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Frequently Asked Questions
Get answers to common questions about Sclerotherapy.
Sclerotherapy injects a saline or chemical solution directly into affected veins, causing irritation and collapse. The treated vein seals shut and is reabsorbed by the body, redirecting blood to healthier veins and reducing visible discoloration and bulging over several weeks.
Most patients report mild discomfort or stinging during injections, typically well tolerated. Post-treatment soreness, bruising, or itching can occur but usually resolves within days to weeks. Topical anesthetic and over-the-counter pain relievers manage symptoms if necessary.
Treatment needs vary; small webs often improve in one to two sessions, while larger or widespread veins may require three to five sessions spaced several weeks apart. Your provider will recommend a customized plan during consultation.
Avoid blood-thinning medications like aspirin or NSAIDs before treatment (as advised by your provider), heavy exercise, hot baths, and prolonged sun exposure afterward. Compression stockings are usually recommended and gentle walking helps circulation; follow specific pre/post instructions from your clinician.
Common side effects include temporary bruising, redness, swelling, and brown pigmentation at treated sites. Small lumps or raised scars can occur but often resolve. Serious complications are rare; allergic reactions or deep vein thrombosis are uncommon. Discuss your medical history to assess risk.
Most insurers consider sclerotherapy cosmetic and do not cover it. Coverage may be possible when varicose veins cause pain, ulcers, or documented venous insufficiency; prior authorization and medical documentation are required. Check with your insurance and our staff for assistance.
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Understanding Injectables & Fillers: Options for Residents of San Ramon
Published On: May 19, 2026