Sclerotherapy treats the following Vein Diseases

  • Hand Veins
  • Spider Veins
  • Varicose Veins


Sclerotherapy is a common form of treatment for spider veins of the legs, varicose veins and ugly veins of the hands. It is an in-office procedure that consists of injecting a small volume of a liquid (foamed Sotradecol or Polidocanol) into the diseased vein with a very small needle. The sclerosing agent acts upon the lining of the vein to cause it to seal shut, eliminating the vein completely.

What to expect during the procedure.

Injection of the sclerosing agent is done with tiny needles. Because of the small size of the needles and the fact that the injection is very superficial, the whole process is painless. Depending on how many veins are treated, the session takes between 5 to 30 minutes.

Post treatment.

In the case of spider veins, there is no need for compression in the post-procedure period. The occluded vessel looks initially like a dark streak or spot. It may take between 3 to 6 months to achieve its optimum cosmetic effect resulting in the elimination of the ugly vessel. The procedure typically improves not only the cosmetic appearance but associated symptoms as well. A few sessions may be required to obtain maximum benefit. One can expect about 70-80% improvement in the cosmetic appearance (complete disappearance all spiders is not possible and this expectation is unrealistic). Individuals that develop spider veins are usually genetically predisposed to have this problem. The treatment does not solve this predisposition and therefore, new spiders will appear in the future. In order for the leg to remain clear, further sessions will be required at yearly intervals.

When varicosities are injected, the patient wears a compressive elastic bandage for one week. The area of the varicosity may be slightly sensitive for a few days/weeks. There will be discoloration (yellow-brown appearance) in the skin covering the varicose vein. This discoloration will disappear in a few months. On occasions, a small clot can be present in the varicosity and aspiration of it at the week post-procedure control will solve the problem. This clot is not dangerous, because it is superficial and does not travel to the lungs.

In both spiders and varicose veins, full normal activities can be re-established immediately after the procedure.

Main Title

Is sclerotherapy covered by insurance?

No, insurances do not cover for cosmetic sclerotherapy.

How much does a consultation and treatment cost?

Consultation is covered by your insurance. Treatment of symptomatic varicose veins is usually also covered by your insurance. If you have to pay out of pocket, call the office to discuss costs.

What is a sclerotherapy session?

A session is a one half hour of work. Depending of the number of varicosities/spiders, it will cover one area or multiple areas of the body.

How many sessions will I need?

The doctor, after examining you will give you an estimate of the number of sessions that you will need.

Does the doctor do the procedure?

Yes, Dr. Schanzer will do the procedure himself.

What does he use for sclerotherapy?

He uses an agent called Sotradecol.

Where is the procedure performed?

The procedures are done in the Procedure Room of the office.

If I need a procedure, how long will I have to wait for it to be performed?

For out of pocket procedures, they can be done very soon (a few days or the same day) after the consultation. For insurance covered procedures, the waiting time depends of the particular insurance. Pre-certification has to be obtained and many insurances expect a 3 month wait before they grant the pre-certification.

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What Sets Us Apart?

  • Over 6,000 patients treated
  • Over 22,000 surgeries performed
  • More than 40 Years of Experience
  • Dr. Schanzer carefully determines which veins are affected and to what degree