Thinking About Sclerotherapy? Here’s What You Should Know

If you’ve been looking into treatment options for spider veins, you’ve probably come across sclerotherapy. It’s one of the most common and effective ways to treat visible veins, especially those small, web-like ones that can appear on the legs or ankles. But before you jump in, it helps to understand how it works, what to expect, and where to go for the right care.

What Is Sclerotherapy?

Sclerotherapy is a non-surgical procedure in which an FDA-approved medication is injected directly into the spider veins. This medicine irritates the vein lining, causing it to close off and eventually fade from view as the body reabsorbs it. Most people describe the treatment as quick and relatively painless, akin to a series of small pinches.

How Many Sessions Do I Need?

That depends. Some people see noticeable results after just one treatment, especially if they only have a few veins. Others may need multiple sessions spaced several weeks apart to target different areas or more stubborn veins. Everyone’s vein pattern and response to treatment is a little different, so it’s best to talk with your provider about what’s realistic for your specific case.

Where Should I Go for Treatment?

This is one of the most important questions you can ask. Not all providers offering vein treatments have the same level of training. For the safest and most effective results, seek out a board-certified medical doctor with specialty training in veins and vascular care. These doctors understand not just the cosmetic side of spider veins, but also the deeper vein health factors that might be at play.

At Reincke Vein Center in Sugar Land, Dr Reincke is a board-certified vascular and interventional radiologist who has treated vein issues for over 10 years— and she’s built a practice focused exclusively on vein care.

What If I Don’t See the Results I Was Hoping For?

It happens sometimes. Some veins respond better than others, and deeper or more resistant veins may need additional treatment. The good news is that sclerotherapy isn’t the only option — other treatments like laser therapy or even minor procedures can be used to target difficult areas. A skilled vein specialist will be able to walk you through your options if you’re not getting the outcome you want after a few rounds.

Does Insurance Cover Sclerotherapy?

It depends on the reason you’re getting it. If your spider veins are purely a cosmetic concern — meaning they’re not causing pain, swelling, or other symptoms — insurance likely won’t cover the cost. However, if there are signs of an underlying medical issue, coverage may be possible. It’s always worth asking your provider for a vein evaluation before assuming either way.

Curious if sclerotherapy is right for you? Schedule a consultation with Dr. Tonie Reincke at Reincke Vein Center to get a personalized treatment plan based on your needs and goals.