetic treatments available, such as sclerotherapy.

Treatment: Sclerotherapy

Sclerotherapy treatment involves injecting the problem veins with a chemical known as a sclerosant solution. Dr. Robbins and his team use very fine needles to do the injections. The solution causes the veins to close up, forming scar tissue. Eventually the remaining scar tissue is absorbed and dissolved naturally by the body. Treatment sessions last 30 minutes.

What to Expect

Immediately after sclerotherapy treatment, compression stockings are worn for 24 hours continuously. This helps the sclerosing solution to stay in the veins, reduce any swelling that may occur, and aid the healing process. Our office recommends that you continue wearing compression stockings during the day for at least one week after the initial 24 hour period. It is also important to keep treated areas out of direct sunlight, as sunlight exposure can increase chances of hyperpigmentation (brown staining) of the skin. We also recommend that you walk as much as possible after treatment.

The treated veins may initially appear bruised or darker, but this should go away over time. Getting sclerotherapy treatment cannot guarantee complete resolution of spider veins, but it has very high success rates of improving overall appearance. Depending on the severity of the problem, anywhere from one to several sessions may be needed to achieve the best results.

Risks and Complications

Risks and complications from sclerotherapy are rare might but include:

  • Blood clot in treated vein
  • Allergic reaction
  • Discoloration along treated vessel (usually temporary)
  • Scabbing or scarring
  • Formation of new blood vessels around the treated area


When to Call VascularTyler

Call our office if you experience any of the following:

  • Problems at the incision site such as swelling, increasing pain, redness, or warmth
  • Fever
  • Changes in color or temperature of your legs or feet
  • Blood in the urine or inability to urinate