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Injection Sclerotherapy

Injection Sclerotherapy Overview

Veins are tubular structures that serve as conduits to transport blood. Veins range in size from tiny to a much larger size. Injection sclerotherapy refers to the injection of a chemical solution sclerosing agent into the lumen of a vein using a tiny needle to destroy the vein and to gradually shrink and seal it up over time. An injection sclerotherapy treatment session is performed in-office and takes about 60 minutes to perform. Multiple sessions are often needed at 3-to-6-to-12 month intervals (depending on the severity of the underlying cosmetic vein problem) to achieve optimal results.

At HOGUE CLINICS, our vein specialists use the FDA-cleared sclerosant, polidocanol. Polidocanol allows for a more comfortable injection experience since it also has local anesthetic properties. Injection sclerotherapy has been used for over 150 years to treat unwanted surface veins.

Injection Sclerotherapy Methods

Sclerotherapy is a procedure that is technically challenging to perform. It is best performed by a highly skilled injection specialist with extensive experience in performing injection sclerotherapy treatments. Determining which veins to treat, and which veins not to treat, is based on experience, expertise, and the ability of the vein specialist to correctly interpret and treat the patient’s problematic vein pattern.


VeinliteFor the safest treatment of unwanted spider veins, a fiberoptic transilluminating device is used to allow direct visualization of the unwanted surface veins while targeting and injecting them with a tiny needle. This type of injection sclerotherapy is called Visual Sclerotherapy. HOGUE CLINICS offers Visual Sclerotherapy to all of its patients with cosmetic breast vein and cosmetic leg vein concerns.

Ideal Candidates for Injection Sclerotherapy

Injection sclerotherapy is used to treat unwanted surface veins on the breasts and legs. Vein specialists at HOGUE CLINICS evaluate each individual patient to determine the best treatment strategy.

Cosmetic vein conditions treatable with Injection Sclerotherapy include:

  • Unwanted, visible skin surface veins involving the breasts and breast cleavage
  • Unwanted, visible skin surface veins involving the legs

Recovery after Injection Sclerotherapy

Injection Sclerotherapy treatments provide for a quick recovery with no downtime. Complications are minimal in the hands of an experienced vein specialist. Temporary bruising may occur for up to a month. Following a sclerotherapy treatment session, patients are encouraged to wear a suitable compression garment (sports bra for breasts; thigh-high compression stockings for legs) for 3 to 7 days, perhaps more, depending on the severity of the vein condition being treated.

Avoidance of hot bath, hot tubs, and long travel is instructed for at least one week following treatment. Daily walking to promote healthy blood flow in the legs is highly encouraged.

No Insurance Coverage for Cosmetic Injection Sclerotherapy

Injection sclerotherapy done for cosmetic reasons is not a therapeutic vein treatment, so no insurance coverage benefits exist for Medicare or for private insurance. Benefits or coverage simply do not exist. Payment for cosmetic injection sclerotherapy is required at time of service.

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