Surface Sclerotherapy in Melbourne
Fine-needle injection treatment for spider veins and small varicose veins close to the skin surface. No surgery, no downtime.
What is Surface Sclerotherapy?
Surface sclerotherapy is a minimally invasive procedure that treats spider veins and small varicose veins by injecting a specialised solution directly into the affected veins. The solution irritates the vein wall, causing it to collapse and gradually fade from view. You may also see this treatment called direct vision sclerotherapy or microsclerotherapy. All three names describe the same procedure: injections placed into veins the doctor can see directly, without ultrasound guidance.
This treatment is ideal for veins that are visible near the skin surface and is one of the most established vein treatments available, with decades of proven safety and effectiveness.
How Surface Sclerotherapy Works
The Procedure
During your appointment, our vein doctor uses a fine needle to inject a sclerosing solution into the affected vein. The solution causes the vein wall to harden and seal shut, redirecting blood flow to healthy veins beneath the skin.
The procedure takes 30-45 minutes depending on the number of veins being treated. Most patients report minimal discomfort, with only a slight stinging sensation during the injection.
What to Expect
- Quick procedure with no general anaesthesia required
- Return to normal activities immediately after treatment
- Veins begin to fade within 1-3 weeks
- Multiple sessions may be needed for optimal results
Key Benefits
Non-Invasive
No surgery, no incisions, no anaesthesia required. Simple injection-based treatment.
Immediate Return
No downtime. Resume work and daily activities immediately after treatment.
Proven Results
Over 70 years of clinical use with success rates above 80% for spider veins.
Cost-Effective
Affordable treatment option compared to surgical alternatives.
Minimal Discomfort
Fine needle injection with minimal pain or irritation during procedure.
Customisable
Solution strength adjusted to vein size for optimal treatment.
Recovery & Aftercare
Post-Treatment Guidelines
Immediately After:
- Wear compression stockings for 1-2 weeks
- Avoid vigorous exercise for 3-5 days
- Stay hydrated
- Avoid hot baths and saunas for one week
First Week:
- Light walking is encouraged
- Some bruising is normal
- Temporary skin discolouration may occur
- Schedule follow-up appointment
What to Expect After Treatment
Treated veins do not vanish on the day. They fade gradually as the body absorbs the closed vein. This is the typical timeline for surface sclerotherapy.
final result
most patients
work
Treated veins begin to fade
Some bruising and slight discolouration around the injection sites is normal and settles on its own. Compression stockings during this period help the veins close properly.
Noticeable improvement
Most treated veins have faded significantly or are no longer visible. Your doctor reviews progress at your follow-up and books further sessions only if they are needed.
Final result
Treated veins have fully resolved. New spider veins can develop over time due to genetics and lifestyle, so a periodic check-up is recommended.
Frequently Asked Questions
Is surface sclerotherapy painful?
Most patients experience minimal discomfort. The needle is very fine, and any sensation is brief. Some people describe a slight stinging or warmth as the solution is injected.
How many treatments will I need?
This varies by individual. Most patients achieve significant results with 2-4 sessions spaced 4-6 weeks apart. Larger areas or more extensive veining may require additional treatments.
Can treated veins return?
Once a vein is successfully treated, it does not return. However, new spider veins may develop over time due to genetics and lifestyle factors.
Are there any side effects?
Minor side effects are common and temporary, including bruising, temporary skin discolouration, and mild itching. Serious complications are rare with an experienced vein doctor.
Can I return to work the same day?
Yes. There is no downtime with surface sclerotherapy. You can return to work and normal activities immediately after your appointment.
Who is not a good candidate?
Pregnant women, those with certain blood clotting disorders, or those allergic to the sclerosing solution may not be suitable candidates. A consultation will determine your eligibility.
Ready to treat your spider veins?
Book a consultation with our vein doctor to discuss surface sclerotherapy and create your personalised treatment plan.
Other Treatment Options
Not sure which treatment suits you? Just ask.
Tell us what you can see on your legs and what is bothering you. A member of our Melbourne team will reply within one business day, or point you to the right consultation. Your enquiry is confidential.
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No referral needed. No obligation to book.