If you have spider veins that are unsightly or painful, Brentwood Dermatology offers sclerotherapy as an effective spider vein treatment. Using the latest technology and exceptional care in a state-of-the-art facility, learn more about sclerotherapy and how our board-certified dermatologists use it to treat spider veins and smaller varicose veins.

What is Sclerotherapy?


Sclerotherapy is a treatment used to remove or diminish the appearance of spider veins and smaller varicose veins. The treatment procedure involves injecting the veins with one of several kinds of solutions called a sclerosing solution. This chemical sclerant is injected directly into the blood vessel with a very fine needle, which then irritates the vessel, causing it to swell and harden. 


In the weeks following the treatment, the hardened blood vessel is absorbed into the surrounding tissue, eventually becoming barely noticeable or invisible. Blood circulation is then carried out through healthy veins located deeper within the body, so the outward appearance and pain associated with the problem veins are significantly reduced.

Sclerotherapy FAQs


Sclerotherapy can often be a confusing, and sometimes scary, procedure to learn about. So to help you get a better understanding of this spider vein treatment, we put together a short guide with expert answers to frequently asked questions about sclerotherapy.

What causes varicose veins?

Varicose veins are enlarged, dilated, and overfilled blood vessels caused by insufficient blood circulation and weak vascular walls. Varicose veins usually require treatment by a vascular surgeon, interventional radiologist, or other physician with expertise in removing these types of veins. 

What causes spider veins?

Similar to varicose veins, spider veins are also caused by compromised blood vessels due to weak vascular walls and inefficient blood circulation. 


However, spider veins are a milder variation of varicose veins and refer to the smaller, reddish to purple veins near the surface of the skin that can be unsightly. They’re usually treated in a dermatology setting using less-invasive treatments, such as sclerotherapy.

How can I prevent varicose and spider veins?

Unfortunately, spider veins and varicose veins usually cannot be prevented. However, there are a few things one can do to minimize unwanted blood vessels from forming. 


For instance, wearing support hose and compression socks, keeping one’s weight at an average level, exercising regularly, eating a high-fiber diet, wearing low-heeled shoes, and using adequate sun protection are all things you can do to prevent unsightly veins.

How does sclerotherapy treat varicose and spider veins?

Sclerotherapy treats spider veins and milder forms of varicose veins by damaging the compromised blood vessels with a sclerosing agent, which causes blood flow to reroute to healthier veins located deeper within the body. Over time, this damaged vein is absorbed into the surrounding tissue and fades away completely. 

Is sclerotherapy painful?

Sclerotherapy is minimally-invasive and typically a pain-free procedure. However, there may be some discomfort, but anesthesia is usually not needed, and complications are infrequent, making it a quick and relatively easy procedure. 

What is the recovery time for sclerotherapy?

There really is no significant recovery time for sclerotherapy. In our experience, the marks and bruising from the sclerosing agent resolves in about 6-8 weeks. 


Additionally, it’s important to follow some recovery steps. Following the sclerotherapy treatment, we recommend patients “pump” the sclerosing solution out of circulation with frequent walking. We will also bandage the injected areas and instruct the treated vessels to be compressed, as this may help seal the treated vessels, keep the blood from collecting under the skin and reduce the development of dark spots. 


We recommend the use of compression or support hose between sclerotherapy treatments. This may be particularly recommended for people who spend a lot of time on their feet or work in a standing occupation.

Will I need to wear compression stockings following sclerotherapy?

After a sclerotherapy treatment, we highly recommend patients wear compression bandages or stockings. This helps to keep blood circulating and reduce the development of dark spots. 


Furthermore, any discomfort after the spider vein treatment can be easily managed with over the counter pain medications and is alleviated by the use of compression bandages or support hose. 

Sclerotherapy Before & After Photos


Interested in seeing how our board-certified dermatologists treat spider veins? Take a look at the before and after photos below to see how effective sclerotherapy is as a spider vein treatment.

Contact Brentwood Dermatology for Sclerotherapy Treatment in Brentwood, TN


If you’re ready to overcome unsightly spider veins or painful varicose veins, schedule an appointment at Brentwood Dermatology today! Our team of exceptional board-certified dermatologists are here to help you feel more confident by restoring the health and appearance of your skin! 


Request an appointment online or call us at 615-377-3448 to schedule one at our state-of-the-art facility today.