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W1G 0EB - London, Uk

T: 0207 225 3582

M: 078 1847 4041

Sclerotherapy, Spider Veins


Sclerotherapy is one of the most effective in the treatment of spider veins on the legs, is a technique used for the removal of surface and spider veins. It involves injections with a very fine needle of a sclerosing drug which irritates the lining of the veins causing the walls to stick together. Blood stops flowing through the veins, which are then absorbed by the body over a period of a few weeks. The blood is directed back to the deeper veins. Bruising can last anything from two weeks to three months depending on the size of the blood vessels treated. The treated areas can look worse before they improve as a result of the bruising. With patience a good result is achieved.

High compression stockings are worn for up to three days to help reduce the amount of bruising. It is best to leave a two week period between treatments on the same area to allow bruising to settle.

Normal exercise can be resumed after 24 hours, including swimming.

Air travel may be undertaken straight away but its recomentable to wait at least 48hours, it is advisable to drink plenty of water and to wear class 2 medical compression stockings on journeys over four hours.

Sclerotherapy is not painful but depending on the solution used occasionally, there may be a feeling of discomfort in some areas of the leg (this varies from person to person).

Photographs may also be taken by the practitioner that can be used as “before and after” comparison to show you how successful your treatment has been.

There are a few diverse negligible or noninvasive strategies and procedures accessible for treating varicose veins. They include:


The sclerotherapy system and procedure obliterates and destroys varicose veins by injecting them with a solution called a sclerosant. The sclerosant scars the vein and makes it collapse, constraining blood to reroute to more advantageous veins. Your body in the long run destroys the veins and they continuously vanish. The sclerosant solution utilized is known as sodium tetradecyl sulfate. This kind of technique is regularly treats little varicose veins found near the surface of the skin called “bug veins;” it likewise enhances the presence and appearance of the leg.

A system and procedure called foam sclerotherapy includes transforming the sclerosant into a foam before infusing and injecting it into the vein. This procedure is utilized for bigger veins since foam covers a bigger surface region than fluid.

What happens during a Microsclerotherapy treatment?

The first time you visit a clinic, a detailed discussion with practitioner should clearly highlight your expectations of the cosmetic effects from this treatment.

The practitioner may then take a medical history to make sure that there are no reasons why you are not suited to be treated with Microsclerotherapy. Then you normally will be ask to sign a consent from, which means that you have understood the procedure and the potential side effects.

The injections are performed with you lying down. A solution is injected with a very tiny needle, superficially into the veins. This causes the lining of the vein to become sticky and swell. Compression is then applied to close the veins. Over a period of time the vein will heal closed, be absorbed into the body and fade away

Noninvasive treatment may be recommended by a doctor if:

  • self-care treatment is not successful
  • the appearance of your leg is causing you distress
  • you experience pain or cramping
  • blood clots form frequently
  • phlebitis occurs
  • ulcers or sores form
  • the fatty tissue under your skin hardens due to blood pressure from the vein, which is called lipodermatosclerosis

After treatment

Once you remove either the stockings there may be marks from the needle, bruising and often the veins may change from their normal red/blue colour, to black/brown, this is all normal and may take a few weeks to settle. Depending on how quickly you normally heal.  ‘Arnica’ helps to improve bruising.

The legs may feel slightly tender for the first few days following treatment. An anti-inflammatory drug such as ibuprofen is often helpful and walking may help.

After about 4 weeks the veins may show some signs of improvement, the true effect of treatment is seen between two to three months. Some larger darker flares may continue to fade for up to six months after the procedure.

The results of treatment can be seen straight away and for large veins takes around two months after your first treatment.


They are usually inherited ,Hormonal changes for example with pregnancy and HRT may increase their likelihood, Trauma/surgery to the legs can cause an eruption of thread veins also they become more prominent and numerous with increasing age.


  • Take a 10 minute walk immediately after treatment
  • Wear your graduated medical compression stockings according to the advice of your practitioner. Scientific research shows that wearing stockings during the day for up to 3 weeks helps in achieving the best outcome.
  • Stockings may be taken off at night and for showers or baths.
  • Do not be alarmed that the thread veins look worse, this is normal at this stage.They will improve as time passes.
  • Sun exposure during the initial few weeks after treatment may result in suntanning over the treated veins, which are already dark in colour. This will extend the time taken for resolution of the brown colour

  • Air travel is generally acceptable during treatment, although you should wear your graduated medical compression stockings during long haul air travel. You should discuss this with your practitioner before.
  • Attend for further treatment and review of progress at intervals suggested by your practitioner.
  • Long term wear of medical compression stockings has not been shown to minimise thread vein recurrence. There is no reliable method of preventing further veins from growing and occasional further treatment is likely to be required.

There are some tips to help avoiding the appearance of the veins like;

  • Maintaining a healthy weight.
  • Avoid standing or sitting for long periods, remember the veins need the squeeze of active muscles to move the blood.
  • Wearing compression hosiery will improve the circulation in the legs and manage any symptoms of poor circulation such as ache or swelling.
  • Give up smoking


Some of the mild side effects of Sclerotherapy include:
  • Itching for one or two days after the procedure
  • Raised, red areas at the injection side
  • Bruising around the injecting side, lasting several days or weeks.
They are usually inherited ,Hormonal changes for example with pregnancy and HRT may increase their likelihood, Trauma/surgery to the legs can cause an eruption of thread veins also they become more prominent and numerous with increasing age.

Spider veins are twisted and crawly, swollen, painful and at times excruciating veins that load and fill with blood. They for the most part develop in the legs and are effortlessly unmistakable through the skin. They are not life-undermining but rather can bring about uneasiness and embarrassment. Seldom, spider veins were removed through a surgery known as “vein stripping.” This operation included making little incisions in the skin and physically hauling out the veins out of the body. Presently, innovation and new technology has permitted us to extract varicose veins using insignificant or noninvasive procedures. A noninvasive strategy and procedure implies no surgery is included; it doesn’t does not include instruments or hardware that perforate  and puncture the skin or enter the body. Insignificantly obtrusive strategies and procedure include just modest and tiny entry points into the skin.



Opening hours

Monday to Friday -10am to 7pm
Saturday -12am to 4pm
Sunday -Only by appointment
Out of hours -Only by appointment

Get an appointment

By phone:
T: 0207 225 3582
M: 078 1847 4041

By email: info@yourhealthfirst.uk

Total of the treatment cost depend of the extend and number of the veins treated and treatments sessions require for improvement, depending on the size of the veins, normaly 80% disappearance is expected.,

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