Eliminating unwanted veins

Women Getting vein services by ZEN Dermatology in Sacramento, CA

Sclerotherapy is a cosmetic procedure for the elimination of asymptomatic and unwanted veins for patients. Cosmetic sclerotherapy involves the use of injections of small amounts of solutions to irritate the vein walls and achieve the ultimate closure of the vein.

The sclerotherapy process consists of an injection directly into the vein. The solutions used irritates the lining of the veins which causes them to collapse in on themselves and clot. This dramatically reduced the size and appearance of the vein, and over time, the vessel turns into scar tissue that fades.

The procedure itself only takes about 15 to 30 minutes, making it incredibly convenient for many patients.

There is some mild discomfort involved with vein therapy procedures. Patients can expect to feel some mild discomfort and cramping for a couple of minutes.And depending on the size of the vein, the discomfort could be a bit more prolonged, but the pain does not last.

After the procedure, patients can expect to experience some mild itching, raised bumps, and bruising. But these are all temporary.

With our sclerotherapy services, patients can expect to see results within a few weeks. 4 to 6 weeks after treatment, most patients should see all or most of their spider veins disappear from view. For Varicose veins, results should appear 3 to 4 months post-procedure.

Another added benefit of sclerotherapy is that the treatment is permanent – veins that are treated do not reappear. However, new veins may develop which will require additional treatments.

Preparing For Your Treatment

What is Sclerotherapy with Asclera?

Asclera® (polidocanol) Injection is a prescription medicine that is used in a procedure called sclerotherapy and administered by a healthcare provider to treat two types of veins in your legs – Uncomplicated spider veins and uncomplicated, small varicose veins (1 to 3 mm in diameter) known as reticular veins.


What to Expect

Following treatment, you’ll need to wear compression stockings day and night for 2 to 3 days, then for 2 to 3 weeks during the daytime, as directed by your provider. Compression stockings/shorts are designed to apply pressure, helping to maintain blood flow, and reduce discomfort and swelling. Compression helps your legs heal and is necessary to reduce the risk of deep vein thrombosis. If you are being treated for reticular veins, you will need to wear your compression garment for 5-7 days day and night, then for 2 to 3 weeks during the daytime, as directed by your provider.

You should also walk 15 to 20 minutes immediately after treatment and daily for a few days.

Your veins will look worse before they look better. Discoloration varies from patient to patient and may take weeks to month to fade completely. 



In general, the sclerotherapy procedure is an excellent choice as long as you aren’t pregnant or have a history of blood clots in the treatment area. Most vein specialists prefer sclerotherapy for spider veins over laser treatments, particularly on the legs.

After cleansing the area, your provider will use a very fine needle to inject the solution into the affected vein(s).

Asclera® is a sclerosing agent that is injected into the vein. It works by damaging the endothelium, the inside lining of blood vessels. This causes blood platelets and cellular debris to attach to the lining of the vessels. Eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.

A topical numbing agent may be used in patients but is not necessary. If you are allergic to topical anesthesia, you can still receive sclerotherapy without numbing.

The number and frequency of treatments depends on the size of the vessels and their location. Ask your provider about an individualized treatment approach that is right for you.

Are You Ready To Schedule Your Unique Journey?

Schedule Your Consultation Today.

RAJA SIVAMANI-Dermatology-CA-Zen Dermatology



I am a native of the San Francisco Bay Area and a board certified Dermatologist. My expertise centers on general dermatology including medical, surgical, and cosmetic services. With training in bioengineering, Allopathic and Ayurvedic medicine, I merge modern research and science with a personalized approach to each patient. My training in Ayurvedic medicine lets me bring in a more humanistic approach to my patient care, science, and research.

Call Now Button