Visible spider veins and reticular veins can be difficult to address with topical products alone, especially when they become more noticeable over time. Sclerotherapy offers a targeted, non-surgical approach to reduce their appearance and improve overall skin tone with minimal downtime.
At Metamorphosis Holistic MedSpa, care is provided under the clinical oversight of Dr. Desiree Wood, DNP, ARNP, AGPCNP-BC, a board-certified nurse practitioner with over 15 years of experience in adult and acute care medicine. The clinical team includes Christopher Kepler, an aesthetic nurse and laser and skin specialist with a background in dermatology and advanced aesthetic procedures. Treatment is planned with attention to vein type, size, and pattern to achieve precise, consistent results.
What Is Sclerotherapy?
Sclerotherapy is a non-surgical treatment used to reduce the appearance of spider veins and small varicose veins. A specialized solution is injected directly into the affected veins, causing them to collapse and gradually fade as the body reabsorbs them.
The procedure is performed in-office and does not require incisions or heat. Blood flow naturally redirects to healthier veins once the treated vessels close.
How Asclera Works
At Metamorphosis, we use Asclera (polidocanol) in two strengths—0.5% and 1%—to safely close unwanted leg veins so your body can absorb them over time, revealing smoother, more even-toned skin. It works by irritating the inner lining of the targeted vein, which causes the vessel to seal and break down over time.
The treatment is performed using precise micro-injections and provides a mild numbing effect to improve comfort during the procedure.
Treatment Approach And Solution Strengths
Different vein types require different treatment strengths for optimal results.
- Asclera 0.5% is used for spider veins that are 1 millimeter or smaller
- Asclera 1% is used for reticular veins between 1 and 3 millimeters
Reticular veins often act as feeder veins that contribute to visible spider veins. Treating these first, followed by smaller surface veins, helps achieve more even, longer-lasting results.
Who Is A Good Candidate for Sclerotherapy?
Sclerotherapy may be appropriate for individuals who:
- Have visible spider or reticular veins on the legs
- Prefer a non-surgical treatment option
- Are willing to complete a series of sessions for best results
Treatment may not be recommended for those who are pregnant, have a history of acute blood clots, or have a known allergy to polidocanol. A full medical review is completed before treatment.
What To Expect During Treatment
Appointments typically last between 15 and 45 minutes, depending on the number of veins being treated. The injections feel like small pinches and are generally well tolerated.
Most treatment plans include 1 to 3 sessions per area, spaced approximately 4 to 6 weeks apart.
Results And Recovery
Veins may appear darker shortly after treatment, then gradually fade over time. Noticeable improvement often develops over several weeks, with full results continuing to improve for 2 to 3 months.
Most individuals return to normal daily activities the same day or the following day. Mild bruising or discoloration may occur but typically resolves on its own.
Maintaining regular movement and overall vascular health can help support long-term results.
Aftercare Guidelines
Following aftercare instructions supports proper healing and improves treatment outcomes.
- Compression stockings are worn continuously for the first 24 to 48 hours, then during the day for one to two weeks
- Walking is encouraged on the day of treatment
- Strenuous lower-body exercise should be avoided for 24 to 48 hours
- Heat exposure, such as hot baths, saunas, and steam rooms, should be avoided for several days
- Sun exposure and tanning should be avoided until any discoloration has resolved
A personalized aftercare plan is provided following treatment.
Risks And Safety Information
Sclerotherapy is a well-established and safe procedure when performed by qualified providers. Most side effects are mild and temporary.
Common effects may include bruising, swelling, or slight tenderness at the injection site.
Less common risks may include:
- Inflammation or localized infection
- Blood clot formation in a treated vein
- Rare cases of deep vein thrombosis
- Temporary visual disturbances or headache from air bubbles
- Nerve irritation or allergic reaction
Any unusual or severe symptoms should be evaluated promptly.
Why Choose Metamorphosis Holistic MedSpa For Sclerotherapy?
Sclerotherapy treatments at Metamorphosis Holistic MedSpa are supported by advanced clinical training and extensive experience in aesthetic medicine. Christopher Kepler, an aesthetic nurse and laser and skin specialist, brings a strong medical foundation, including experience in emergency and critical care nursing, and years of dermatology training, working alongside leading cosmetic, medical, and surgical dermatologists in the Pacific Northwest. His background includes advanced injection techniques and ongoing education in aesthetic procedures, allowing for precise vein assessment and treatment planning.
Care is provided under the medical oversight of Dr. Desiree Wood, DNP, ARNP, AGPCNP-BC, a board-certified nurse practitioner with over 15 years of experience in adult and acute care medicine. Treatments are performed with attention to safety, technique, and appropriate clinical standards for vein care.
Non Surgical Vein Treatment in Bellevue & Issaquah, WA
Sclerotherapy offers a non-surgical way to reduce the appearance of spider and reticular veins and improve overall skin tone. With minimal downtime and a straightforward recovery process, it can be a practical option for many patients.
To learn more or get started, schedule a consultation by calling 425-626-2436.
