Sclerotherapy in Montgomery County

Sclerotherapy for varicose veins, with Dr. Weishar is a procedure whereby spider veins and varicose veins are injected with a solution to minimize or eliminate the vessel. It is most commonly used to eliminate leg veins but can be used in other areas as well. It is considered to be minimally invasive. At Springhouse Dermatology, double board certified physician Dr. Margo Weishar is proud to offer this treatment to patients who are unhappy about unsightly leg veins.

Sclerotherapy 101

101 - Ovrview


In this treatment, bothersome or undesired leg veins are injected with a solution that causes them to break down and disappear. Both spider veins and varicose veins can be injected to minimize or eliminate the vessel. These veins are primarily located in the legs and can be the result of genetics, occupations that require prolonged standing, obesity, or other causes. Patients typically find the treatment comfortable, and it is often completed within 30 minutes.

101 - What to Expect

What to Expect

  • A board-certified dermatologist will evaluate and cleanse the treatment area.
  • Using a fine needle, the physician will inject the solution into the vessel. This is generally considered comfortable and does not typically sting or burn.
  • Once complete, the area will be cleansed and after-care instructions will be provided.
  • You will be asked to wear compression stockings starting immediately.

Pre-Treatment Instructions

  • Patients should come in with clean skin and bring full-length compression stockings to their visit.
  • Patients will be asked to wear the stockings in the weeks following the treatment.
  • Patients are not encouraged to exercise or perform any strenuous activities for 48 hours following the treatment.
  • Most patients require a second session 6 weeks later.

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What Are Varicose & Spider Veins?

Varicose veins are enlarged veins that can appear blue, red or flesh colored. They can appear swollen and raised above the surface. Sometimes they are twisted and bulging. They generally appear on the thighs, backs of calves and inside the legs. Normally, one-way valves in the legs keep blood flowing toward the heart. When the valves do not work properly, pressure can build in the vein, which can cause them to become varicose.

Spider veins are generally small red, purple or blue vessels. They are most commonly found on the legs and the face. They are superficial and are visible through the skin.

Causes of Varicose & Spider Veins

There are many causes of varicose and spider veins. Some contributing factors can be heredity, obesity, occupations and activities that require prolonged standing, hormones, birth control pills and a history of blood clots. Sometimes trauma can cause varicose and spider veins as well as over exposure to ultraviolet rays. Pregnant women are at particular risk for varicose veins.

Eliminating Varicose & Spider Veins with Sclerotherapy

Veins can be treated with injectable solution providing there are no underlying health concerns. Generally the patient is evaluated to determine if sclerotherapy is an appropriate means to remove the problem veins. Occasionally, a larger varicose vein may need to be removed by a more invasive treatment such as ambulatory phlebectomy.

A solution is injected directly into the vein, which damages the lining and causes the vein to collapse. The body will then absorb the vein over a period of weeks. After the body has absorbed the damaged vein it will fade or disappear. Sometimes multiple treatments are necessary to get the most satisfactory result.

Two of the most widely used solutions for sclerotherapy are glycerine and polydoconol. Hypertonic saline is also commonly used but tends to be quite uncomfortable for the patient. Lasers are also commonly used to treat veins but also come with the disadvantage of pain. Very superficial vessels can be treated with IPL.

Glycerine is used most commonly in spider veins and very small varicose veins. It is injected at a slow rate through a very small needle, generally a 32g, directly into the vein.

Polidoconol is generally used to treat larger spider veins and varicose veins as well as small veins. It is quite effective in foam form.

After Your Sclerotherapy Treatment

Some side effects of sclerotherapy are raised red areas, bruising, skin darkening, tiny red blood vessels (matting), and tiny skin sores at point of injection. These side effects are generally temporary and can be minimized if aftercare instructions are adhered to. Some side effects that could require treatment are inflammation, blood clots, air bubbles and in rare cases, allergic reaction.

Post care for sclerotherapy includes wearing compression stockings for two weeks. The patient should apply the stockings immediately after treatment. After two days the stockings can be removed for exercise and sleeping. The patient should avoid strenuous activity during this period but walking is encouraged to promote blood flow and avoid blood clots. Sun exposure should be avoided to the treated areas to prevent hyperpigmentation.

From Our Instagram Feed

Watch Instagram Video: When the weather turns it's a perfect time to treat those pesky #legveins with #sclerotherapy.

Preventing Leg Veins

Some ways to prevent leg veins would be to exercise to keep blood moving, avoid long periods of standing, avoid wearing high heels and maintain a healthy weight. It is also helpful to avoid long periods of sitting, especially with the legs crossed and try to occasionally elevate the legs. Wearing compression stockings on a regular basis can also aid in preventing leg veins if some of these factors are unavoidable.

Eliminate Unsightly Leg Veins Today!

If you’re tired of hiding your legs behind long pants and stockings, then make an appointment with us today! Our expert team will help you determine if sclerotherapy is the right choice for you.

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Top Doctors 2019 - Dr. Margo Weishar
Written By:
Dr. Margo Weishar
Board Certified Dermatologist, Montgomery County

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