1) You will consult the vascular surgeon to learn more about sclerotherapy. They will perform a physical examination and review your medical history to ensure you are eligible for the procedure. The doctor will want to learn about your past or present medical conditions, smoking habits, allergies, and any over-the-counter or prescription drugs you take.

2) If all is well, the surgeon will set you up for an appointment to receive the sclerotherapy.

3) You will come to the surgeon’s office on the appointment date. They won’t give you any anesthetic because it is not necessary for this procedure.

4) The surgeon will ask you to lie back on the examination chair with your legs somewhat elevated. They will cleanse the treatment area on your legs with alcohol.

5) The doctor will slowly insert a fine needle into the area and inject the treatment solution into the spider vein underneath the skin.

6) The doctor will take out the needle and apply a compression pad to the area to prevent blood from flowing into the injected vessel.

7) From there, the doctor will do the same thing to every other spider vein while leaving the compression pad on each treated vein. The number of administered injections will depend on how many spider veins you have and how big they are.

8) Once the procedure is over, you will be allowed to get up and walk around like normal. The dermatologist will encourage you to move around to get the blood circulating in the legs and avoid potential blood clots from forming.

9) You will need to wear compression stockings or bandages on the treated areas for 1 to 3 weeks to keep pressure on them.