There’s no real downtime after sclerotherapy. However, notes New York City board-certified dermatologist Dr. Michele Green, “you should be prepared for bruising that lasts at least one week. I encourage my patients who can discontinue blood thinners to do so beforehand because of this increased bruising.”
Still, you can have the treatment done during a break in your day and go directly back to work—though it’s a good idea to have a ride lined up, just in case you have any lingering discomfort in your legs. It’s also safe to drink alcohol post-procedure.
Most people return to their normal activities right after their treatment, something doctors encourage to improve circulation and reduce the risk of blood clots. San Diego-based dermatologic surgeon Dr. Sabrina Fabi says, “I strongly encourage my sclerotherapy patients to walk and remain active after their sclerotherapy treatment but discourage them from doing heavy squats or exercises that increase intra-abdominal pressure for at least five days.”
The ease of your recovery will depend on the size, number, and location of the veins you had treated.Â
You can shower right away, but avoid excessively hot showers or baths for at least one week. You should also avoid flying (which may increase your risk of blood clots) or tanning for one week.
Your doctor will likely also recommend that you wear compression stockings for two to three months, to reduce the risk of swelling (edema) and blood clots in your legs, and avoid strong sun exposure on the treated area for two to four weeks. “Compression stockings also help the veins heal faster and provide needed pressure,” says Dr. Green.
Within a month, you should be able to do most exercises, but your doctor will probably want you to continue to avoid extended sitting or standing.
RealSelf Tip: “Since compression stockings are hot, and you typically do have bruising after the procedure, I encourage my patients to have sclerotherapy during the winter months, when they are not showing off their legs,” says Dr. Green. “This way, they will have clear legs for summer.”
