Spider veins are effectively treated with sclerotherapy. In Chapel Hill, The Skin Care and Laser Center of Central Dermatology offers the injection treatment primarily for spider veins in the legs, although the condition can occur anywhere on the body or face. Spider veins are tiny, twisting blood vessels visible just below the skin’s surface.

To find out more about sclerotherapy in the Raleigh-Durham area, request an appointment online, or call us at (919) 493-3194 to schedule an appointment. Our board-certified dermatologists from Central Dermatology Center oversee the adjacent medical spa.

How It Works

We use an FDA-approved sclerosing solution called Asclera®, injected through a very fine needle directly into the vein. Asclera works by irritating the lining of the vein, causing it to swell shut and block the blood flow. Blood then is re-routed through healthy veins and the spider veins gradually collapse and are absorbed naturally into the body. Laser vein treatments are another option when targeting small spider veins.

What to Expect

You will be made as comfortable as possible and the target area will be thoroughly cleansed. After the solution is injected, you may experience mild discomfort and cramping for 1 to 2 minutes, although that occurs primarily when larger veins are injected. The procedure itself takes approximately 15 to 30 minutes. Depending on the number and size of the veins, the injections can typically be completed in a few appointments. Some patients will need touch-up appointments, depending on their individual response. You should avoid taking aspirin for 2 weeks before your treatments, and avoid ibuprofen (Motrin, Advil) and naproxen (Alleve) for about 3 to 4 days prior to the treatments. These medications increase the risk of bruising.

Most patients can return to their normal routines the day after sclerotherapy, although we advise against strenuous activity for 2 weeks. If the injections were in the calf, we ask that you wear compression socks for about 3 weeks to maintain pressure on the treated veins if larger vessels are treated. Spider veins usually begin fading in about 3 weeks and disappear in less than 2 months. Since patients occasionally have pigmented areas in the treated sites, we recommend treatment during the fall and winter months.