I can't tell if my veins are making any progress with Sclerotherapy?

I had sclerotherapy done nearly three weeks ago and I can't tell if veins are improving. Parts of the veins have disappeared but the rest sometimes looks worse, other times a little better .. is this normal? Could the veins still be closing and clotting this far post treatment? My veins get pretty achy at times too, especially in the past week.

Doctor Answers 10

Post sclerotherapy compression and use of topicals

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Compression is very important in the post procedure care and recovery from sclerotherapy ! 

Make sure you use the following topicals to reduce likelihood of hyperpigmentation of the overlying skin. 

You need to use some adjunctive measures after sclerotherapy to reduce post inflammatory hyperpigmentation. it is those that don't follow such instructions immediately following sclerotherapy, starting on day1 (next day) that seem to get retained hyperpigmentation. I recommend 2 creams: Scleroquin plus and Sclerovase and also Scler-X supplement to reduce post inflammatory hyperpigmentation (see link below) as well as compression stockings for at least 2 weeks.

H Karamanoukian MD FCS

certified vein specialist from ABVLM and double board certified surgeon


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Thank you for your question in regards to sclerotherapy. Sclerotherapy can take 8-10 weeks to notice results. It is important the post-care instructions are followed, along with wearing compression stockings. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Sclerotherapy results

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It is still too early to determine the results of your treatment. Everything you have described is very normal and expected.  Generally the improvement will be evident and significant around week 8 and continue to improve over the next few months.  Patience along with good technique by the treating physician is key to a nice cosmetic outcome.  

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What to expect after sclerotherapy

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After the treatment, the appearance of your veins may look worse before it improves. Bruising is common and should resolve with time. For best results, I recommend wearing compression stockings for 1 week after the procedure. Typically, patients will start seeing results 4-6 weeks after treatment. Multiple treatment sessions may be needed depending on the severity of the spider veins.  

Sclerotherapy and Venasmart stockings

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It sounds like you have a normal process going on. I would advocate Venasmart compression stockings and gentle massage. 


Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Time to improve with sclerotherapy

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There are many factors involved in determining the time it takes for a vessel to resolve after sclerotherapy, including size and location of the vessel, previous treatment, type of sclerosant, and accuracy of injection. There are generally 2 peaks of improvement, the 6 week mark and the 3-4 month mark. Persistent vessels at 4 months will likely not improve much. 

Best to you,

Dr. Norcom

Derek Norcom, MD
Portland Physician

Sclerotherapy and time.

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Sclerotherapy is a process.  Some veins disappear immediately, some resolve over about 6 weeks and some may not resolve and will need additional treatments.  3 weeks post treatment is too early to see the final results.  At 6 weeks post treatment follow up with your treating physician for reevaluation.

John Landi, MD
Naples General Surgeon

Progress Report with Sclerotherapy

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It may take a few sessions for improvement and it is common to have bruising, swelling and some achiness post sclerotherapy.  You should be wearing compression for a few weeks. Please follow up with your physician. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

I can't tell if my veins are making any progress with Sclerotherapy?

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Sclerotherapy can take a while to work, also make sure you have been evaluated for venous re flux, if you have venous re flux the veins will not disappear with just sclero alone, good luck!!

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 93 reviews

After sclero.

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hello the normal progression of sclerotherapy occurs over 3 to 6 months. In the first several weeks bruising aching and bumps is quite normal.  it's very difficult to see your results especially before six weeks.  at this point patience is key to see what happens if you're still concerned please see your vein specialist 

Jordan Knepper, MD
Ann Arbor Vascular Surgeon

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.