What is Microsclerotherapy and is it Right for You?

What Is Microsclerotherapy and Is It Right for You?
If you've noticed fine, thread-like veins on your legs—often referred to as spider veins—you're not alone. These small, visible veins can be caused by a range of factors including genetics, hormonal changes, prolonged standing, or pregnancy.
While they’re generally harmless, many people seek treatment for cosmetic reasons or to relieve mild symptoms such as aching or itching. One of the most effective treatments available for spider veins is Microsclerotherapy.
What Is Microsclerotherapy?
Microsclerotherapy is a minimally invasive procedure used to treat spider veins (also known as telangiectasias) and small reticular veins, usually found on the legs. It involves injecting a specially formulated solution—called a sclerosant—directly into the affected veins using an ultra-fine needle. This solution irritates the lining of the vein, causing it to collapse and eventually be reabsorbed by the body.
The treated veins gradually fade over a period of several weeks to months, improving both the appearance and comfort of the legs.
Why Is Microsclerotherapy Used?
Microsclerotherapy is typically recommended for:
- Cosmetic improvement of spider and thread veins
- Relief of minor symptoms such as aching, burning, or itching associated with small surface veins
- Prevention of vein progression, especially in patients with a strong family history of vein disease
It’s important to note that while microsclerotherapy is excellent for small veins, it is not used for larger varicose veins, which may require ultrasound-guided procedures.
Why Is Microsclerotherapy a Good Option?
Microsclerotherapy offers several advantages:
- Minimally invasive: No incisions or general anaesthetic required
- Quick treatment time: Sessions typically last 20–30 minutes
- Low downtime: Most people return to normal activities on the same day
- Effective results: Noticeable improvement is often seen within a few weeks
- Customisable: Multiple veins can be treated in one session, and treatment can be repeated if necessary
When performed by an experienced clinician, microsclerotherapy is a safe and effective way to enhance leg appearance and comfort.
Are There Side Effects?
Like any medical treatment, microsclerotherapy comes with potential side effects. Most are mild and temporary:
- Bruising or redness at the injection site
- Itching or mild discomfort in the treated area
- Pigmentation (brown lines or spots) along the vein, which usually fades over time
- Small clots or lumps (trapped blood) which can be easily treated in follow-up visit
- Rare but possible side effects include:
- Allergic reaction to the sclerosant
- Ulceration at the injection site (very uncommon)
- Matting, which is the development of new, tiny red veins near the treated area
A detailed consultation will help assess your suitability for the procedure and reduce the risk of complications.
Is It Right for You?
Microsclerotherapy is most effective for individuals who:
- Are in good overall health
- Have realistic expectations
- Are not pregnant or breastfeeding
- Do not have a history of clotting disorders or certain allergies
Wearing compression stockings after treatment and following post-procedure care instructions can further improve results and minimise side effects.
If you’re bothered by the appearance of spider veins or experiencing minor leg discomfort, Microsclerotherapy could be a simple and effective solution. Always consult a phlebologist to determine the most appropriate treatment plan for your unique needs.
Call our friendly team on 1800 483 467.