scelrobaf - Sclerotherapy
Sclerotherapy Consultation

Sclerotherapy is the preferred treatment for leg spider veins at Tallman Medical Spa.  A consultation appointment is required but often patients can be treated the same day as their consultation. Appointments generally last 20-30 minutes. Call 406.294.9660 to schedule your appointment.


What is Sclerotherapy?

Sclerotherapy is the treatment of spider veins or small thin blood vessels that lie close to the surface of the skin by the injection of a sclerosing solution into the vessel with a hypodermic needle. Sclerosing solutions irritate the vessel lining and cause the lining to become inflamed and the blood within the vessel will clot. The process causes the vessel to scar down and to become less noticeable or undetectable over a period of many weeks.

How many treatments do I need?

More than one treatment session is almost always necessary. Any one vessel may require repeated injections weeks apart in order to achieve the desired result.

How do I prepare for treatment?

Do not use oil, lotion or powder on your legs the night before or the day of your injections. Bring a pair of loose, comfortable shorts to wear during your treatment. Dress in loose clothes and comfortable shoes. You may bring personal compression stockings with you if you wish. You should avoid the use of aspirin and/or ibuprofen for a few days before and after the treatment if possible. The use of these medications could increase the amount of bruising you may develop.

Are there restrictions after treatment?

Generally, normal activities can be resumed after sclerotherapy. Your legs will be wrapped with compression bandages which should remain on your legs for 24 hours. You may drive immediately after your treatment. If your trip home is more than an hour, we recommend that you stop hourly to stretch your legs. Remove compression hose and shower the next day. Hot tubs and hot baths should be avoided for two weeks after sclerotherapy to avoid venous dilation.

Avoid high impact aerobics, jogging, running, leg weight lifting and sit-ups for one week after treatment.

Is sclerotherapy painful?

The treatment is not painful, but individual micro injections can cause a stinging or burning sensation.

How successful is sclerotherapy?

After several treatments, most people can expect up a 90% improvement in the treated veins. The fading process is gradual and may take a few months. Sclerotherapy usually produces disappearance of the spider veins, but it does not prevent similar veins from eventually appearing in the same general area.

What side effects are associated with sclerotherapy?

Side effects of sclerotherapy are generally minor and are far out weighed by the improvements that are possible with sclerotherapy. The side effects of sclerotherapy include:

  • Stinging or pain at the site of injection, local swelling of the feet or ankles, muscle cramping during injection.
  • Redness or local skin swelling at the site of injection. This usually resolves within a few days, though some lumps (blood clots within the treated vessel) may persist for many weeks and can occasionally require drainage through a small incision. If this occurs, it is not serious, but the skin incision can result in a scar. Inflammatory reactions may require treatment with anti-inflammatory drugs (like aspirin).
  • Bruising, brown lines or spots may occur at the site of treatment or along the vessel due to hemosiderin staining (iron-containing pigment in the blood). Such brown pigmentation can be very slow to resolve (months or years) or occasionally, it may be permanent.
  • “Mats” of the fine blood vessels frequently occur near the injection sites. These often resolve spontaneously, but some may persist.
  • Small painful ulcers at injection sites occasionally can occur. These require treatment and may result in permanent scarring.
  • Allergic reactions to sclerosing agents. These reactions can be mild or may be very serious.

What is the cost of sclerotherapy?

The total cost of therapy depends on the number of sessions. Each session costs $250 for the first 3 syringes and $200 for each additional syringe. Because the treatment is cosmetic in nature we do not submit claims for sclerotherapy to insurance companies, but can supply you with a copy of your encounter form if you would like to submit your own claim. Payment is due at time of service.