Spider veins, or “telangiectasia” is one of the most common vascular lesions seen by physicians affecting up to 80 million adults in the United States alone. They appear as a small red, purple or blue vessels under the skin usually developing from dilated blood channels connected with underlying larger veins. Although they can be painful, with dull aching and cramping sensations, the issue of spider veins is most often surrounding appearance.

Sclerotherapy is still considered the “Gold Standard” procedure for spider veins. It is a medical procedure in which a solution called sclerosant is injected into the veins to cause eventual closing of the vein, ultimately causing it to disappear. In our practice, this procedure is performed by a highly trained registered nurse that has received approval to perform sclerotherapy of telangiectasia saline by meeting certain qualifications required by the Alabama Board of Nursing.

Are You a Candidate for Sclerotherapy?

Here are the top 10 comments from sclerotherapy patients that indicate you may also benefit from this procedure:

  1. “It’s too hot to play golf in slacks in the summer.”
  2. “I developed a new vein with each pregnancy.”
  3. “I can’t get my legs comfortable at night. I want to keep moving them.”
  4. “I wake myself up at night scratching my legs.”
  5. “My child’s friend asked him what was wrong with his Mom’s legs.”
  6. “I don’t care how they look; I just don’t want my legs to stop hurting!”
  7. “My legs ache so badly; I can hardly make it through the day!”
  8. “I don’t want to have my Mother’s legs!”
  9. “I just want to go to the beach and wear a swimsuit.”
  10. “I haven’t put on a pair of shorts in years.”

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To ensure optimal results, a full treatment plan involves an average of 3 treatments scheduled approximately 6 weeks apart. However, this varies from patient to patient and depends on the extent of the spider veins present. We prescribe strict Post-Treatment care guidelines for our patients to follow, so make sure you are able to adhere to these instructions before beginning treatment. We will also provide you with healthy lifestyle tips to prevent future spider veins.

Our vein specialist will determine if you are an ideal candidate. Absolute contraindications are conditions under which we will not perform the therapy under any circumstance. These include but are not limited to:

  • Acute deep venous thrombosis (DVT)
  • Allergic to proposed sclerosants

Relative contraindications are conditions that require us to postpone or proceed with caution. These include but are not limited to:

  • Severe arterial disease
  • Active infection or immediate family member with staph infection
  • Pregnant and/or nursing

Everything you could ask for in a Plastic Surgeon! The staff is amazingly supportive and so helpful walking you through any process. So grateful for all of them!

- BA

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Dr. BentleyDr. BundyDr. Robertson

Frequently Asked Questions

Each treatment takes between 20 to 30 minutes.

Most patients compare the injections to a “prick” or maybe a mosquito bite.

Using sclerotherapy, we treat the legs only.

No. Varicose veins are larger than spider veins. They are raised, swollen blood vessels that twist and usually develop in the legs. Many types of physicians, however, will treat varicose veins, including phlebologists (vein specialists), vascular and general surgeons, as well as dermatologists. Please consult with your primary care doctor for more information.

Most patients return to their normal routine immediately following treatment. Some side effects include bruising, raised red areas, darkened skin in the form of lines or spots or multiple tiny red blood vessels. These side effects tend to subside on their own over the next several days. Our specialist will discuss these and other possible complications during the consultation.

Most patients see 50 – 90 percent results after several treatments. Fading is gradual, and results will continue to improve over the next few months. Approximately 10 percent of veins treated persist.

Yes. We offer Laser Vein Therapy and Photorejuvenation BBL Therapy  as alternatives to Sclerotherapy. We will be able to discuss these options with you and determine if you are an ideal candidate.

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