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Sclerotherapy Weird Results

I had one sclerotherapy treatment on a small patch of leg spider veins about a month ago. Sometimes it looks almost totally faded, other times it looks almost as bad as before it was done. Is this normal?

Doctor Answers 12

Sclerotherapy one month later

Don't give up hope yet....for any number of reasons...  After only a month the vessels are still changing (resolving/healing)  from treatment.  They will continue to change for at least another month, if not more.  Most patients will require more than one treatment, no sooner than 6 weeks from the first. So, give it more time and then return to your treating physician for follow up and potentially another treatment.



Los Angeles Plastic Surgeon
4.5 out of 5 stars 94 reviews

4644 Lincoln Blvd
Marina Del Rey, CA 90292

Sclerotherapy may have to be performed several times

If sclerotherapy is ineffective after several sessions, then seek a board certified physician (American Board of Venous and Lymphatic Medicine) who will perform a Duplex venous scan and determine if you have an untreated underlying cause such as venous insufficiency that needs treatment before additional sclerotherapy is performed. 

Hratch Karamanoukian, MD, FACS
Buffalo General Surgeon
5.0 out of 5 stars 27 reviews

5225 Sheridan Drive
Williamsville, NY 14221

Sclerotherapy takes time for final results.

Sclerotherapy is a process and often times it will take anywhere from 3 to 6 cycles of treatments to dissolve the veins. Post sclerotherapy treatment the veins tend to look worse before they look better. Over time sclerotherapy should work very well. If the veins do not seem to be resolving then ask your treating physician to look for feeding or reticular veins.

John Landi, MD
Naples General Surgeon
5.0 out of 5 stars 4 reviews

9955 Tamiami Trail North
Naples, FL 34108


I would encourage you to wait a few more months to see the results.  It is common for patients to have multiple sclerotherapy treatments for optimal results. 

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 171 reviews

1110 112th Ave NE
Bellevue, WA 98004

Sclerotherapy results

I find after scleotherapy the veins do most of their fading by 2 to 3 months. However, some people are slow faders and it can take 6 months. So do not be discouraged yet. Be patient and hopefully you will be rewarded.

Esta Kronberg, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 25 reviews

7500 Beechnut St
Houston, TX 77074

Multiple Treatments Needed for Sclerotherapy

These results are certainly within a normal range.  I warn my patients that they may see very litlle after the first treatment.  It can often take 3-6 treatments for great results. Hang in there.  Sclerotherapy works very well for spider veins.

Julia Carroll, MD
Toronto Dermatologist

650 Mt Pleasant Rd
Toronto, ON M4S 2N5


after sclero veins darken due to inflamatory process. it is important to compress these areas to get the veins to collapse. multiple sessions are generally needed.


Timothy Mountcastle, MD
Ashburn General Surgeon
4.5 out of 5 stars 25 reviews

44095 Pipeline Plaza
Ashburn, VA 20147

Leg Veins persistent

Did you wear compression stockings after the procedure?  Sometimes, it takes up to two months to see complete clearance, particularly if you are darker skinned.  Did you have a touch up session?  Give it more time and one day you'll wake up and realize that all the veins are gone.

Corey L. Hartman, MD
Birmingham Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

1920 Huntington Road
Homewood, AL 35209

Sclerotherapy has to be repeated

Usually there are several treatments needed to get rid of unwanted leg veins. Wearing surgical stockings is also helpful. 

Robert Kasten, MD
Mainz Dermatologic Surgeon

Martinsstrasse 17

Sclerotherapy often takes a few treatments

Some times after the procedure sclerotherapy can cause a vessel to go into spasm, but this wouldn't come and go for days after the procedure. It is possible that the vessels are not coagulated and are more full at times than others depending on your activity level and the leg position.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

317 East 34th St
New York, NY 10016

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.