Sclerotherapy for Spider Veins

Spider veins or telangiectasias are not only an aesthetically undesirable affliction, they can also cause aching pain and chronic swelling. While they are generally a benign condition that occurs in otherwise healthy people, they can also be a sign of a serious illness. Spider veins can appear anywhere within the body but are typically found in the leg and thigh areas. These are most often the areas that bother us the most with their appearance. The causes are unknown; however, they’re believed to be a result of genetic and environmental causes such as chronic exposure to the sun and extreme heat or cold.

Sclerotherapy is a minimally invasive medical procedure that reduces the appearance of spider veins and improves the overall look of your skin. Sclerotherapy has been safely used since the 1930’s and remains the primary treatment for small-vessel varicose veins today.

All Sclerotherapy injections are performed by trained, registered nurses, under the supervision of Dr. Vartany.

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Meet Dr. Vartany

Double Board-Certified Plastic Surgeon

If you’re looking for an experienced, compassionate plastic surgeon with a reputation for producing superior cosmetic results, look no further than Dr. Vartany. Combining expertise and honesty with a gentle demeanor, Dr. Vartany provides the quality of Beverly Hills for his plastic surgery patients from Burbank, Glendale, Pasadena, and beyond.

Meet Dr. Vartany

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Frequently Asked Questions

For information about your personalized consultation, how to prepare for your upcoming procedure and what to expect during recovery, please visit our Patient Resources page.


Is Sclerotherapy right for me?

If you are bothered by unattractive small-vessel varicose and spider veins, then Sclerotherapy may be right for you. Prior to scheduling Sclerotherapy, you will need to have an initial consultation with our registered nurse to determine your candidacy. You will not be eligible for treatment if you:

  • Are pregnant
  • Are taking steroids
  • Are an insulin dependent diabetic. If you are on oral medication, a medical release from your primary care physician will be required.
  • Are on anti-coagulant therapy
  • Have crippling osteoarthritis
  • Have severe bronchial asthma
  • Have advanced Lupus or Lupus type diseases
  • Have blood clots

If you are taking birth control pills, you will need to inform the nurse prior to treatment. If you have had a blood clot in the past, your eligibility will need to be determined on an individual basis. Additionally, veins that are potentially viable for future heart bypass surgery are typically not considered for treatment unless already deemed unusable.

How does Sclerotherapy work?

Sclerotherapy involves an injection of a solution, typically a saline solution or sclerosing agent, directly into the spider vein. The injected solution irritates the lining of the vessel causing the vein to swell and stick together. This scarring result forces the blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.


How many treatments will I need?

The number of treatments differs from patient to patient, depending on the extent of spider veins present. One to six or more treatments may be needed; the average is three to four. Individual veins usually require one to three treatments. A full assessment will be provided during your initial consultation.

Does Sclerotherapy work for everyone?

Most people treated will have good results; however, there is no guarantee that sclerotherapy will be effective in every case. Approximately 10% of patients who undergo sclerotherapy have poor to fair results. (“Poor results” means that the veins have not totally disappeared after six treatments.) In very rare instances, the patient’s condition may become worse after sclerotherapy treatment.

Should I avoid anything before or after Sclerotherapy treatment?

Two days before treatment, avoid any blood thinners including but not limited to aspirin, Motrin®, Advil®, Excedrin®, Aleve®, or any other non-steroidal anti-inflammatories. The intake of certain vitamins such as Vitamin D, E, and C, Omega-3, and Gingko Biloba may make you more susceptible to and increase bruising.

  • Avoid drinking alcoholic beverages for 2 days prior to and 2 days after treatment.
  • Avoid smoking for 2 days prior to and 2 days after treatment.
  • Avoid the use of any creams, lotions, oils, or self-tanners on your legs the night before and the day of treatment.
  • Avoid standing in a single position for prolonged periods of time.
  • Avoid strenuous physical activities such as high-impact aerobics, running, weight lifting, etc. for the first 48-72 hours following your treatment.
  • Avoid hot baths for 2 weeks. Cool your legs with cold water after each shower.
  • Avoid sunbathing and ultraviolet exposure for at least 1 week.
  • Avoid swimming in chlorinated pools for 48 hours following your treatment.
  • Avoid flying for 48 hours if treatment involves reticular veins.

If you develop a fever or other illness prior to your treatment, you must reschedule your appointment.

What should I expect after treatment?

Taped compression pads/cotton balls are applied and may be removed after 24 hours.

You will be required to wear a support hose or a compression garment immediately following treatment. You may bring your own garment or purchase one in our office. Your compression garment must be worn for one week following treatment unless otherwise instructed.

After your treatment, you can resume your day with minimal downtime. You are encouraged to maintain normal activities and to walk as much as possible.

Important note: Failure to wear your compression garment or support hose will cause the treated vein(s) to fill back up with blood making the treatment ineffective.

Important Facts About the Safety and Risks of Sclerotherapy

The decision to undergo Sclerotherapy is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of Sclerotherapy are acceptable.

