How it works
A fine needle injects a solution or foam into the vein. It irritates the vein lining so the vein closes, and blood reroutes through healthier veins. It is done in the office, usually without anesthesia, in 15 minutes to an hour. [1]
Results
Treated veins usually fade within a few weeks, and full results can take up to two months. Several treatments may be needed, depending on how many veins there are and their size. [1]
Recovery
You can walk straight away, and moving your legs helps prevent clots. Compression stockings or bandages are worn for one to three weeks. Most people return to normal activities right away, but should keep the area out of the sun for two weeks. [1]
Side effects and risks
Common effects are bruising, raised red areas, small sores, darkened lines or spots, and clusters of tiny red vessels. Rare risks include inflammation, blood clots and allergic reactions. [1]
What to tell your provider
- If you are pregnant. Most doctors recommend waiting until after delivery.
- Heart disease, cancer or a clotting disorder
- Medicines and supplements you take
- Smoking or birth control pills, which can raise clot risk
- Allergies
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Find one near youQuestions
How long until spider veins fade after sclerotherapy?
Usually a few weeks, and up to two months for full results, according to the American Society for Dermatologic Surgery.
Do I need compression stockings after sclerotherapy?
Yes. They are usually worn for one to three weeks.
How many sclerotherapy sessions will I need?
It depends on the number and size of veins. Several treatments may be needed.
Sources
This guide is general information, not medical advice. It summarizes the sources above, which were last checked on October 22, 2026. Talk to a licensed provider about your own situation.
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