Complimentary Consultation


Injections for spider and
varicose vein removal

What is Sclerotherapy?

Sclerotherapy treatment involves the injection of special solutions called sclerosants into unwanted vessels such as varicose and reticular veins.  The sclerosant causes the vessels to shrink and be removed by the body’s cleansing system.

What are Sclerosants?

Sclerosants are solutions that act as irritants to blood or lymphatic vessels. This solution can be injected into unwanted vessels, irritating the vessel lining.  Ultimately, the vessels are then effectively signaled for removal by the immune system. There are different types of sclerosants, all with unique properties but with similar effects on the vessels.  Dr. Brandish uses a specific sclerosant that is almost painless with injections.

Sclerotherapy for Veins

By using sclerosants to induce vascular shrinking, sclerotherapy can be a great way to treat the presence of unwanted spider or varicose veins. As blood vessel walls and valves weaken, they tend to dilate and blood begins to pool within them. These unwanted veins tend to bulge and become more visible beneath the skin which can create 

undesirable cosmetic appearances. With sclerotherapy, the sclerosant solutions can help the affected veins and vessels constrict and shrink, which helps to reduce their appearance and bulge in the skin. This will achieve a more smooth and even appeared in the skin, and it may even help alleviate symptoms that are common with varicose veins, such as aching discomfort, soreness, etc.

How long do results last?

Sclerotherapy Is a very effective treatment for varicose veins but longevity can vary depending on multiple factors. Some conditions that predispose to varices include genetics, hormones, trauma, and lifestyle habits such as smoking, etc., and will therefore have a great effect on longevity.

Importantly, once the veins begin to respond to the sclerosant solutions, results generally last for years.  It is important to know that sclerotherapy does not prevent new veins from forming and therefore maintenance treatments may be necessary.

Multiple treatments may be required over a series of weeks to months for optimal results. Sclerotherapy offers a powerful solution for different cosmetic vein conditions that lasts a long time.

What should I expect with the treatment?

To start, you and Dr. Brandish will develop an individualized treatment plan to determine if Sclerotherapy is the best tool for the desired result. She is an expert injector with years of experience using sclerotherapy injections to treat varicose veins.

Once sclerotherapy is identified as the right treatment, Dr. Brandish will cleanse and prep the skin for injection. To minimize any discomfort, a small needle is used to inject the sclerosant agent into visualized unwanted veins. Devices such as a vein light and /or Accuvein light may be used to directly visualize these vessels in the tissue for safe, precise, and effective treatment results.  That being said, most often the veins being treated are usually quite visible without assistive measures.

After the treatment, it is recommended to wear a high-pressure supportive hose for 1-2 weeks post-treatment for more effective results.

Results of sclerotherapy with smaller veins may be noticeable within a few days to weeks. More significant varices may require more time elapsed before results begin to show.

Are there side effects to be aware
of with Sclerotherapy?

The most common side effects of sclerotherapy are swelling, bruising, pain, redness, and mild firmness around the treatment areas. Side effects are usually mild and resolve within a few days.

The advanced precautions are taken at Brandish Clinic help make optimal treatments much easier with minimal downtime.

As with any medical procedure, it’s important to understand that recovery times may vary patient-to-patient, and this is also the reality with cosmetic procedures like sclerotherapy injections.

More information about side effects can be found on the Mayo Clinic’s website.

Sclerotherapy Summary

Sclerotherapy is a common cosmetic procedure that uses injectable sclerosant solutions to restrict veins, reducing their bulge and unwanted appearance beneath the skin. It can also help clear up other symptoms of varicose veins, such as pain, soreness, and more, as the veins begin to respond to the treatment within a few days to weeks. The sclerosant solutions act as a mild irritant on the blood and lymphatic vessels, causing them to constrict. As they shrink, the vascular supply to these vessels gets restrained, and they no longer bulge from holding excess blood. The body’s cleansing system is then signaled to respond and remove the treated vessels.  This procedure is a safe and effective way to get rid of varicose and spider veins, restoring your youthful smooth skin for years to come!

How do I get started?

If you’re interested in hearing more or in scheduling an appointment, contact our office at

and we’ll take care of you. We offer free consultation appointments as well if you’d like to simply go over any problem areas and see if sclerotherapy or other treatment options may be the most effective solution.