Injection Sclerotherapy

Sclerotherapy for small but visible spider veins is a popular treatment for doctors and patients alike. Spider veins are identified visually or with ultrasound and injected by small needles with an FDA-approved solution called Polydocanol® that causes them to collapse and fade from view. Since the injection needle is so small, patients feel little pain and do not require any anesthesia. The closure of the treated vein is not a problem because there are many other healthy vein pathways the blood will flow through.

The number of sessions required depends on the depth, number, and size of the veins being treated. The procedure takes an hour or less to begin to resolve cosmetic and comfort concerns. While some patients are happy with the results after just one treatment, others may desire further injections. Most insurance providers do not cover cosmetic procedures such as spider vein sclerotherapy. Patients can determine the number and cost of treatments by discussing their situation with Dr. Waterford.

Normal activities may be resumed immediately, though strenuous exercise should be avoided for a few days. Secondary treatments, if needed, should be scheduled four to six weeks following the initial treatment.

Because spider veins can be a chronic condition, new ones can form in the future. However, because the initial treatment is so thorough, any newly formed veins tend to be less severe. A simple touch-up treatment can help you enjoy your life free from unsightly, uncomfortable veins.

Injection sclerotherapy is not used for very large veins. We will offer the best treatment for each individual’s vein problem to get the best long-term result.

Results may vary.

Results may vary.

Not only is Dr. Waterford one of the kindest people I’ve ever met, he and his staff treated me like precious ohana. After it was established through thorough ultrasound examination that treatment would improve the circulation in my left leg, I received surgery for the substantial varicose veins in my calf area. The Waterford team is cohesive, highly proficient, and generous with quality communication (including listening). I was never left alone, was ALWAYS informed of what to expect: prior to my appointment, during surgery, and a summary afterward. Thank you to: Megan for juggling the appointment books so artfully, Geneive for the incredible comprehensive ultrasound report, Kelsey for making sure my compression stockings got ordered & delivered in super short time – as well as wonderful surgery conversation, oh yea & monitoring my vitals!!! Jackie for amazing surgery music, surgical nursing expertise & helping me down the stairs. Doc, I can’t thank you enough not only for being able to stride out comfortably in board shorts again, but also for lifting my confidence in people through your humble spirit of generousity and deep respect for others. Mahalo nui loa!!

– Lilywood M.