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If a nursing mother wants sclerotherapy I recommend having it with hypertonic saline, since it is basically concentrated salt water. There is nothing in salt water that should hurt a nursing baby. Of course, always check with your pediatrician before having any procedure while you are breast feeding.
If using laser treatments or normal saline injections, we believe it is completely safe for a mother to have treatments while breastfeeding. Other pharmaceutical products would best be discussed with a pediatrician in regards to the baby's safety.
Pump and dump for 2 days after sclerotherapy during breastfeeding is recommended by some vein specialists. Discuss with a breastfeeding expert from tne International Lactation Consultant Association.
I would not recommend sclerotherapy while nursing. Although the risk of transfer of medication to the baby is probably small, there are no studies to prove that sclerotherapy with any agent is safe while breastfeeding. Treating the spider veins is elective and it would be safer to wait for treatment until the breastfeeding has ended.
Cosmetic procedures, including sclerotherapy, neurotoxins, fillers, and lasers are not recommended during pregnancy and nursing. Effects on the baby are unknown and not worth taking the risk.