How Much Time Should Be Left Between 1st and 2nd Treatment of Sclerotherapy?

How many days or weeks should be left between 1st and 2nd treatment of Sclerotherapy?

Doctor Answers 10

Timing between sclerotherapy sessions - Buffalo Niagara, NY

The timing between sclerotherapy sessions in the same areas varies among treating vein specialists.

In my practice, the time between sessions is at least 3 months, provided that the entire area was completely treated in the first session. 

This allows enough time for the bruising to resolve and, more importantly, for the treated veins to thrombo-obliterate and heal. 

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

6 weeks

I recommend 6 weeks between sclerotherapy treatments. This allows enough time for the bruising to resolve and, more importantly, for the treated veins to dissolve. After 6 weeks, whatever veins are left will then need to be retreated. Is sclerotherapy is done at too frequent intervals then veins that have already been treated will be retreated unnecessarily. Somewhere between 4 to 6 weeks is an adequate interval.

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


I would wait 3-4 weeks between sclerotherapy treatments.  This will allow enough time for bruising to resolve.  

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

About 3-4 weeks is ideal

About 3-4 weeks is ideal to wait between sclerotherapy treatments, but you should also confirm with your physician

Brian E. Dubow, MD
Beverly Hills Dermatologic Surgeon

It all depends

on if you want to treat the same or opposite let.

if i have a patient who needs treatment on both legs, we can see them the next day for opposite leg treatment.  i normally like to wait a few weeks (2) between treatments on the same leg to allow for some healing to occur and then i am best able to determine if we need to perform another set of injections in the same area or elsewhere.


Craig Crippen, MD
Kelowna Physician


You would want to wait about 3 weeks to treat the same area and wait for any bruising to fade.  If you are treating a new area, you could do the following week.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Sclerotherapy is usually done 4 weeks apart for 2-3 sessions at $350 per session

Sclerotherapy can be done 2-6 weeks apart but usually is done 4 weeks apart and require 2-3 sessions as an average but some stubborn varicosities need 4-6 sessions.  Support hose is very helpful in resolving the varicosities quicker.  Most sessions run $350-450 each and are done with pilodocanol or foam sotradecal.  Hypertonic saline isn't used much anymore.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 43 reviews


Usually sclerotherapy is scheduled a few weeks apart, but it totally different areas are done on a future treatment, then it might be appropriate to do the untreated area as early as a couple of weeks after the first.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews


The ferquency of sclerotherapy vary with the response and bruising. if you can see the veins and they are not reponding you can do it within a week.. Otherwise wait till the bruising has faded and you can see the veins

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Sclerotherapy is done every 2-4 weeks

It may vary among physicians, but in my practice, I recommend my patients return every two-four weeks for their sclerotherapy appointments.  It may take up to 2 weeks, perhaps occasionally longer, for results to be apparent after a sclerotherapy session, therefore you should not be treated more frequently than this. 

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
4.9 out of 5 stars 216 reviews

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.