Endovenous sclerotherapy is a popular and effective procedure used to treat small varicose veins and spider veins on the skin. Here is some basic patient information about endovenous sclerotherapy:

Endovenous sclerotherapy involves injecting a small amount of a special solution (called a sclerosant) directly into varicose veins or spider veins. The sclerosant causes the veins to contract and seal, leading to their disappearance and fading.

During the procedure, the doctor uses a thin needle to inject the sclerosant into the affected veins. The sclerosant triggers an inflammatory reaction in the veins, causing them to close off and gradually fade away. The procedure is usually painless or causes only mild discomfort or slight stinging sensations.

Endovenous sclerotherapy is an effective way to remove unsightly varicose veins and spider veins. After the procedure, the skin becomes smoother, and the veins become less visible. The aesthetic benefits contribute to an improved appearance and self-confidence.

Endovenous sclerotherapy is considered a safe procedure, but like any medical intervention, there are risks of complications. The most common side effects include temporary bruising, swelling, mild burning sensations, or discomfort at the injection site. Complications are rare but may include skin ulcers, allergic reactions, or changes in pigmentation.

After endovenous sclerotherapy, wearing special compression stockings for a specified period is recommended to aid in the healing process and reduce the risk of complications. Patients are encouraged to maintain an active lifestyle while avoiding hot baths, saunas, tanning, and excessive sun exposure for a few days after the procedure.

Endovenous sclerotherapy does not require a lengthy recovery period. Patients can typically resume normal activities immediately after the procedure. However, it is advisable to avoid intense physical exertion, prolonged sitting, or standing for a few days.

Endovenous sclerotherapy is an effective procedure that can permanently remove varicose veins and spider veins. However, due to natural skin aging processes and the tendency to develop new vessels, the appearance of new changes in the future is possible. Regular check-ups and maintaining a healthy lifestyle can help maintain the results of the procedure for a longer duration.

Price: Starting from 300 PLN

(The price depends on the amount of sclerosant used and the extent of the condition)

Procedure duration: 30-45 minutes, depending on the number of veins being treated

Recovery time: Approximately 7 days

Anesthesia: Not required


Absolute contraindications to sclerotherapy include:

  1. Hypersensitivity to the components of the sclerosant solution
  2. Active thromboembolic disease
  3. Heart or lung failure
  4. Autoimmune diseases
  5. Pregnancy and breastfeeding

Relative contraindications include:

  1. Vascular diseases, such as peripheral arterial disease
  2. Inflammatory skin conditions at the planned treatment site
  3. Tendency to develop scars or keloids
  4. Diabetes
  5. Smoking
  6. Physical activity or strenuous exercise within 48 hours after the procedure

Before deciding on sclerotherapy, the doctor should thoroughly examine the patient and assess whether there are any contraindications to the procedure. It is important for the patient to follow the doctor’s recommendations and adhere to hygiene and skincare practices before and after the procedure to minimize the risk of complications and achieve the best treatment outcomes.


Here is the procedure of sclerotherapy:

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Arriving for the procedure at the scheduled time and date.


Performing a Doppler ultrasound examination of the venous system to evaluate its function.


The doctor carefully examines the affected veins and determines their suitability for sclerotherapy treatment.


Using a thin needle, the doctor injects a special sclerosing solution into the affected veins.


The sclerosant causes the formation of adhesions inside the vein, leading to its closure and cessation of blood flow.


The procedure is usually performed on an outpatient basis and takes several to several dozen minutes, depending on the number of veins being treated.


After the procedure, the patient can return home, but it is recommended to avoid intense physical activity for a few days.


Following the doctor’s instructions regarding skincare at the treatment site, including the use of dressings and soothing preparations, is important.


Repeat treatments may be necessary to achieve optimal results.


The patient should also follow the doctor’s recommendations regarding lifestyle changes, such as avoiding smoking, engaging in regular physical activity, and maintaining a healthy diet to reduce the risk of new developments.


The doctor may recommend wearing special compression stockings (compression therapy) after the procedure.

Questions about sclerotherapy

Is it necessary to wear compression stockings?

Yes, the doctor usually recommends wearing compression stockings or hosiery for 2 weeks after the procedure.

Is the procedure painful?

No, the procedure is practically painless. The patient may feel slight burning or needle pricks.

Does the procedure need to be repeated?

Yes, the best results are usually achieved through a series of treatments. The number of treatments depends on the extent of the condition. Treatments are typically repeated at two-week intervals.

What is the cost of sclerotherapy?

The cost of sclerotherapy depends on the extent of the condition and the amount of sclerosant used. Prices range from 300 PLN to 3500 PLN.

Can I go to the gym or exercise after the procedure?

The doctor usually recommends limiting physical exertion for 3-5 days. However, activities like walking, swimming, or cycling can be resumed after the procedure if no other complications arise.

When can I expect to see results?

The post-procedural effect depends on the severity of the problem and typically takes several weeks. It’s important to note that the best aesthetic results are usually achieved through a series of treatments if necessary.

How long is the healing process after the procedure, and what can I expect?

The healing time after sclerotherapy can vary depending on factors such as the type of treated vessel, its size, and the severity of the condition. Patients usually notice initial effects within a few days, while the full effect of the treatment is achieved after several weeks or even months.

Within a few days after sclerotherapy, patients may experience mild pain and dizziness. Swelling, redness, bruising, or thickening at the treated site may also occur. Later on, skin discoloration may appear. These symptoms usually subside within a few days or weeks. To alleviate pain and swelling, it is recommended to apply cold compresses and take pain medication as advised by the doctor.

If any concerning symptoms arise, such as severe pain, rash, fever, or breathing difficulties, it is important to consult a doctor to rule out potential complications.

What should I avoid after the procedure?

Patients should avoid sun exposure for approximately 4-6 weeks, hot baths, and saunas for a few days after the procedure, as these can exacerbate symptoms and delay the healing process. It is also important not to pick at scabs that may form on the skin at the treated site, as this can lead to scarring.

How long do discolorations last after sclerotherapy?

Discolorations may occur but do not apply to all patients. They usually fade on their own in about 80% of cases within 6 months to 1 year.

Please note that this translation is provided to the best of my ability and some nuances may be lost. It’s always advisable to consult a medical professional or native speaker for accurate translations or information.


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