Sclerotherapy for Spider Veins

Modern spider vein treatments such as sclerotherapy are quick and nearly painless. During the typical sclerotherapy procedure, a spider vein expert in Hawaii injects a chemical solution, or sclerosant, into the vein so that it can essentially collapse on itself, stick together and no longer be able to act as a thoroughfare for the abnormal blood flow that creates bothersome symptoms such as achiness, heaviness, and swelling in the legs and feet.

Sclerotherapy can be performed on most of the leg veins that are affected by vein disease. Sclerotherapy is often used to treat spider veins for cosmetic purposes, however it is also applicable for deeper veins in some cases. To help guide the application of sclerosing solution into veins that are not visible at the skin surface, Dr. Juleff utilizes ultrasound imaging to help guide the procedure by visualizing the vein and ensuring the correct vessels are targeted.

In general, sclerotherapy is a very important and common technique for treating various abnormal veins. This procedure is performed at our center every day to treat various forms of vein problems. Dr. Juleff often performs sclerotherapy for spider veins in multiple short sessions over the course of several weeks or months in order to achieve the best cosmetic outcome for each patient.

Ultrasound Guided Sclerotherapy

Injection sclerotherapy is another important treatment option often used for treating small to medium size problem veins that sit deeper inside the legs and are too small to be treated by other methods. Because these veins are not visible at the surface of the skin, Dr. Juleff gains a visual of the affected veins with the assistance of ultrasound technology.

Ultrasound imaging portrays an image of the body’s vein structures, which is vital in helping guide Dr. Juleff and other vein specialists in New Orleans to the right veins for treatment. Ultrasound Guided Sclerotherapy is used extensively to reveal the location of an affected vein and to assist in the placement of the sclerosing solution into the correct veins.

Once the problem vein is located, it is injected with a medical grade chemical such as Sotradecol® or Polidocanol® to close off the flow of blood. Over time, the body naturally restores circulation through healthier leg veins.

better. If you do not have time for a more involved treatment at the moment, or if you are not a candidate for one of our surgical vein treatment procedures, conservative therapies can keep mild to moderate symptoms at bay. After assessing your condition, Dr. Juleff can recommend conservative treatment options for you to begin right away and start feeling better as soon as possible.

Sclerotherapy Injection

Typically, when patients are bothered by the unsightly outer appearance of spider veins, injection sclerotherapy is considered to be the go-to treatment that can help patients gain a more youthful, healthier leg appearance. This treatment is good at eliminating the unwanted visual look of spider veins and smaller surface veins.

Because injection sclerotherapy is considered a primarily cosmetic procedure for reducing the aesthetic burden of spider veins, health insurance and Medicare do not always cover these treatments.

During a procedure, Hawaii varicose vein doctors use either a foam or medicinal solution approved by the FDA such as Sotradecol®, Polydocanol®. These solutions are considered to be safer and produce fewer side effects than saline solutions. The chosen solution is injected into the affected surface veins using a fine needle, essentially sealing the vein shut. The appearance of the treated vein improves with time.


Leg Swelling

Radio Frequency Ablation

Varicose Veins

Facial and Body Rejuvenation

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.