Recovery from Sclerotherapy: Do’s and Don’ts After Sclerotherapy for Best Results


Recovery from Sclerotherapy: Do’s and Don’ts After Sclerotherapy for Best Results
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North Atlanta Vascular Clinic and Vein Center

4/21/2025


Sclerotherapy treatment  is a popular, minimally invasive procedure widely used to treat spider veins and small varicose veins. It involves injecting a specialized solution into the targeted veins, causing them to collapse and gradually fade away. Although the procedure itself is quick, easy, and conveniently performed in your doctor's office, the recovery from sclerotherapy significantly influences the overall effectiveness and appearance of your results.

Proper recovery from sclerotherapy ensures minimal discomfort, reduces potential side effects, and lowers the chance of complications. Understanding the do's and don'ts after sclerotherapy and making lifestyle changes can be highly beneficial for you. 

What to Expect During Sclerotherapy Recovery Time

Recovery after sclerotherapy is generally straightforward, but knowing what to expect at each stage can help you feel more confident and prepared. 

Immediately After Treatment

In the initial 24 hours following treatment, mild bruising, swelling, redness, and itching around the injection sites are common. These symptoms are typically short-lived and easily manageable.

First Week Post-Treatment

During the first week, you might notice the treated veins becoming darker temporarily before they begin to fade. Mild tenderness, bruising, and discoloration may continue during this period, gradually diminishing as recovery progresses.

Two Weeks and Beyond

Symptoms substantially subside after two weeks. Veins progressively become less noticeable, although full results can take several weeks to months, depending on factors such as vein size, number treated, and your overall vascular health.

Common Symptoms During Recovery

  • Mild bruising
  • Swelling
  • Redness and itchiness
  • Mild aching or tingling sensations

When to Consult a Health Care Professional 

While the above symptoms are common and temporary, immediately contact a health care professional if you experience:

  • Severe swelling or intense pain
  • Skin ulceration or discoloration spreading outside treated areas
  • Signs of infection, including fever
  • Difficulty walking or breathing

Do’s After Sclerotherapy

To ensure optimal recovery after sclerotherapy, follow these essential guidelines:

  1. Wear Compression Stockings: Consistently wearing compression stockings for 1–2 weeks post-treatment is vital. Compression stockings help improve circulation, reduce swelling, and expedite the healing process, significantly enhancing overall results.
  2. Engage in Gentle Exercise: Engage in light walking for 10–15 minutes, several times daily. Gentle movement boosts blood circulation, reduces swelling, and prevents blood clot formation. Avoid prolonged periods of sitting or standing to reduce unnecessary pressure on your veins.
  3. Elevate Your Legs: Frequently elevating your legs above heart level for 15–20 minutes, multiple times a day, significantly reduces swelling and discomfort, supporting faster healing.
  4. Stay Hydrated: Drinking ample amounts of water helps flush toxins from your body, enhances blood circulation, and supports the healing process after sclerotherapy.
  5. Attend All Follow-Up Appointments: Attending follow-up appointments is crucial for monitoring your healing progress. These appointments allow your provider to assess your recovery and determine if additional sessions are necessary.

Don’ts After Sclerotherapy

To prevent complications during your recovery, avoid the following:

  1. Strenuous Exercise: Avoid heavy lifting, running, intense cardio workouts, or strenuous exercises for at least 1–2 weeks post-treatment to prevent excessive vein pressure and potential complications.
  2. Exposure to High Temperatures: Avoid hot baths, saunas, hot tubs, and direct application of heating pads or hot compresses for at least two weeks. Excessive heat dilates veins and can interfere with their proper healing.
  3. Limit Sun Exposure: Sun exposure can aggravate bruising and cause pigmentation issues. Protect treated areas using high-SPF sunscreen and clothing whenever you're outdoors.
  4. Resist Scratching or Rubbing: Itching is natural, but scratching or rubbing treated areas can lead to skin irritation, delayed healing, and infection. Apply a gentle moisturizer or consult your provider for suitable relief methods.
  5. Avoid Tight Clothing: Tight clothing, especially around the waist and legs, restricts blood flow, prolonging your recovery time. Opt for comfortable, loose-fitting clothing instead.
  6. Temporarily Quit Smoking and Alcohol: Avoid smoking and consuming alcohol for several days post-treatment. Smoking hampers blood circulation, delaying healing, while alcohol can dehydrate your body, impeding recovery.

Additional Sclerotherapy Recovery Tips

There are some additional tips that can help you in your recovery journey: 

  • Minimize Bruising Effectively: Use cold compresses wrapped in cloth for 10–15 minutes at intervals during the first 24 hours to alleviate swelling and bruising. Consider topical arnica, approved by your provider, to expedite bruise recovery.
  • Gentle Skincare Regimen: Avoid skincare products containing harsh chemicals, retinol, or exfoliating acids near treated areas for several days post-treatment, reducing irritation and sensitivity.
  • Document Your Progress: Taking weekly progress photos can help you visualize your recovery trajectory clearly, offering valuable insights during follow-up consultations.

Conclusion 

By following the recommended do’s and don’ts after sclerotherapy, you can set the stage for a smoother, more effective healing process. From managing symptoms to knowing what to do after sclerotherapy, each step plays an important role in achieving optimal results. With the right aftercare and consistent attention to these guidelines, you can minimize side effects, enhance your comfort, and enjoy a successful recovery with lasting improvements.

Also Read: 10 Frequently Asked Questions about Sclerotherapy

Track Your Sclerotherapy Recovery with North Atlanta Vascular Clinic

Wondering exactly what to do after sclerotherapy or how to ensure the best recovery? At North Atlanta Vascular Clinic, our experienced vascular specialists are here to help you navigate every stage, from treatment to healing. Whether you’re seeking clarity on the do’s and don’ts after sclerotherapy or exploring the right treatment for your vein concerns, we’re ready to provide expert guidance tailored to your needs. Don’t leave your recovery to chance, schedule a consultation today and take the first step toward healthier legs.


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North Atlanta Vascular Clinic and Vein Center

North Atlanta Vascular Clinic is a vascular surgery center located in Suwanee, Cumming, Alpharetta, and Lawrenceville, Georgia. Our vein disease specialists offer a comprehensive examination that includes a physical examination, review of your symptoms, and discussion of your medical history. We use advanced venography techniques and provide effective treatment for several health conditions like DVT, Spider Veins, Leg Cramps, MTS, and more. Contact us to get accurate diagnosis and treatment for all your vascular diseases.

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