Potential risks include:

  • Bruising
  • Transient hyperpigmentation
  • Pain and swelling
  • Blood accumulation in the treated vessel
  • Burning sensation during injection
  • Swelling of the ankles
  • Hives
  • Skin redness
  • Infection
  • Poor healing or scarring

Request a consultation using the online form to discuss your concerns with one of our medical professionals. You can also call us at (818) 500-0823 to schedule an appointment.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at Armen Vartany, MD - Plastic Surgery and Laser Center, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

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Oct 20, 2021
Facebook Armen Vartany, MD
Best doctor ! I highly recommend him , very professional and kind doctor .. I’ve had few procedures done I am very happy with the result … Thank you
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Sep 23, 2021
Google Armen Vartany, MD
Dr. Vartany is genuinely professional, and one of the best in his field, and Nurse Narineh is absolutely wonderful!
HealthGrades
5.0/5
Aug 13, 2021
HealthGrades Armen Vartany, MD
Dr. Vartany is just amazing! He has performed my breast lift and breast augmentation and I absolutely love it!! He is so kind, patient, and very detail orientated. He answered all my questions and was very realistic about what the outcome was going to be like. He doesn't sell you a story, he explains how each body type is different and even if you do the same surgery the results can be different from person to person. His entire staff is wonderful as well. Front desk was welcoming and friendly, and the surgery nurses very caring and thoughtful. Surgery went so smooth, it felt like I just went to sleep and woke up. No extra commotion. They called me the next day to see how I was doing and at my post-op everyone was just very attentive. Overall, it was a great experience!!! I recommend that Dr. Vartany to anyone who wants a beautiful natural look.
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Nov 10, 2020
Google Armen Vartany, MD
Was skeptical about lasering but had the best experience with Galina here. She made me feel so comfortable and the results have been incredible. I have been back multiple times and plan to continue! So happy I found Galina Swigi
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5.0/5
Jun 28, 2020
Google Armen Vartany, MD
My experience with Dr.Vartany was great! He's the best. He is very caring and professional. I would strongly recommend everyone to choose him for their aesthetic needs. I'm glad I found such a honest humble doctor who values both inner & outer beauty.
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Jun 10, 2020
Facebook Armen Vartany, MD
High Class Professional. ❤❤❤❤
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Feb 27, 2020
Facebook Armen Vartany, MD
His excellent and professional skills to produce outstanding results.
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Jan 6, 2020
Facebook Armen Vartany, MD
I am very satisfied with my experience with Doctor Vartany and all of his stuff members. They took very good care of me and I highly recommend him. Thank you!!
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5.0/5
Jan 24, 2019
Google Armen Vartany, MD
Great place. Everyone is nice and very professional
Vitals
5.0/5
Aug 28, 2018
Vitals Armen Vartany, MD
Dr. Vartany was so pleasant, friendly, and kind doctor. If you're nervous at all, he will put you at ease immediately. His office was also very cool, hip building space and everyone in there was also very nice. Highly recommend.
RateMDs
5.0/5
Aug 28, 2018
RateMDs Armen Vartany, MD
Dr. Armen Vartany was very passionate about his work. He listens and treats personally and not just like an ordinary patient. He works with an excellent staff. They're very patient and accommodating. I would recommend him to anyone. They just want to make you happy.
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5.0/5
Jul 26, 2018
Google Armen Vartany, MD
Love the laser hair removal treatments they offer and their specials for referring a friend, I have been coming for at least a year and i wouldn't go anywhere else.
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Jun 28, 2018
Google Armen Vartany, MD
Get laser hair removal by time block instead of by area. Get more areas covered for your money. Laser facial is awesome, got rid of my preggo spots and dark freckles!
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5.0/5
Dec 16, 2017
Facebook Armen Vartany, MD
One of the best doctors around. I had three procedures on my nose and my eyes.For years I was skeptical to go under knife as I am a 56 years old male with some underling heart problems. The surgery was practically painless and to my wonder recovery was super fast. On cosmetic side, he did exactly what I asked for, no more, no less. The entire staff are super polite and professional.
Google
5.0/5
Dec 16, 2017
Google Armen Vartany, MD
One of the best doctors around. I had three procedures on my nose and my eyes.For years I was skeptical to go under knife as I am a 56 years old male with some underling heart problems. The surgery was practically painless and to my wonder recovery was super fast. On cosmetic side, he did exactly what I asked for, no more, no less. The entire staff are super polite and professional.
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5.0/5
Jul 6, 2017
Facebook Armen Vartany, MD
I'm glad to meet you in my foot Dr.'s Office, where you also had your Office. Your are amazing in Botox
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Apr 27, 2017
Google Armen Vartany, MD
theres no words to describe how happy im with doct vartany and his staff all are very beautiful and caring soul's god bless them all.🙏❤👌 best place ever for surgeries... beyond happy with my tummy tuck amazing job..thank you all so much for everything 😘 blessings.
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5.0/5
Feb 18, 2017
Google Armen Vartany, MD
Dr.Vartany did an amazing nose surgery on me in December 2016, he is the best rhinoplasty surgeon in our city.
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Jan 4, 2017
Facebook Armen Vartany, MD
Doctor Armen and his staff are incredible! From the very start to the very end the staff go above and beyond to make you feel comfortable. Truly professional!
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Apr 18, 2016
Facebook Armen Vartany, MD
Work with these folks on a business level, and couldn't ask for a better professional relationship! The staff is superb! Wonderful business!
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