Spider Veins on the Legs

What are spider veins?

Spider veins are small, superficially visible reddish to bluish vessels that frequently appear on the thighs and lower legs. They are usually harmless, but are often experienced as cosmetically bothersome.

How sclerotherapy works

In sclerotherapy a sclerosing agent is injected directly into the visible small vessels using a very fine needle. The agent triggers a controlled reaction of the vessel wall: the treated vessel closes and is subsequently broken down by the body.

We use a liquid sclerosing solution containing the active substance polidocanol (lauromacrogol 400). Depending on the extent and the type of vessel, different concentrations are used, in particular 0.5 % and 1 %. The treating doctor makes the selection individually.

The procedure

The treatment is carried out on an outpatient basis and usually takes about 20 minutes, depending on the area treated. No anaesthetic is required. Using a very fine needle, the visible spider veins are punctured precisely and the sclerosing agent is injected. Afterwards you put on the class 2 compression stockings you have brought with you.

The treatment is generally well tolerated. Because of the very fine needle, a brief slight prick or burning sensation at the injection sites may occur.

Compression after the treatment

• On the first day: 24 hours without interruption – day and night
• From the second day: a further two weeks during the daytime only

Please bring your class 2 compression stockings with you to the appointment.

What to bear in mind afterwards

Normal movement and walking are expressly encouraged. During the first few days you should avoid heavy physical exertion, intensive sport, saunas and strong heat. Direct intensive sun exposure on the treated areas should also be avoided.

Result and number of sessions

As a rule, about one to three treatment sessions are required. The exact number depends on the extent, the number and the size of the spider veins as well as on how you respond individually.

Possible side effects

Redness, slight burning, small bruises, swelling or a feeling of tightness may occur temporarily. Temporary hardening along treated vessels is possible, as is a temporary darker discolouration of the skin (hyperpigmentation). Inflammatory or allergic reactions occur rarely, thromboembolic complications very rarely.

Who the treatment is suitable for

Sclerotherapy is suitable for adults who are bothered by cosmetically noticeable spider veins on the legs and in whom no relevant contraindications are present – in particular no previous deep vein thrombosis and no known relevant blood clotting disorders.

Cosmetic sclerotherapy is not suitable in cases of acute vascular disease or vascular disease requiring treatment:

• acute thrombosis or suspected thrombosis
• acute vein inflammation (thrombophlebitis)
• relevant arterial circulatory disorders (peripheral arterial disease)
• relevant blood clotting disorders or thrombotic risk constellations
• unexplained or acute leg swelling and leg pain
• known hypersensitivity to the active substance

Where there is a relevant arterial circulatory disorder, in particular peripheral arterial disease, cosmetic sclerotherapy is generally not suitable. Whether the treatment is an option for you is assessed by a doctor on site.

Fees

The specific extent of the treatment and the quantity of sclerosing agent required are determined on site by the treating doctor. Treatment of spider veins for purely cosmetic and aesthetic reasons is not covered by statutory health insurance and is a self-pay service. For privately insured patients, cover may be possible depending on the insurance policy – please clarify this with your insurer before the treatment. Where the indication is aesthetic, the amount is a final price including 19 % VAT.

Frequently asked questions