Vein problems rarely appear overnight.
In most cases, they develop gradually, starting with subtle colour changes, mild discomfort, or visible veins that may initially seem like a cosmetic issue rather than a medical concern.
For many people, however, leg veins are more than an aesthetic problem. They can cause heaviness, aching, swelling, burning sensations, and progressive discomfort that worsens throughout the day. If left unaddressed, these symptoms may intensify over time and begin to affect daily activities, mobility, and overall quality of life.
This is where sclerotherapy plays an important role.
Sclerotherapy is a non-surgical medical treatment designed to address varicose and spider veins of the legs by directly targeting damaged veins, relieving symptoms while improving circulation and appearance.
Under the care of Dr.Ehsan Sotoudeh, sclerotherapy is approached as a medical treatment, not a cosmetic shortcut. The focus is on accurate assessment, symptom relief, and long-term vein health, not just surface appearance.
Not every visible vein requires treatment. However, certain changes signal that veins may need medical assessment. Physicians often evaluate leg veins using a practical clinical framework known as CVARE.
Veins that appear blue, purple, or deep red, especially when they stand out clearly from surrounding skin, may indicate underlying vein dysfunction rather than normal superficial veins.
Colour changes often reflect altered blood flow or pooling within the vein.
Veins that gradually become thicker, raised, or more prominent, or that change from fine, thread-like lines into larger visible veins, deserve closer evaluation.
Progressive enlargement often indicates valve dysfunction.
Symptoms such as:
are common indicators of venous insufficiency, particularly when symptoms worsen toward the end of the day.
Mild but recurring swelling of the ankles or lower legs, especially in the evening and improving overnight, may signal impaired venous return.
This type of swelling is often overlooked but clinically significant.
Any vein that:
should be medically assessed. Progression over time is one of the most important warning signs.
Spider veins are small, superficial veins visible on the surface of the skin.
They typically appear in red, blue, or purple colours and are most commonly seen on the legs.
In most cases, spider veins are not dangerous and do not cause serious medical problems.
The majority of patients seek treatment primarily for appearance-related concerns, rather than pain or medical risk.
Spider veins are more commonly seen in:
Hormonal factors, lifestyle habits, and genetic predisposition all contribute to their development.
The choice of treatment depends on the location, size, and depth of the affected veins.
Laser therapy is primarily used for:
It is generally less effective for leg veins, particularly deeper spider or reticular veins.
Sclerotherapy is considered the main and most effective treatment for:
It directly targets the affected vein and provides both symptom relief and cosmetic improvement.
In many cases, foam sclerotherapy offers significant advantages over liquid solutions:
For these reasons, foam sclerotherapy is frequently the preferred option for treating leg veins.
During sclerotherapy:
A visible change in vein colour may occur within minutes after injection, while full fading happens gradually over weeks.
Most patients are able to walk immediately after treatment, as the procedure is non-surgical and minimally invasive.
Many people delay seeking care because they believe leg veins are “normal” or purely cosmetic. In reality, visible veins accompanied by discomfort often reflect underlying venous disease.
If untreated, vein problems may:
Early assessment allows treatment at a stage where results are often better and intervention is simpler.
Your appointment begins with a careful evaluation of symptoms, vein patterns, and medical history. Not every vein requires treatment, and accurate assessment is essential.
A fine needle is used to inject the sclerosing solution directly into selected veins. The procedure is precise and controlled.
Treatment sessions are brief and performed on an outpatient basis. No general anaesthesia is required.
Treated veins fade over weeks to months as the body absorbs them naturally. Symptom relief often begins earlier.
Most patients experience minimal discomfort.
The injections may cause mild stinging or pressure, but the procedure is generally well tolerated.
There are no surgical incisions, no stitches, and no significant downtime.
Sclerotherapy may not be recommended for:
A thorough medical evaluation is essential to ensure safety and suitability.
Sclerotherapy is a safe and well-established procedure.
Temporary side effects may include:
These effects are usually mild and self-limiting.
Proper preparation helps ensure optimal results.
Before treatment:
Following aftercare instructions is important for healing and results.
For 48 hours after treatment:
If you experience any concerns or unexpected symptoms, contact your physician.
Treated veins typically begin to fade within a few weeks.
In some cases, full results may take one month or longer, depending on vein size and individual response.
Sclerotherapy is performed by Dr.Ehsan Sotoudeh at Eden Aesthetics Clinic.
Treatments are carried out in a professional medical environment with emphasis on safety, precision, and patient comfort.
If you notice visible leg veins accompanied by discomfort, heaviness, or swelling, a medical evaluation can help clarify whether treatment is appropriate.
Early assessment leads to better outcomes, and often prevents unnecessary progression.
