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Sclerotherapy Spider Vein Treatment in Birmingham AL

Nonsurgical Spider Vein Reduction

Spider vein treatment model

Spider veins are the small clusters of red, blue or purple veins that appear on the thighs, calves and ankles. Spider veins can become a significant cosmetic concern for women as early as their 20s, though they are more likely to develop after age 50.

A number of factors may contribute to the development of spider veins in the legs including heredity, hormonal shifts, occupations or activities that require prolonged sitting or standing, pregnancy, and weight fluctuation.

Sclerotherapy is an effective, safe and relatively painless method for reducing unsightly spider veins. A sclerosing solution is injected into each affected vein, causing the veins to collapse and fade. Eliminating spider veins will not harm your circulatory system.

The physicians at Hedden & Gunn Plastic Surgery have successfully eliminated both spider veins and varicose veins for many women who are pleased to be able to show off their legs again.

Sclerotherapy Candidates

Spider vein treatment is a good option if:

Your Sclerotherapy Consultation

During your spider vein treatment consultation, be prepared to discuss:

Your plastic surgeon will also:

If leg veins are the problem, your surgeon may examine you for signs of more serious "deep vein" problems, as well as for larger varicose veins. These conditions are often identified by swelling, sores or skin changes at the ankle. If more serious vascular problems are identified, your surgeon may refer you to a different specialist for further evaluation and possible treatment.

In addition to sclerotherapy, vein treatments at our cosmetic center in Birmingham, Alabama include laser spider vein therapy and the EVLT laser for varicose veins.

Sclerotherapy Risks and Safety

Each patient must decide if the benefits of spider vein treatment will achieve their goals, and if the risks and potential complications are acceptable. The risks of sclerotherapy include:

Sclerotherapy risks will be fully discussed prior to your consent. It's important that you address all of your concerns about risks with your plastic surgeon. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks.

Preparing for Sclerotherapy

In preparing for spider vein treatment, you may be asked to:

Spider vein treatment is a minimally-invasive treatment that requires no anesthesia. More than one treatment session may be required to obtain optimal results.

Sclerotherapy Procedure


Sclerotherapy is the common method of treating spider veins in the legs and ankles. During sclerotherapy treatments, a sclerosing solution is injected into the affected veins. The injection irritates the inside of the vein and, over time, the vein will collapse and fade from view. If you have multiple spider veins, the treatment will require multiple injections to collapse all the veins.


After treatment, the area may be dressed with compressive tape or stockings or an elastic wrap. The veined area often looks a bit bruised initially. The color slowly fades over the course of a few weeks.

For some people, a bit of brownish discoloration (hyperpigmentation) occurs during the healing process. This hyperpigmentation also fades, but may take months.

Laser Treatment

Spider veins may also be treated with laser vein therapy. Using this method, an intense beam of light is directed at the spider vein, which obliterates it through the skin. More than one laser session may be needed to obtain the desired results. Laser therapy is sometimes used in combination with sclerotherapy.

Sclerotherapy Recovery

You may be instructed to wear support hose to help your legs heal after spider vein treatment.

The treated sites will appear bruised and you may feel some cramping in your legs for the first day or two after treatment. This discomfort is temporary and usually doesn't require prescription medication. Most sclerotherapy patient can get back to normal activities quickly.

You will be given specific instructions that may include:

Sclerotherapy Recovery Timeline

Within the first week:

  • You may be instructed to wear support stockings for 3 to 6 weeks.
  • Avoid squatting, heavy lifting and running.
  • The tape, cotton balls or any other dressings (if used) will be removed from the treated areas when recommended by your plastic surgeon.
  • The treated sites will appear bruised.
  • You will be discouraged from sitting or standing in one place for more than an hour or two.
  • You will be encouraged to walk.

Within a month:

  • The bruises at the treated sites will diminish.
  • You will begin to feel more comfortable wearing leg-baring fashions.
  • You can resume most exercise.
  • A month after the first treatment, spider veins are distinctly lighter, yet still somewhat visible.
  • You will be discouraged from sitting or standing in one place for more than an hour or two.

After 2 months, your spider veins treatment should have completely healed. At this point, you and your plastic surgeon will decide if any additional treatment is necessary.

Sclerotherapy Results

After each spider vein treatment, you will notice improvement of your skin's appearance. However, new spider veins may surface in the future. You may want to consider further treatment to take care of any new veins that may emerge.

Although good results are expected from sclerotherapy, there is no guarantee. Be sure to discuss with your surgeon the results expected in your case as well as the cost involved.

Sclerotherapy Words to Know

Procedure Information © American Society of Plastic Surgeons

Hedden and Gunn Plastic Surgery

Sclerotherapy successfully eliminates spider veins with a minimally-invasive skin rejuvenation treatment.

Birmingham, AL Office & Surgery Suites

Hedden & Gunn Plastic Surgery
140 Village Street
Birmingham, AL 35242
205-980-1744 or 800-HeddenMD
American Society of Plastic Surgeons * American Society for Aesthetic Plastic Surgery *
* Dr. William Hedden, Dr. Stephen Gunn
Hedden and Gunn Plastic Surgery

Contact Us Today

Questions About Skin Procedures?

To find out more about attractive legs with Sclerotherapy spider vein treatment, please contact our Alabama cosmetic center in Birmingham today.

To schedule your consultation at the earliest possible date, please call 205-980-1744.

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