Spider veins are close to the skin’s surface and may look thin and wispy like spider webs, or thick and squiggly like branches. They are similar to varicose veins, only thinner. We tend to think of spider veins as a cosmetic problem. However, if you have spider veins along with any other symptoms of vein disease (for example: stinging, throbbing, aching, burning, itching), then an underlying medical issue may be causing the spider veins.

An evaluation with The Vein Guys™ and an ultrasound test will determine if your spider veins are cosmetic in nature or a result of venous insufficiency. In either case, The Vein Guys™ offer treatments that will reduce the unsightly veins.

The solutions and techniques we use make this process easier, faster, and less painful than ever before.


Sclerotherapy reduces spider veins while improving the appearance of the legs. A very small needle is used to inject a solution (called a ‘sclerosant’) into the vein. The sclerosant irritates the lining of the spider vein, causing it to close – the vein then fades over the course of 4-6 weeks*. The procedure takes about 30-60 minutes, depending on how many veins are being treated. In some cases, patients may need more than one treatment to help reduce all unwanted veins.

Patients can resume most normal activities right away. For optimal results, patients should wear compression stockings for 5 to 7 days after the procedure. Patients are also advised to avoid the sun, hot tubs, swimming pools, and tanning beds for about 3 weeks.

Traditional Sclerotherapy

Sclerotherapy has been used to treat veins for more than 100 years – since then, the procedure and solutions have improved significantly. In the past, a saline solution was most commonly used.
Today, more effective solutions are available, and the newer agents do not sting or burn and have fewer side effects.
The Vein Guys™ specialize in choosing the sclerosant that will be most effective for each patient.

Foam Sclerotherapy

Foam sclerotherapy is used for longer, larger veins.

The sclerosant solution is mixed with air or CO2 to create a foam. Foams have a greater surface area than liquids, so a lower concentration covers more of the damaged vein while adhering to the vein wall more effectively, causing faster shrinkage of the vein.

Ultrasound Guided Sclerotherapy

Ultrasound is used as a guide when treating larger veins with sclerotherapy. It allows the surgeon to find the exact location of the diseased vein to inject the sclerosant solution.

* Results may vary.