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Does Spider Vein Treatment (Sclerotherapy) Have Any Side Effects?

If you suffer from spider veins on your hands, face or legs, you’re no doubt curious to know what the best spider vein treatment is for these annoying looking veins, and what the possible side effects of treatment may be.

What Is the Best Spider Vein Treatment?

After years of clinical practice, I recommend a tiered approach to treatment for my patients who come to me concerned about the ugliness of their spider veins: surface laser therapy and injection therapy — technically called “sclerotherapy” — followed by compression stockings.

This approach may be different from the way other physicians approach spider vein treatment, but in my experience, it delivers the best results for patients.

Before & After Photo Gallery

*Individual Results May Vary

Real Patients. Real Results. View before & after images of vein and cosmetic procedures in our photo gallery.

What Are Sclerotherapy Side Effects?

Spider vein treatment is not a “one shot deal”. It could take two, three or even four months of surface laser and sclerotherapy injection treatment to see the spider veins go away. Over this time, a patient may actually think their legs look “worse” before they get “better”. This is because some patients may get bruising, redness and even what we call “staining”, which is a sort of light-brownish discoloration that can occur where the injections take place. While all of this will eventually fade, it does take time and those getting treatment may need to have patience.

The good news is that the surface laser therapy and injection therapy is much better tolerated than it was years ago. Historically, when using laser therapy, an anesthetic cream was needed to help reduce the pain. However, I haven’t had to use anesthetic cream in about two years, since I purchased new, state-of-the-art surface vascular laser machines. Additionally, and this is a really important point, the lasers in my office are vascular lasers, not skin-based lasers. Vascular lasers are designed so that the laser energy goes through the skin, but does not touch the skin. Skin-based lasers, which are used in photo-rejuvenation, tend to hurt more than vascular lasers.

Improvements also have been made to injection treatments. In the past, “hypertonic saline” was used in injection treatments, which caused a great deal of burning and discomfort. We do not use saline in our office any more. Instead, we use better agents that are much better tolerated.

Consultations Available Now

To learn more, schedule your consultation with Dr. Schwartz by filling out the form on this page or by calling his practice at 913-451-8346. Premier Vein & Body by Schwartz serves patients throughout the Kansas City metro.


*Individual Results May Vary


Read from real patients about their experiences with Dr. Schwartz and his team at Premier Vein & Body by Schwartz.

Book a Spider Vein Consultation

Every month, we offer a limited number of appointments. If you’re interested in learning more about spider vein treatments or sclerotherapy side effects, please call my office to inquire about availability, at (913) 451-8346

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