How many injections are needed per vein for Sclerotherapy?

I've seen advertising offering 50 injections for Sclerotherapy for what seems to be a very reasonable price. Since I don't know the surface area of veins that 50 injections could treat I can't ascertain whether this is truly a great deal. Thank you for your help.

Answers from doctors (17)


VeinSolutions - Edina

Published on Sep 27, 2013

In truth, to say "50 injections for a certain amount" can be a bit deceiving. Every time the needle of the syringe is inserted into the skin and sclerosing agent is infused is considered an "injection." When treating small spider veins, it is quite possible that a single syringe can be used for as many as 15 - 20 injections. I trust you see my point. In all events, I would caution you to not be too overly impressed by a statement like "50 injections for sclerotherapy." One might also be inclined to ask, exactly what is the cost of a single sclerotherapy treatment? Also, how many treatments does the vascular surgeon (or provider) estimate it will require to achieve the desired results? You may also want to find out what type of sclerosing agent this particular provider uses as there are several, each with certain side effects and considerations. Additionally, it is wise to know what the provider's post-procedure protocol is. Remember, knowledge is power and the more you know about a minimally invasive procedure, such as sclerotherapy, the greater the chances that the results will be both positive and satisfying.

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Answered by VeinSolutions - Edina

In truth, to say "50 injections for a certain amount" can be a bit deceiving. Every time the needle of the syringe is inserted into the skin and sclerosing agent is infused is considered an "injection." When treating small spider veins, it is quite possible that a single syringe can be used for as many as 15 - 20 injections. I trust you see my point. In all events, I would caution you to not be too overly impressed by a statement like "50 injections for sclerotherapy." One might also be inclined to ask, exactly what is the cost of a single sclerotherapy treatment? Also, how many treatments does the vascular surgeon (or provider) estimate it will require to achieve the desired results? You may also want to find out what type of sclerosing agent this particular provider uses as there are several, each with certain side effects and considerations. Additionally, it is wise to know what the provider's post-procedure protocol is. Remember, knowledge is power and the more you know about a minimally invasive procedure, such as sclerotherapy, the greater the chances that the results will be both positive and satisfying.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Sep 24, 2013

Sclerotherapy experience and technique are far more important than the number of injections or syringes used. Sometimes only one or two injections are needed for a large vein, while dozens of injections may be
required to treat a stubborn patch of fine spider veins. You are wise to consider all angles.

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Answered by Vein Center of Orange County

Sclerotherapy experience and technique are far more important than the number of injections or syringes used. Sometimes only one or two injections are needed for a large vein, while dozens of injections may be
required to treat a stubborn patch of fine spider veins. You are wise to consider all angles.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Sep 24, 2013

50 will cover most spider veins on both legs.

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Answered by Cosmetic Vein Centers of Texas

50 will cover most spider veins on both legs.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Sep 23, 2013

I recommend seeing a board-certified vein specialist to obtain the best treatment, since you are shopping advertising for this service. They ought to explain to you how sclerotherapy works and what should be injected and how. Typically, abnormal veins should be injected, as many as there are, for a session price. It varies, and I have seen anywhere from 10 to 100 injections done in one session. You should get all veins treated from top of thigh to ankle in your session. A better question is how many sessions will you need since not every vein will close 100% with one session.

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Answered by Arizona Vein Specialists

I recommend seeing a board-certified vein specialist to obtain the best treatment, since you are shopping advertising for this service. They ought to explain to you how sclerotherapy works and what should be injected and how. Typically, abnormal veins should be injected, as many as there are, for a session price. It varies, and I have seen anywhere from 10 to 100 injections done in one session. You should get all veins treated from top of thigh to ankle in your session. A better question is how many sessions will you need since not every vein will close 100% with one session.

Published on Jul 11, 2012


Aluna Vein Centers

Published on Sep 23, 2013

50 injections? I have never heard of that. With each session, you can get injected with a certain amount of solution, but that depends on type of solution being used. If Asclera or Sotradecol, for example, the maximum amount would be 10-12 cc. Looking at pricing and choosing one that is exceptionally affordable does not constitute a good deal; rather, quality of work should be a priority. Find a board-certified doctor who is skilled and who give an accurate diagnosis. Then, trust his judgment.

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Answered by Aluna Vein Centers

50 injections? I have never heard of that. With each session, you can get injected with a certain amount of solution, but that depends on type of solution being used. If Asclera or Sotradecol, for example, the maximum amount would be 10-12 cc. Looking at pricing and choosing one that is exceptionally affordable does not constitute a good deal; rather, quality of work should be a priority. Find a board-certified doctor who is skilled and who give an accurate diagnosis. Then, trust his judgment.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Sep 23, 2013

The number of injections, as well as their cost, vary per vein clinic. For instance, our office charges $10 per stick of needle, with a minimum of $150.00

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Answered by Vein Clinic of North Carolina

The number of injections, as well as their cost, vary per vein clinic. For instance, our office charges $10 per stick of needle, with a minimum of $150.00

Published on Jul 11, 2012


Intermountain Vein Center

Published on Sep 23, 2013

The number of injections depends on if the veins are spider or varicose. Usually, ultrasound-guided sclerotherapy takes 1 or 2 injections to get the drug completely inside the vein, but spider vein are different and may call for more than 1 or 2 injections per vein. Typically, the question you have is answered during the consultation period at the clinic you choose to have treat you. Make sure the physician is accredited/board certified.

