Skip to main content
Book ConsultationBook Now

Sclerotherapy for spider & small varicose veins

A quick, virtually painless injection that fades visible spider and small varicose veins. It's one of the most trusted vein treatments available, with no surgery and no real downtime.

Procedure time

15–30 min

A quick in-office visit

Anesthesia

None needed

Just a very fine needle

Recovery

Same day

Walk in, walk out, resume your day

Sessions

1–3

Many clear after a single visit

Close-up of spider veins on the legs, treatable with sclerotherapy

What is sclerotherapy?

Sclerotherapy treats spider veins and smaller varicose veins with a simple injection. A medicine called a sclerosing solution is delivered through a very fine needle into the targeted vein, causing it to seal closed.

The sealed vein collapses and is absorbed by your body naturally over the following weeks, disappearing from view. Blood simply reroutes through nearby healthy veins, improving circulation.

Clears visible spider veins

Fades the fine red, blue, and purple veins that keep you from wearing shorts or skirts.

Eases real symptoms too

Often relieves the itching, burning, and aching that can come with surface veins.

Decades of proven use

One of the most common, well-established vein treatments available. No surgery required.

Dr. Pushpinder Sivia

Dr. Pushpinder Sivia

Board-Certified • Fellowship-Trained Vascular Surgeon

What our doctors think of sclerotherapy

“Sclerotherapy is one of the most satisfying treatments we offer. It's quick, it's gentle, and people walk out and get on with their day. Many are surprised that something so simple can clear veins they've covered up for years.”

Before any treatment, our fellowship-trained specialists check for an underlying cause. Visible veins are sometimes the surface sign of a deeper issue called venous reflux, where weakened vein valves let blood flow backward. Treating the root cause first means longer-lasting results.

How sclerotherapy works, step by step

A quick, in-office visit: no anesthesia, no incisions.

Map the veins
01

Map the veins

Your specialist examines your legs and, when needed, uses ultrasound to confirm which veins to treat and rule out an underlying cause.

A few tiny injections
02

A few tiny injections

Using a very fine needle, a small amount of a proven sclerosing solution is injected directly into each targeted vein. Most patients feel only a light pinch.

The vein seals shut
03

The vein seals shut

The solution irritates the vein lining so it closes. Your body gradually absorbs the sealed vein and reroutes blood through healthy veins nearby.

Compression for a week
04

Compression for a week

You'll wear medical-grade compression stockings for about a week to support healing, reduce swelling, and help the treated veins fade.

More than a cosmetic fix

Spider and varicose veins aren't only about appearance. Many patients live with daily discomfort that eases once the veins are treated. Symptoms often worsen at night and improve when you elevate your legs. That pattern can be a sign of venous reflux, which we check for first.

Sclerotherapy can help relieve:

HeavinessAchinessSwellingStingingItchingFatigueRestless legs

See real results

With 5,000+ vein cases treated at Empire Vein & Vascular, here are real outcomes from patients we’ve treated.

A calf with web-like spider veins before treatmentBefore
The same calf after treatment, with the spider veins fadedAfter
Clusters of dark spider veins behind the knee before treatmentBefore
The same area after treatment, with the clusters clearedAfter
Fine red spider veins across the knee before treatmentBefore
The same area after treatment, with the fine veins fadedAfter
A patient's calf with raised, bulging varicose veins before treatmentBefore
The same calf after treatment, with the bulging veins goneAfter
A lower leg with severe, ropey varicose veins before treatmentBefore
The same lower leg after treatment, with the ropey veins flattenedAfter
A calf with raised, twisted varicose veins before treatmentBefore
The same calf after treatment, with the veins clearedAfter

Photos of actual Empire Vein & Vascular patients. Individual results vary.

Sclerotherapy questions, answered

The things patients ask us most before getting started.

Most people feel only a small pinch or mild stinging as the solution goes in. The needle is very fine and no anesthesia is needed. Your whole visit is quick and comfortable.

Ready to clear those veins?

Start with a free vein screening at any of our 6 Southern California offices: a quick, painless ultrasound and a clear plan.

Book a Free Screening
or call us directly (800) 827-4267