Mon – Fri: 9:00 AM – 5:00 PM
ENMon – Fri: 9:00 AM – 5:00 PM
ENTARGETED INJECTION TREATMENT FOR SURFACE VEINS
Texas Vein Experts provides personalized compounded sclerotherapy for spider veins, reticular veins, and eligible small varicose veins. During treatment, a clinician injects a selected sclerosant medication into targeted veins, causing them to close and gradually become less visible. Ultrasound guidance may be used for veins that are deeper or difficult to see from the surface.
The TVE Patient Commitment Guarantee means that if your leg symptoms don’t noticeably improve after completing your treatment plan, we’ll continue your care at no additional cost for eligible veins. Learn more.
TARGETED INJECTION TREATMENT FOR SURFACE VEINS
Minimally invasive physician-compounded foam injection treatment.
Spider veins, reticular veins, eligible small varicose veins, and selected varicose tributaries.
A sclerosant medication causes the target vein to close so it can gradually fade.
Approximately 20-40 minutes at Texas Vein Experts.
Surface veins may be treated visually; ultrasound may guide treatment of deeper or less visible veins.
Many patients receive one or two sessions; additional treatment may be recommended.
UNDERSTANDING THE TREATMENT
Sclerotherapy is an injection-based treatment used to close selected surface veins. A clinician places a small amount of sclerosant medication into the target vein with a fine needle. The medication causes the inner lining of the vein to react, allowing the vein to close. Blood naturally redirects through nearby functioning veins, and the treated vein gradually becomes less visible over time.
Sclerotherapy is commonly considered for spider veins, reticular veins, and eligible small varicose veins. It may also be used for remaining visible tributary veins after an underlying refluxing source vein has been treated with another procedure.
After the medication is injected, the target vein wall reacts and the vein closes. Gentle pressure or compression may help keep blood out of the treated segment while the closure response begins. Over the following weeks or months, the closed surface vein may fade as the body processes it. The treatment does not prevent other veins from developing later, and some veins require more than one session.
WHEN TO CONSIDER A VEIN EVALUATION
Sclerotherapy may be considered when spider veins, reticular veins, or eligible varicose tributaries create appearance concerns or localized symptoms. Because swelling, skin changes, heaviness, cramping, and broader leg discomfort can also indicate underlying venous reflux, Texas Vein Experts evaluates the source of the problem before selecting treatment.
Red, blue, or purple vessel networks that remain noticeable on the legs.
Selected small varicose tributaries that are appropriate for injection treatment.
Discomfort around treated tributary veins that may improve when those veins close.
Skin sensations near visible surface veins that should be evaluated in context with other symptoms.
A tired or weighted feeling that may require duplex ultrasound to determine whether deeper reflux is involved.
Signs that may reflect more advanced venous disease and should be evaluated before cosmetic-focused treatment.
PERSONALIZED TREATMENT SELECTION
Sclerotherapy is not selected from appearance alone. Texas Vein Experts evaluates the patient’s goals, symptoms, vein type, medical history, and ultrasound findings when needed. The treatment plan may use compounded sclerotherapy by itself or as one step within a broader venous-reflux plan.
Treatment may need to be delayed or modified because of pregnancy or breastfeeding, active blood clots, infection near the treatment area, known allergy to the selected sclerosant, significant circulation concerns, limited mobility, or another medical factor. The treating clinician determines candidacy and confirms the appropriate medication and aftercare plan.
The team reviews appearance concerns, aching, pressure, swelling, prior vein treatment, clot history, allergies, medications, pregnancy status, mobility, and other health factors.
Your provider evaluates spider veins, reticular veins, varicose tributaries, skin changes, swelling, and the distribution of visible veins.
Ultrasound may be used to identify deeper venous reflux, map target veins, and determine whether a source vein should be treated first.
The physician compares compounded sclerotherapy with Varithena, RFA, VenaSeal, and other appropriate options before recommending the order of care.
THE SCLEROTHERAPY PROCEDURE
1
The clinician confirms the treatment area, vein pattern, and treatment sequence. Ultrasound may be used when needed.
2
The skin is cleaned, and the leg is positioned so the target veins can be accessed safely.
3
A fine needle delivers a controlled amount of sclerosant foam into each selected target vein.
4
Gentle pressure, pads, bandages, or compression may be used according to the treatment plan.
5
The team confirms instructions for walking, activity, compression, skin care, follow-up, and possible additional sessions.
ON TREATMENT DAY AND AFTER YOUR PROCEDURE
The team confirms the target veins, symptoms, treatment goals, medical history, and whether ultrasound is needed.
The skin is cleaned and the clinician positions the leg for safe access to the selected surface veins.