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Answered by Intermountain Vein Center

The number of injections depends on if the veins are spider or varicose. Usually, ultrasound-guided sclerotherapy takes 1 or 2 injections to get the drug completely inside the vein, but spider vein are different and may call for more than 1 or 2 injections per vein. Typically, the question you have is answered during the consultation period at the clinic you choose to have treat you. Make sure the physician is accredited/board certified.

Published on Jul 11, 2012


Heart and Vein Center

Published on Jul 03, 2012

My best recommendation is not to look for price, but for value. Do they have experience? Who does the injection: an MA or a doctor? Can they show you results? What product do they use: saline or STS or polidocanol? Be careful. After all, it is still your body and they are injecting a drug in your veins.

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Answered by Heart and Vein Center

My best recommendation is not to look for price, but for value. Do they have experience? Who does the injection: an MA or a doctor? Can they show you results? What product do they use: saline or STS or polidocanol? Be careful. After all, it is still your body and they are injecting a drug in your veins.

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Jul 03, 2012

I charge per session, so I don't really know how many injections I'd perform per session.

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Answered by Angelo N. Makris MD

I charge per session, so I don't really know how many injections I'd perform per session.

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Jul 03, 2012

The real value is the knowledge and skill of the treating physician, and making judgements based upon dollars per injection is a good way to make a poor decision.

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Answered by VeinCare Centers of Tennessee

The real value is the knowledge and skill of the treating physician, and making judgements based upon dollars per injection is a good way to make a poor decision.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jul 03, 2012

I do not think this is a good deal. Vein treatment is very individual and more than one modality can be used in combination for maximum effect (i.e. topical laser and sclerotherapy). I would seek a second opinion from an experienced vein treatment surgeon to ascertain what is most appropriate for you.

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Answered by Vein Specialties of St. Louis

I do not think this is a good deal. Vein treatment is very individual and more than one modality can be used in combination for maximum effect (i.e. topical laser and sclerotherapy). I would seek a second opinion from an experienced vein treatment surgeon to ascertain what is most appropriate for you.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Jul 03, 2012

Depends on the vein, but generally 50 injections will cover a lot of veins.

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Answered by General Vascular Surgery Group

Depends on the vein, but generally 50 injections will cover a lot of veins.

Published on Jul 11, 2012


Advanced Vein Center

Published on Jul 03, 2012

This makes no sense to me either. I charge by time.

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Answered by Advanced Vein Center

This makes no sense to me either. I charge by time.

Published on Jul 11, 2012


The Vein Treatment Center

Published on May 30, 2012

The number of sections that you would need to treat spider veins depends on each person's response to sclerotherapy. Most of the time, you would need more than one treatment to achieve the desired result.

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Answered by The Vein Treatment Center

The number of sections that you would need to treat spider veins depends on each person's response to sclerotherapy. Most of the time, you would need more than one treatment to achieve the desired result.

Published on Jul 11, 2012


Vein Center at University Medicine and Cardiology

Published on May 30, 2012

A great question! It depends on the solution that is used (sclerosant) and modality. Most physicians who perform their own injection typically perform less injections as they isolate feeder vessels that may lie deeper than just superficial veins (depending on individual cases, of course). Cosmetic therapy, sometimes performed by parallel provider (nurse practitioners), may lead to more injections for the same area depending of vein size, etc. This is a difficult question to answer, and one size certainly does not fit all. Ultimately, you must decide based on the qualifications of your provider.

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Answered by Vein Center at University Medicine and Cardiology

A great question! It depends on the solution that is used (sclerosant) and modality. Most physicians who perform their own injection typically perform less injections as they isolate feeder vessels that may lie deeper than just superficial veins (depending on individual cases, of course). Cosmetic therapy, sometimes performed by parallel provider (nurse practitioners), may lead to more injections for the same area depending of vein size, etc. This is a difficult question to answer, and one size certainly does not fit all. Ultimately, you must decide based on the qualifications of your provider.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on May 10, 2012

Every vein treatment doc quantifies what "1 session" is differently. Some docs charge for time, others the amount of drug used, and I guess in the guy you are seeing, a number of injections. That being said, how many treatments you really need to accomplish what you are looking for goal-wise, is really dependent on how much vein disease you have on each respective leg. The more you have, the more treatments or injections you will require. One thing you want to make sure of is that your leg does not have anything abnormal on the inside, because if you do, you really need to address that problem first before any surface treatments are done. Internal problems if left untreated, can often reverse any treatments done on the surface...thus wasting your money. Also, internal problems can often be seen by insurance companies as a medical condition. In turn, your insurance may actually pay for your treatment.

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Answered by The Sheen Vein Institute

Every vein treatment doc quantifies what "1 session" is differently. Some docs charge for time, others the amount of drug used, and I guess in the guy you are seeing, a number of injections. That being said, how many treatments you really need to accomplish what you are looking for goal-wise, is really dependent on how much vein disease you have on each respective leg. The more you have, the more treatments or injections you will require. One thing you want to make sure of is that your leg does not have anything abnormal on the inside, because if you do, you really need to address that problem first before any surface treatments are done. Internal problems if left untreated, can often reverse any treatments done on the surface...thus wasting your money. Also, internal problems can often be seen by insurance companies as a medical condition. In turn, your insurance may actually pay for your treatment.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Apr 17, 2012

When I do sclerotherapy I average about 150 injections but I base my billing on amount of solution used. I do not think that paying per injection is a good deal.

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Answered by Vanish Vein and Laser Center

When I do sclerotherapy I average about 150 injections but I base my billing on amount of solution used. I do not think that paying per injection is a good deal.

Published on Jul 11, 2012


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