Washington, D.C. (202) 785-4187


What is it?

Is an injection used in sclerotherapy to diminish unwanted varicose and spider veins. It works by injuring the blood vessel and over time your body will metabolize it cause the blood to flow through other healthy vessels.

Paul G. Ruff IV
M.D., F.A.C.S.

Personalized, compassionate patient care is the foundation of West End Plastic Surgery's philosophy. Our board-certified surgeon, Dr. Paul G. Ruff IV embraces innovative techniques to ensure our patients get the best treatments available.

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Where can it be used?

It is best used on varicose and spider veins.

Pre Treatment Instructions

  • Compression hose are required to be worn immediately after each injection treatment. You may request a prescription to purchase at a pharmacy or medical supply store; you may also find online. 30 to 40mm Hg compression is what is recommended for use. You cannot be injected without your compression hose.
  • Do not apply oil, lotion or powder to your legs the night before or the day of your injections.
  • Bring a pair of loose, comfortable shorts to wear during your treatment. Dress in loose clothes and comfortable shoes; wearing heels is not recommended immediately after treatment.
  • Discontinue Aspirin (Bufferin, Anacin etc.), Ibuprofen (Motrin, Advil, Aleve etc.), or other blood thinning supplements (Vitamin E, Fish oil, etc.) for 10 days before and after injections to reduce bruising. Acetaminophen (Tylenol) is allowed.
  • Sclerotherapy treatment should last approximately 20 minutes. Please arrive 10-15 minutes prior to your first sclerotherapy treatment to allow time for photographs and to sign your consents.
  • Photographs will be taken before your first treatment to document progress. You will not be identified in your photographs and informed consent will be obtained before you are photographed.

Before & After Photo Gallery

We're as thrilled with our patients' results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do.

Post treatment instructions

  • Immediately after treatment you will put on your compression hose. The hose must be worn continuously 24 hours a day and for 7 days. They may be removed to be laundered, preferably at night while you are inactive. Your doctor may adjust the length of time to wear your hose. The compression hose are critical to the success of the treatment; they decrease the incidence of post sclerotherapy hyper pigmentation and telangiectasia matting and improve venous blood flow.
  • You may shower after the first 24 hours. Hot baths, hot tubs and saunas should be avoided for two weeks after sclerotherapy to avoid reopening treated vessels.
  • If you develop hyper pigmentation after sclerotherapy you should apply sun block to those areas if sun exposure is anticipated to avoid increasing the hyper pigmentation. Continue to use sun block until the hyper pigmentation has resolved.
  • You may drive immediately after your treatment. If your trip home is longer than an hour we recommend you stop hourly to stretch your legs.
  • You may return to work and resume normal activity after treatment, unless otherwise instructed by your treatment provider.
  • Please take a 15-minute walk immediately following your treatment. This will help circulate the solution that was injected. Walking is encouraged; it promotes efficient venous circulation.
  • Avoid sitting and standing for extended periods and elevate your leg(s) above the level of your heart when possible for the next two to three days.
  • Avoid high impact aerobics, jogging, running, leg weight lifting and sit-ups for one week after each injection treatment.
  • Do not use Aspirin, Ibuprofen, or blood thinning supplements for ten days after each treatment to reduce bruising. Acetaminophen (Tylenol) can be used if you experience any discomfort from sclerotherapy.
  • Subsequent treatments are usually every four to six weeks. Your treatment provider will inform you when you should return.
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West End Plastic Surgery 2440 M Street Northwest #200
Washington, District of Columbia 20037 (202) 785-4187 Monday–Friday: 8 a.m.–4:30 p.m. Get Directions