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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 a tiny size to a much larger size. Injection sclerotherapy refers to the injection of a chemical solution (sclerosant drug) into a targeted vein using a tiny needle to destroy it 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 2-to-6 month intervals to achieve satisfactory, desired results.

At HOGUE CLINICS, our vein specialists use the sclerosant, polidocanol. Polidocanol allows for a comfortable injection experience since it 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 skilled vein specialist with extensive experience in performing 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 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.

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 compression stockings for 3 to 7 days, perhaps more, depending on the severity of the vein condition 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 with Medicare or private insurance. Payment for cosmetic injection sclerotherapy is required at time of service.

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