What to Expect Before and After Sclerotherapy

Woman sitting down looking at her spider veins.Feeling self-conscious about your spider veins? Then sclerotherapy treatment is the answer for you. It’s a quick, non-surgical treatment to reduce the appearance of spider veins and some varicose veins. If it’s your first time, here’s what to expect before and after your treatment.

What to do Before Sclerotherapy Treatment


Proper preparation is key to ensuring a smooth experience and increasing the likelihood of a favorable outcome. Let’s go over a few things you should do to avoid complications during your sclerotherapy treatment.

Adjust Your Medications


It’s important to let your doctor know about any medical conditions, allergies, and medications you are taking, including over-the-counter drugs, herbal supplements, and vitamins. They might tell you to adjust your medications in the days prior to sclerotherapy. For instance, you’ll probably need to take a break from using Vitamin E supplements or certain pain relievers like Advil or aspirin. These can thin your blood, and pausing them helps minimize any risk of excessive bleeding. If you’re on medication specifically for blood thinning, your doctor might also suggest you stop these a few days prior to the treatment to avoid potential adverse reactions.

Prep Your Skin and Wardrobe


On the day of your procedure, it’s all about ensuring comfort and optimizing conditions for the treatment. Start by choosing vein-friendly clothes that you feel relaxed in—nothing too snug. In fact, you might want to opt for shorts since they could be necessary during the procedure. Equally important is how you prep your skin. It’s best to skip the lotions, creams, or any skincare products on your legs or near the treatment area for that day. Avoid tanning or getting a sunburn before your session as both can throw a wrench in the treatment process.

Optimize Nutrition and Hydration


Drink plenty of water before your appointment to ensure you’re well-hydrated. It’s also best to steer clear of any alcoholic drinks and nicotine for at least 24 hours before treatment. You don’t want to undergo sclerotherapy on an empty stomach. But at the same time, a heavy meal could leave you feeling pretty uncomfortable. So find a happy middle ground with a nutritious, light meal.


What to do After Sclerotherapy Treatment

Recovery from sclerotherapy involves minimal downtime, and adhering to these instructions will guarantee a smooth recovery.

Avoid Strenuous Exercises

After sclerotherapy, maintaining light exercise is key to preventing blood clots. Doctors often recommend multiple brief strolls throughout the day. You’ll want to avoid strenuous activities, like lifting heavy objects or engaging in high-impact exercises. Your healthcare provider will inform you how long you should adhere to this exercise regimen—often around 10 days or more.

Ensure Adequate Compression

Compression stockings are a key post-sclerotherapy accessory. Expect to wear these tight-fitting socks for about 2-3 weeks post-treatment. They’re designed to exert the perfect amount of pressure on your treated veins, making a real difference in your healing process. Plus they ramp up your treatment’s effectiveness, pushing you closer to those top-notch results you’re after.

Skip Hot Baths

Steer clear of hot baths, sunbathing, hot tubs, and saunas for at least 2-3 days post-treatment. The heat causes your blood vessels to dilate, which you’re looking to avoid after sclerotherapy. If you need to freshen up, showers are fine, but keep the water cooler than usual. You should also resist the urge to scratch or irritate your injection spots, as this could lead to scarring.

Focus on Medication and Nutrition

When managing your comfort post-sclerotherapy, stick to any medication guidelines your doctor has given you. If you’re feeling some discomfort, it’s generally okay to use over-the-counter pain relievers—but only if your doctor gives the thumbs up. Remember to drink enough water and focus on a diet that promotes good circulation and supports healing. Indulge in high-fiber foods, lean proteins, and snacks bursting with vitamins, while keeping it low on sodium and high on healthy fats.

Schedule a Follow-Up

Follow-up appointments are key. They give your vein specialist the opportunity to use ultrasound imaging to check how well the treatment worked and examine the condition of your deeper veins. You’ll receive direct, professional guidance on your progress and what you can anticipate moving forward. 



How to Tell if You Need More Treatments


Sclerotherapy is certainly effective, but it doesn’t guarantee veins won’t make a comeback. Typically, it takes around two to three sessions for your veins to fully vanish. But don’t be surprised if you need up to five sessions. 

Evaluate the results of your initial treatment after the recovery period. Keep an eye out for any veins that continue to stand out or haven’t improved. Use before-and-after photos for a side-by-side comparison to really gauge the changes from your treatment. Sometimes the differences are subtle, so direct comparison can be revealing in understanding the full impact of your sclerotherapy session. 

Should you notice recurring symptoms like discomfort, aching, or swelling, it might signal the need for additional treatments. It’s also worth noting that while uncommon, side effects such as mild cramping, scarring, or a temporary change in skin color can occur. These nuances are all part of the journey, so keeping an open dialogue with your specialist is crucial for navigating what’s normal and what might require a bit more attention. 

Ultimately, the decision to go for another round of treatment is yours, especially if your veins aren’t causing significant health concerns. If you find that vein-related discomfort is intruding on your day-to-day life or knocking your confidence, it could be time to think about further intervention. However, if the concerns are primarily cosmetic, there’s no pressure to rush back for more procedures unless it’s something you really want.

Sclerotherapy: A Minimally Invasive Path to Comfort and Confidence

Beginning your journey to say goodbye to spider veins is a step toward embracing a renewed sense of confidence and comfort. When it comes to addressing these veins, sclerotherapy stands out as a promising option. It’s quick, minimally invasive, and works wonders for those seeking physical relief and a cleaner skin appearance.

In the realm of sclerotherapy, your vein specialist holds the roadmap to success. Adhering to the regimen they prescribe, both pre-and post-treatment, is paramount. Equally vital is scheduling a follow-up consultation after your procedure. Remember, if uncertainties or concerns regarding your spider veins arise, initiating a conversation with your vein doctor should never be a second thought.


At Delaware Advanced Vein Center, our expert medical staff has years of experience treating people with venous conditions such as varicose veins, spider veins, and more. Our dedicated team specializes in providing attentive and personalized care, something larger clinics often overlook. We welcome you to our family of satisfied patients.

Contact us today to schedule a FREE virtual consultation and vein evaluation.