A fine needle delivers small amounts of the selected compounded foam into the target veins. The number of injections depends on the treatment area.
Pads, bandages, or compression may be applied. Walking is commonly encouraged before the patient leaves the clinic.
Temporary bruising, redness, tenderness, itching, firmness, or mild swelling can occur around injection sites or treated veins.
Many patients return to ordinary daily activities quickly, but follow the physician’s restrictions for strenuous exercise, heat, travel, bathing, and sun exposure.
Spider veins and small varicose veins generally become less visible over the following weeks. Some larger treated veins may take several months.
The clinician may reassess treated veins, address trapped blood or persistent areas, and determine whether another session or a different treatment is appropriate.
CHOOSING THE RIGHT VEIN TREATMENT
The physician selects treatment based on the type and location of the veins, symptoms, ultrasound findings, medical history, treatment goals, coverage requirements, and whether an underlying refluxing source vein needs to be addressed. No single treatment is right for every vein.
| Comparison | Compounded Sclerotherapy | Varithena® | RFA / ClosureFast™ | VenaSeal™ |
|---|---|---|---|---|
| Treatment type | Physician-compounded foam injection treatment | Standardized prescription polidocanol microfoam | Thermal, catheter-based ablation | Nonthermal, catheter-based adhesive closure |
| Possible role | Spider veins, reticular veins, eligible small varicose tributaries, and residual surface veins | Eligible refluxing superficial veins and associated varicosities | Eligible refluxing superficial truncal veins | Eligible refluxing superficial truncal veins |
| How it works | A sclerosant medication causes selected target veins to close and fade | Prescription microfoam fills and closes an eligible target vein | Controlled radiofrequency energy closes the target vein wall | Medical adhesive seals the target vein |
| Guidance and access | Fine-needle injections; ultrasound may guide deeper veins | Needle or small access point with ultrasound guidance | Catheter positioned under ultrasound guidance | Catheter positioned under ultrasound guidance |
| Anesthesia | Numbing needs depend on the treatment plan; tumescent anesthesia is not generally part of surface injections | Local numbing may be used; tumescent anesthesia is generally not required | Tumescent local anesthesia is placed around the vein | Local anesthetic may be used at the access site; tumescent anesthesia is generally not required |
| Why it may be selected | Targeted treatment for appropriate visible surface veins or remaining tributaries | Nonthermal microfoam for suitable reflux patterns and vein shapes | Widely used heat-based option for suitable refluxing veins | Nonthermal adhesive option for suitable truncal reflux |
INSURANCE AND BENEFITS
The cost of sclerotherapy depends on the number and type of veins treated, the size of the treatment area, whether ultrasound guidance is used, the medication and formulation, the number of sessions, provider network status, deductible, copayment, coinsurance, and authorization requirements.
Insurance coverage often depends on whether treatment is medically necessary. Cosmetic treatment of spider veins may not be covered. Symptomatic varicose tributaries or treatment performed as part of a documented venous-reflux plan may be eligible under some policies, but coverage varies by plan. Texas Vein Experts accept most major insurance plans and can review benefits and explain expected patient responsibility before treatment.
The team reviews plan details, network status, authorization requirements, and available coverage before treatment when possible.
Coverage may depend on documented symptoms, duplex ultrasound findings, prior conservative care, and plan-specific criteria.
Spider-vein treatment performed only for appearance may be self-pay and may not qualify for insurance or the Patient Commitment Guarantee.
The final estimate depends on the veins selected, number of sessions, and whether another treatment is recommended first.
SCLEROTHERAPY CARE ACROSS TEXAS
Your symptoms, visible veins, medical history, and ultrasound findings when indicated help determine whether sclerotherapy is appropriate.
The team evaluates whether an underlying refluxing vein should be treated before remaining spider or varicose tributaries.
Sclerotherapy is a minimally invasive outpatient procedure that generally takes approximately 20-40 minutes.
You receive instructions about walking, compression, skin care, activity, follow-up, and whether another session may be needed.
YOUR VEIN CARE TEAM
Board-Certified General Surgeon
Treating venous disorders since 2011
Locations served:
Denton
Alliance
Fort Worth
Richardson
McGovern Medical School
Minimally invasive vein care
Locations served:
Cypress
Humble
Katy
Pearland
Sugar Land
The Woodlands
Board-Certified Internal Medicine
Hospital and wound-care background
Locations served:
Frisco
Waxahachie
Grand Prairie
Burleson
Board-Certified Internal Medicine
Ultrasound-guided vein care
Locations served:
New Braunfels
San Antonio
Stone Oak
VEIN CARE YOU CAN TRUST
SCLEROTHERAPY TREATMENT NEAR YOU
COMMON SCLEROTHERAPY QUESTIONS
English English 
Spanish
