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Spider Vein Injections: Visual vs. Foam Sclerotherapy

Written By Center for Vein Restoration
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When it comes to the health and appearance of your legs, spider veins and varicose veins can be more than just a cosmetic concern—they may signal underlying circulation issues that affect your comfort and overall health. These problem veins, while common, can cause leg itching, burning, legs that feel tired, and are unsightly. Fortunately, modern vein treatments offer several minimally invasive solutions to tackle these issues. Among these is sclerotherapy.

In this blog, we’ll explore two popular techniques within sclerotherapy: visual sclerotherapy and foam sclerotherapy. We’ll break down the differences between these approaches, their unique benefits, and how your vein specialist will determine the best treatment for your specific vein condition.

What Are Spider Veins and Varicose Veins?

Spider veins are tiny, web-like veins close to the skin’s surface. They often appear red, blue, or purple and are most commonly found on the legs or face. While typically harmless, spider veins can cause discomfort or itching. Varicose veins are larger, bulging veins that twist and raise above the skin. These veins can cause more serious symptoms such as swelling, aching, and leg pain, especially after standing for long periods.

Both spider veins and varicose veins result from weakened or damaged valves within the veins. Normally, one-way valves ensure blood flows toward the heart, but when these valves fail, blood can pool in the veins, causing them to stretch and become more visible. According to Johns Hopkins Medicine, risk factors such as prolonged sitting or standing, aging, genetics, and hormonal changes can increase the likelihood of developing these vein conditions.

How Does Sclerotherapy Work?

Sclerotherapy is a highly effective treatment for spider veins and small varicose veins. It’s a minimally invasive procedure that significantly improves the appearance and symptoms of these problem veins. By injecting a solution called a sclerosant directly into the vein, the procedure closes off damaged veins. This causes the vein to scar and eventually collapse, redirecting blood to healthier veins. Over time, the body absorbs the treated vein, reducing its visibility and relieving symptoms such as varicose vein pain.

There are two primary forms of sclerotherapy used to treat spider veins and varicose veins: visual sclerotherapy and foam sclerotherapy. Both techniques are effective but differ in their application, which veins they treat best, and how your vein specialist will decide which approach is right for you.

Visual Sclerotherapy: Targeting Spider Veins

Visual sclerotherapy involves injecting a liquid sclerosant directly into the visible spider veins or small superficial varicose veins. This technique is called “visual” because it relies on the doctor’s ability to see the veins on the skin’s surface without the use of imaging tools like ultrasound. This makes visual sclerotherapy ideal for treating spider veins or small varicose veins that are close to the surface.

A key benefit of visual sclerotherapy is its simplicity. The procedure is quick—typically 30 to 45 minutes, according to the Cleveland Clinic—and performed at an outpatient vein center such as Center for Vein Restoration (CVR). It’s especially effective for cosmetic concerns and can significantly improve the appearance of problem veins. Patients typically experience minimal discomfort during the injections, and results are noticeable within a few weeks as the treated veins fade. However, multiple sessions may be required depending on the severity and number of veins being treated.

Visual sclerotherapy is an excellent option for individuals seeking to improve the look of their legs with minimal downtime. For those dealing with spider veins, it’s often the first-line treatment recommended by a board-certified vein specialist.

Foam Sclerotherapy: A Modern Solution for Small Varicose Veins

Foam sclerotherapy offers a more advanced treatment for larger or deeper varicose veins. Unlike the liquid used in visual sclerotherapy, foam sclerotherapy involves mixing the sclerosant with air or gas to create a foam. This foam is denser than liquid, allowing it to displace blood more effectively within the vein and stay in contact with the vein walls longer.

Because of its larger volume and ability to cover more surface area, foam sclerotherapy is especially effective for treating small varicose veins or deeper veins that aren’t easily visible. Vein specialists often use ultrasound guidance during foam sclerotherapy to ensure the foam is accurately delivered to veins beneath the surface of the skin. The National Institutes of Health (NIH) has highlighted foam sclerotherapy as a highly effective treatment for more prominent varicose veins, often requiring fewer sessions than traditional liquid sclerotherapy.

For patients with larger, more complex varicose veins, foam sclerotherapy provides a powerful, targeted solution that can deliver significant results.

How Will Your Vein Specialist Choose the Right Sclerotherapy?

Choosing between visual and foam sclerotherapy depends on the size, location, and severity of your vein condition. During your consultation at a CVR vein treatment center, our board-certified vein specialist will assess your veins, medical history, and symptoms to determine the most effective treatment plan.

  • Visual sclerotherapy is ideal for spider veins and small varicose veins that are visible on the surface. It’s the best option for cosmetic concerns or mild vein conditions, providing quick results with minimal discomfort.
  • Foam sclerotherapy, guided by ultrasound, is better suited for larger or deeper varicose veins that require more precise treatment. This option is typically recommended for patients experiencing more significant symptoms like leg pain or swelling.

Both procedures are safe, effective, and designed to fit seamlessly into your busy lifestyle, allowing you to get back to daily activities with minimal interruption. At Center for Vein Restoration (CVR), our board-certified specialists use the latest techniques to ensure the best possible results with minimal discomfort.

If you want to improve your legs' appearance and eliminate spider veins for good, trust CVR to provide expert care tailored to your needs. Schedule a consultation today and take the first step toward healthier, more confident legs. Call 240-965-3915 to speak to a Patient Services Representative or schedule your consultation online at a CVR near you today.

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Does Insurance Cover Sclerotherapy?

If your vein condition is causing symptoms like leg pain or swelling, sclerotherapy may be considered a medically necessary procedure, and your insurance plan could cover the treatment. However, it may not be covered if the treatment is purely cosmetic—such as spider vein removal.

The good news is sclerotherapy is often the least expensive of the popular treatments for effectively removing spider veins. That said, all the modern methods of spider vein removal offered at CVR require minimal downtime and can significantly improve the appearance of veins over time. While lifestyle changes may help reduce the risk of new spider veins, consulting a CVR vein specialist remains the best way to determine an affordable and effective treatment plan.

Your vein specialist and the staff at Center for Vein Restoration (CVR) can help you determine whether your vein treatment qualifies for insurance coverage and assist with navigating your insurance plan. Our dedicated staff has helped countless people navigate the insurance process—and we can help you, too! Call CVR for more information: 877-425-2608.

Treating Spider Veins and Small Varicose Veins with Confidence

Sclerotherapy offers an effective, minimally invasive solution for treating both spider veins and small varicose veins. Whether you opt for visual sclerotherapy or foam sclerotherapy, each technique provides excellent results with minimal downtime.

At Center for Vein Restoration (CVR), our board-certified vein specialists are experts in diagnosing and treating spider and small varicose veins using the most effective sclerotherapy techniques. Whether you need visual sclerotherapy for cosmetic spider veins or foam sclerotherapy for deeper varicose veins, CVR offers personalized, minimally invasive treatments with minimal downtime.

Our experienced team is committed to helping you achieve healthier, more comfortable legs while guiding you through the insurance process to make your treatment as affordable as possible. Schedule a consultation at CVR to explore your options for long-lasting vein health. Call 240-965-3915 to speak to a Patient Services Representative or schedule your consultation online at a CVR near you today.

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