Sclerotherapy Treatment For Spider Veins

Vein Clinics of Hawaii

Randall Juleff, MD, FACS

Cardiovascular Surgeon & Phlebologist
located in Wailuku, HI & Lihue, HI

Cardiovascular Surgeon & Phlebologist located in Wailuku, HI & Lihue, HI

When small blue, red, or purple web-like lines form on your legs or face, it can affect how you feel about yourself and your skin. At Vein Clinics of Hawaii, Randall Juleff, MD, FACS, evaluates your spider veins and determines the course of treatment, which may include sclerotherapy. If you want your skin to look smooth and uniform, call one of the seven locations in Honolulu, Lihue, Wailuku, Hilo, Kapolei, Kamuela, and Hawaii today or go online to schedule your initial consultation.

Sclerotherapy for Spider Veins Q & A

What are the symptoms of spider veins?

Spider veins are dilated blood vessels that form on the surface of your skin. Called telangiectasia, they develop in a red, blue, or purple web-like pattern on your face and legs.

Often, spider veins have no symptoms. Yet, for some people, the condition triggers swelling, throbbing, itching, and restless leg syndrome.

What causes spider veins?

Spider veins occur when blood flows into your veins but can’t flow back out because the veins’ valves don’t fully function, either blocking the blood in the veins or allowing it to backflow. This happens when you have weak or damaged veins or when your circulation becomes restricted, such as with obesity and smoking.

Spider veins often develop during puberty, pregnancy, and menopause, which indicates a hormonal influence that makes them more likely to appear. If you take birth control pills or hormone replacement therapy, you’re also at a higher risk for spider veins.

Other things that may lead to the formation of spider veins include suffering from constipation and standing for long periods of time. Sometimes, an underlying medical condition leads to spider veins.

How do you treat spider veins?

After evaluating your condition and determining what’s causing your spider veins, Dr. Juleff recommends the best treatment. If your spider veins are superficial, he may suggest a cosmetic treatment.

In one of the most common treatments, injection sclerotherapy, you get an injection of a solution of salt, fatty acid, and glycerin into your veins that causes them to collapse.

In some cases, the team at Vein Clinics of Hawaii may recommend adding an Icon™ laser treatment to enhance your effects and fade your spider veins faster than with sclerotherapy alone.

What is sclerotherapy?

Sclerotherapy is a vein treatment procedure that eliminates the appearance of spider veins on the surface of your skin. It involves the injection of a specific chemical solution called a sclerosant into your spider veins, causing them to collapse and dissolve. The treatment not only eliminates the look of your spider veins, but it can also improve any symptoms you may have, including itchiness, aching, or restless legs.

A quick and easy procedure, sclerotherapy causes minimal discomfort, and Dr. Juleff completes the treatment right in one of his offices.

What happens during a sclerotherapy procedure?

When you see Dr. Juleff for a sclerotherapy treatment, he builds a treatment plan to address your vein issues. He may perform an ultrasound to determine the extent of your spider veins, as some may form beneath the skin’s surface.

Depending on the severity of your spider veins, Dr. Juleff may do one sclerotherapy procedure or break up the treatment into multiple, shorter sessions completed over several weeks or months.

Dr. Juleff prepares the injections using a medical-grade solution. He injects this solution at various points along your spider veins. The solution causes the dilated vein to collapse, then stick together. This forces the blood in the vein out, eliminating its appearance on your skin.

Over time, your body naturally reroutes the blood to different veins.

What’s the benefit of ultrasound-guided sclerotherapy?

In some cases, Dr. Juleff may use an ultrasound to guide his injections during sclerotherapy. By using ultrasound guided sclerotherapy, he’s able to visualize your vein structures and ensure that he targets all of your dilated spider veins, even those that form beneath the skin’s surface.

Can I prevent spider veins?

Although Dr. Juleff can remove your spider veins, more can form. If you’re predisposed to spider veins, he recommends that you avoid restricting your circulation by not wearing high heels and not sitting with your legs crossed.

Regular exercise, moving throughout the day, and reaching a healthy weight also make the formation of spider veins less likely. Wearing support stockings can also reduce your risk.

To learn more about sclerotherapy and to see if it can eliminate your spider veins, go online or call the Vein Clinics of Hawaii today to schedule your initial consultation.

*Individual results may vary.


Leg Swelling

Radio Frequency Ablation

Varicose Veins

Facial and Body Rejuvenation

Body Contouring

Spider Veins and Scierotherapy

Venous Insufficiency

Laser Hair Reduction

Tattoo Removal


Dr. Juleff and the Vein Clinics of Hawaii provide a wide arrange of services that include, but are not limited to:

          -Endovenous laser ablation
          -ClosureFast: Endovenous Radio-frequency ablation
          – VenaSeal: Endovenous Biologic Adhesive Closure
          – Clarivein: Endovenous Mechanico-Chemical Closure
          – Varithena: Endovenous Chemical Closure
          – Ambulatory Microphlebectomy
          – Ultrasound Guided Sclerotherapy
          – Cosmetic Sclerotherapy

For any questions or concerns regarding conditions and treatments, please feel free to contact our office to speak to a member of our friendly staff.