Sclerotherapy is the primary treatment for spider veins and is very effective.   Despite the simplicity of the procedure, there are few good tips to follow post-procedure to ensure the best outcome:

• Stay active!   Take frequent walks during the first few days to encourage proper new circulation
• Wear compression stockings as directed by your vein doctor.  Studies demonstrate improved cosmetic results with at least 1 week of compression post-treatment
• Avoid anti-inflammatory medications including aspirin, ibuprofen or naproxen.
• Avoid long, hot baths, whirlpools and saunas
• Avoid strenuous exercises for 1 week following injections
• Avoid direct exposure to sunlight and stay out of the tanning bed.  Use proper sun protection with SPF >50 for the first few weeks.
• Do not apply a hot compress or any other form of heat to recently injected areas

We do not routinely prescribe topical agents after treatment, however, there are certain instances to consider a trial.  Sclerotherapy is injected into the spider and varicose veins as a chemical irritant.  However, this can be associated with hyperpigmentation especially in larger veins where the sclerosant can trap the blood inside the collapsed vein.   Blood contains hemosiderin which can leak out of the treated vein into the surrounding tissue. Oxidation of these pigments can cause bronzing of the skin (hemosiderin staining), which can last up to 12 months.  It’s difficult to predict who will be prone to staining, however with proper technique, the occurrence can be minimized.   For this reason, it is important to wear compression stockings post-treatment and follow up as recommended with your vein specialist.   During your visit, your doctor will also be able to determine if any topical agents are advisable.  Most commonly, medications containing hydroquinone have been prescribed for skin lightening directly targeting melatonin producing skin-cells. The medication is for short-term use only and is generally well-tolerated, though efficacy is not proven.  Any potential side effects of hydroquinone-containing medications should be discussed with your treating physician.  Exfoliants such as chemical peels can also be considered but carry a risk of causing inflammation and potentially further pigmentation.