
Sclerotherapy & Telangiectasia Treatment:
Target unwanted leg veins, spider veins, and broken capillaries with medical precision.
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How Does the Treatment Work?
At Haus of Ästhetik, we use prescription-only sclerosants, such as Fibrovein (sodium tetradecyl sulfate), to treat telangiectasia (spider veins) and reticular veins through a technique known as microsclerotherapy. A fine needle is used to inject a sclerosant solution directly into the affected vein, causing controlled irritation of the vein lining. This leads to the vein collapsing and gradually being reabsorbed by the body, improving the skin’s appearance over several weeks.
This method is:
Clinically proven and widely used in both the NHS and private medical aesthetics for treating superficial vascular concerns.
Minimally invasive, with little to no downtime and well-tolerated when performed by experienced medical professionals.
Effective, with visible improvement typically seen after 2–4 sessions depending on the severity and location of the veins.
Tailored, with treatment areas often including the legs, thighs, and lower limbs. Telangiectasia on the face may be addressed using thermal cautery or laser where appropriate.
As this is a regulated, prescription-only procedure, a face-to-face consultation with a qualified prescriber is mandatory to assess suitability and ensure the safe delivery of treatment.

Effectiveness of Sclerotherapy for Spider and Reticular Veins
Clinical studies and UK-based treatment protocols have demonstrated that sclerotherapy, particularly when using sodium tetradecyl sulfate (e.g., Fibrovein), is highly effective in reducing the visibility and prominence of telangiectasia (spider veins) and reticular veins. Success rates vary based on vein size, location, and skin type, but 60–80% clearance can typically be achieved over a course of 1–4 treatments.
Vein Clearance Estimates by Area:
Legs (thighs and calves): 70–80% improvement after 2–4 sessions
Lower limbs (ankles/feet): 60–75% improvement (results may vary due to vein pressure and depth)
Face (for facial telangiectasia, alternative treatments may be recommended)
Does It Reduce Associated Symptoms?
Yes. While sclerotherapy is primarily cosmetic, many clients also report a reduction in heaviness, itching, or aching in the treated area, particularly where veins were dilated or symptomatic prior to treatment.
How Soon Will I See Results?
Initial fading can begin within 2–4 weeks, with progressive improvement over 6–12 weeks. Optimal results are typically seen after multiple sessions, especially when post-treatment protocols (compression, walking, avoiding heat exposure) are followed closely.
How Long Do the Effects Last?
Once treated veins are fully reabsorbed by the body, they do not return. However, new veins may develop over time, especially in clients genetically predisposed to venous insufficiency or those in standing occupations. Maintenance sessions every 1–2 years may be recommended for long-term results.
What to expect from your procedure:
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Treatment Duration:
30–45 minutes
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Pain Level:
Minimal, with a slight pinprick sensation
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Downtime:
Minimal, compression hosiery must be worn post-treatment
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Results Seens:
Gradual improvement over 4-8 weeks
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Longevity:
Results are long-term, however, new veins may appear over time.
Common Treatment Areas & Their Benefits – Sclerotherapy for Telangiectasia & Spider Veins
Thighs & Calves – Treating spider and reticular veins in these areas significantly improves the appearance of thread veins, allowing for greater confidence in wearing shorts or dresses without concealing garments.
Lower Legs, Ankles & Feet – Helps reduce prominent surface veins that may cause discomfort or aesthetic concern. These areas often respond well to sclerotherapy, particularly with appropriate post-procedure compression.
Posterior Knee & Popliteal Area – Especially useful for patients with early-stage venous reflux or mild reticular vein formation, reducing blue/green veins behind the knee for a smoother skin appearance.
Each injection is precisely placed using a fine needle to ensure the sclerosing solution targets the affected vein, promoting closure without damaging surrounding tissue. The treatment supports gradual resorption of the vein while maintaining healthy circulation through deeper, unaffected vessels.
Who is Suitable for Sclerotherapy?
Sclerotherapy is ideal for individuals who:
Experience visible spider veins, telangiectasia, or reticular veins that are not due to advanced venous insufficiency
Are bothered by the cosmetic appearance of thread veins on the legs or feet
Want a non-surgical, minimally invasive solution with little to no downtime
Are willing to follow aftercare instructions, including wearing compression hosiery and avoiding heat or vigorous exercise post-treatment
Have realistic expectations regarding the gradual fading process and may require repeat sessions
Medical Consultation Required: As sclerotherapy involves prescription-only sclerosant agents, an in-person consultation with a medically qualified practitioner is essential to assess suitability, exclude deeper venous disease, and customise the treatment plan.
Frequently Asked Questions
What is sclerotherapy?
Sclerotherapy is a non-surgical procedure where a prescription-only sclerosant is injected into visible veins (typically spider or thread veins), causing them to collapse and be reabsorbed by the body. The treatment improves the appearance of red, purple, or blue surface veins over time.
Is sclerotherapy painful?
Most patients experience only mild discomfort. The injections are delivered using a very fine needle, and any stinging or burning sensation is brief. Topical numbing cream may be used in sensitive areas if necessary.
How many sessions will I need?
Typically, 1–3 sessions are needed per treatment area, depending on the extent and depth of the thread veins. Your practitioner will advise you on an individualised plan based on vein severity and response to the first session.
When will I see results?
Initial fading may be seen in 3–6 weeks, but full clearance can take up to 3 months. Some stubborn vessels may require repeat treatment.
Are the results permanent?
The treated veins are permanently removed, but new veins may appear over time, especially if there is an underlying venous tendency. Maintenance sessions may be beneficial long term.
Why Choose Haus of Ästhetik?
At Haus of Ästhetik, we prioritise expertise, precision, and client satisfaction. Our treatments are carried out by highly trained practitioners, ensuring natural-looking results with a safety-first approach. We provide bespoke, medically led treatments tailored to your individual goals, so you can feel confident in the results.
What should I avoid after treatment?
You must wear compression stockings for 3–7 days, avoid strenuous exercise and heat exposure (hot baths, saunas, sunbeds) for 1–2 weeks, and follow all aftercare instructions. This helps reduce bruising and enhances results.
Are there any side effects?
Mild bruising, swelling, or itching at the injection site is common and usually resolves within 7–10 days. Rarely, pigmentation, matting (tiny new vessels), or inflammation can occur. These are discussed during your consultation.
Can I have laser treatment instead?
Laser is an alternative treatment for superficial red veins or facial telangiectasia. It can be especially effective in small or hard-to-reach areas. However, sclerotherapy remains the gold standard for leg veins, particularly those larger than 1mm, and tends to offer more predictable and cost-effective results in those cases.
Who is not suitable for sclerotherapy?
You may not be suitable if you are pregnant or breastfeeding, have a history of blood clotting disorders, uncontrolled diabetes, active skin infections, or poor circulation. A medical consultation is required before treatment.
Can sclerotherapy be performed on the face?
No. Sclerotherapy is not typically used for facial veins due to the increased vascular risk. Facial telangiectasia is better suited to laser or IPL (Intense Pulsed Light) treatments.
Book your consultation today and experience the confidence-boosting benefits of injections at Haus of Ästhetik.