Overview
Sclerotherapy

The American Academy of Dermatology states that most patients can expect a 50% to 90% improvement. Also, a new and improved type of sclerotherapy called microsclerotherapy uses improved solutions and injection techniques that increase the success rate for removal of spider veins. Sclerotherapy does not require anesthesia, and can be done in the doctor's office.
Some side effects may only occur at the site of the injection, such as stinging or painful cramps; red raised patches of skin, small skin ulcers, and bruises. Spots, brown lines, or groups of fine red blood vessels could appear around the vein being treated. These usually disappear. The treated vein could become inflamed or develop lumps of coagulated or congested blood. These are not dangerous.
Applying heat and taking aspirin or antibiotics can relieve inflammation. Lumps of coagulated blood can be drained. Health insurance coverage varies. If the treatment is done for cosmetic reasons only, it may not be covered.
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