How Long Are Compression Stockings Worn After Sclerotherapy?

Are the compression socks needed for the best long-term results from sclerotherapy or mainly to manage the swelling or circulation?

Doctor Answers 16

Sclerotherapy, compression hose

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The wearing of compression stockings and the duration of time for which they should be worn has been and continues to be a controversial topic among vein care specialists.  Depending on where an individual is trained and where he practices will influence his feelings on compression stockings.For example, long term compression may not be possible in Florida as opposed to Alaska.  The most common patient complaint that I receive (and I hear it every day) is that they do not want to wear compression hose following either sclerotherapy or laser vein closure.  Years ago I use to recommend six weeks of compression hose following treatments.  There was essentially zero patient compliance with this.  Over the years I have gradually reduced the requirement recommendations without any noticeable change in results.  I now recommend 48 hours of compression following sclerotherapy and 5 days of compression following laser vein closure.  With the newer lasers and the more potent and efficacious sclerotherapy solutions, I feel that the need for long term compression in not necessary.  I have not seen and change in post procedural results, swelling or bruising.


Naples General Surgeon

Compression stockings and sclerotherapy

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Wearing compression stockings (thigh-highs) is imperative to achieving optimal results after sclerotherapy. They help keep the walls of the treated veins in close contact so that the body can break them down. If you do not wear them, the veins will fill back up with blood after the procedure and make it much less effective. I recommend that my patients wear compression stockings for a week after their sclerotherapy procedure, and that they wear them 24 hours a day (even in the shower). You can dry them with a hairdryer on cool settings after your shower. In terms of the pressure of the stockings, I recommend 30-40 mmHg (millimeters of mercury).

Hope this helps!

Monika Kiripolsky, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Compression Stockings post treatment

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I recommend that my patients wear compression stockings for two weeks post procedure. They can be removed when sleeping. Studies have shown better outcomes for those who wear compression stockings post procedure. It is also important to minimize sun exposure to the treated sites. Heavy sun exposure could result in hyperpigmentation. Please apply sunscreen if you are going to be outside.

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Controversy on compression

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The amount of time someone wears compression hose is controversial following a vein procedure.  It was found that post sclerotherapy people who wore compression hose more in the beginning had better results around 6 months out than someone who did not wear them.  That being said.  I usually say as much as possible for 48 hours after the injections and then during the day time for 2 weeks after sclerotherapy.  For endogenous laser, I always say for around 2 to 3 weeks post procedure. This is doctor dependent

Susan Fox, DO
Hollywood Phlebologist
5.0 out of 5 stars 8 reviews

Compression Stockings after Sclerotherapy

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Compression is absolutely necessary when performing sclerotherapy, regardless of the type of solution used(saline, Sotradecyl, Polidocanol), and the amount of time post treatment depends somewhat on the size of the veins injected. Larger veins require longer periods of compression, but even spider veins should be compressed post sclerotherapy. There is usually an initial period of 3 days when the stockings are to be worn continuously (72hours), followed by weeks (two to six) throughout the day.
Non-compressive sclerotherpy has been associated with increased discoloration (hyperpigmentation) and recanalization (reopening) of the treated vessel.

Michael F. Gioscia, MD, FACS
White Plains Vascular Surgeon

Improving results with Compression Stockings after Sclerotherapy

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Best long-term results of sclerotherpay. Multiple studies have shown that using compression stockings, >30mm Hcg thigh-highs, improve the long term results associated with sclerotherapy. When we inject sclerosant material, we want the liquid to stay put and irritate the vessel lining, not get washed away by a swiftly moving blood stream. Compression stockings, used 12 hours/day x 2 weeks, do just that. They keep blood volumes in the legs lower than normal, thus keeping our sclerosant in place for maximum benefit.

Bobby Buka, MD
New York Dermatologist
5.0 out of 5 stars 7 reviews

Compression stockings

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I always recommend that my patients wear 20-30 mmHg support hose daily while thet are having their treatments,and for at least one month afterwards. They do not wear support hose at night.Patients who comply with this regime do much better than those who don't.

Gail Nield, MD, FRCPC
Toronto Dermatologist

Compression stockings usually help the results of sclerotherapy

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Wearing compression stockings after sclerotherapy usually improves the results.  We performed a clinical study years ago, published in a peer-reviewed medical journal, that demonstrated an improvement in results of sclerotherapy for spider veins when patients wore compression stockings (during the day) for 3 weeks>1 week>3 days.  We  recommend two weeks of wearing compression stockings during the day.

That said, for the very smallest of spider veins (like an extra- fine red marker), many patients have done well with wearing stockings only for a few days, or perhaps not at all.  But if one is going to invest in vein treatment, one should be willing to wear compression stockings to improve the results.  Especially when blue or green veins that are 2 mm or more in diameter, it greatly improves results.

Margaret Weiss, MD
Baltimore Dermatologic Surgeon
3.9 out of 5 stars 8 reviews

What to do after Sclerotherapy and Compression Stockings

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it is always advisable to wear compression hose with mild compression as much as possible after your procedure.  I generally advise patients to wear these compression hose for once week after the procedure. Since the problem that you are varicose veins, I have found that  the more you wear the compression hose, the better the results.  I also warn patients after sclerotherapy  not to fly immediately after the procedure because of the risk of clots or pulmonary embolism.  As always it is important to find an experienced dermatologist with cosmetic dermatology training for this procedure. Best, Dr. Green

Treating spider veins and wearing compression garments

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Compression stocking use varies depending on the severity of the vein problem being treated. Most patients need to wear the stockings from 2 days to one week. 

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