After sclerotherapy treatment more spider veins appeared

It's been 2 weeks since my first sclerotherapy treatment, and the area that was injected has new spider veins?

Answers from doctors (9)


Vanish Vein and Laser Center

Published on Mar 25, 2011

The treatment of spider veins is a process. It is impossible to eradicate all spider veins with one treatment and sometimes new veins can form after injecting. This is called neovascularization. Usually these new veins will resolve spontaneously over time. If new veins continue to develop then a reflux utrasound would be important to obtain. You should follow up with your vein care specialist.

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Answered by Vanish Vein and Laser Center

The treatment of spider veins is a process. It is impossible to eradicate all spider veins with one treatment and sometimes new veins can form after injecting. This is called neovascularization. Usually these new veins will resolve spontaneously over time. If new veins continue to develop then a reflux utrasound would be important to obtain. You should follow up with your vein care specialist.

Published on Jul 11, 2012


Advanced Varicose Veins Treatments of Manhattan

Published on Mar 11, 2011

It may just be inflammatory and temporary but an ultrasound evaluation can show if you have underlying venus reflux, or leaking veins which may contribute to this. These deeper leaking veins need to be treated prior to treating the spider veins. I also recommend using compression stockings for two weeks after sclerotherapy to reduce complications such as this.
Ronald Lev, MD

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Answered by Advanced Varicose Veins Treatments of Manhattan

It may just be inflammatory and temporary but an ultrasound evaluation can show if you have underlying venus reflux, or leaking veins which may contribute to this. These deeper leaking veins need to be treated prior to treating the spider veins. I also recommend using compression stockings for two weeks after sclerotherapy to reduce complications such as this.
Ronald Lev, MD

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 03, 2011

Your surgeon should perform an ultrasound to see if there are any small "perforator" veins feeding into this area. Spider veins should be treated, including the "feeder" reticular veins below. These can cause new veins as blood continues to push into the areas. Additionally, you should wait about 4 weeks before any further treatments

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Answered by Vein Specialties of St. Louis

Your surgeon should perform an ultrasound to see if there are any small "perforator" veins feeding into this area. Spider veins should be treated, including the "feeder" reticular veins below. These can cause new veins as blood continues to push into the areas. Additionally, you should wait about 4 weeks before any further treatments

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Mar 03, 2011

Have the treating physician evaluate them.

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Answered by Bella MD Laser Vein and Aesthetic Center

Have the treating physician evaluate them.

Published on Jul 11, 2012


Bailey Vein Institute

Published on Mar 03, 2011

Have you had a thorough evaluation for venous insufficiency? i.e., venous duplex ultrasound

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Answered by Bailey Vein Institute

Have you had a thorough evaluation for venous insufficiency? i.e., venous duplex ultrasound

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Mar 03, 2011

Give it at least six weeks from the time of treatment. It takes at least 6 weeks to see resolution of spider veins. Then, you have to compare your legs to pre-sclerotherapy pictures of your legs to truly assess what is new and what was pre-existing.

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Answered by Angelo N. Makris MD

Give it at least six weeks from the time of treatment. It takes at least 6 weeks to see resolution of spider veins. Then, you have to compare your legs to pre-sclerotherapy pictures of your legs to truly assess what is new and what was pre-existing.

Published on Jul 11, 2012


Heart and Vein Center

Published on Mar 03, 2011

In general 2 weeks is a very short time and takes longer for veins to resolve after sclerotherapy. On the other hand some spider veins can be "stubborn" and need more than one injection. Be patient.
Dr Farhy

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Answered by Heart and Vein Center

In general 2 weeks is a very short time and takes longer for veins to resolve after sclerotherapy. On the other hand some spider veins can be "stubborn" and need more than one injection. Be patient.
Dr Farhy

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Mar 03, 2011

Occasionally, smaller veins can recur after injections. These may be a sign of valve problems in the veins below, occasionally as well.
They can be treated if they occur sometimes with reinjection or even possibly the veinwave device.
See your provider for your options.
Michael D. Ingegno, MD

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Answered by General Vascular Surgery Group

Occasionally, smaller veins can recur after injections. These may be a sign of valve problems in the veins below, occasionally as well.
They can be treated if they occur sometimes with reinjection or even possibly the veinwave device.
See your provider for your options.
Michael D. Ingegno, MD

Published on Jul 11, 2012


Susan B Fox, D.O. RPVI, FSVM

Published on Mar 03, 2011

You should go back to the doctor who injected you. You may have matting. You may just need more injections.

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Answered by Susan B Fox, D.O. RPVI, FSVM

You should go back to the doctor who injected you. You may have matting. You may just need more injections.

Published on Jul 11, 2012


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