Sclerotherapy Perth

Sclerotherapy: A simple, effective in-room treatment for varicose and spider veins

sclerotherapy perth

Sclerotherapy Perth

What is sclerotherapy?

Sclerotherapy is a minimally invasive treatment for varicose veins and spider veins. It involves injecting a specialised solution—called a sclerosant—into the affected vein, which causes the vein to scar and close. Over time, the treated vein is reabsorbed by the body, and blood is naturally rerouted to healthier veins.

“Sclerotherapy is a great option for treating smaller varicose veins and spider veins. It’s a quick, walk-in, walk-out procedure with no need for surgery.”

Dr Nishath Altaf Vascular surgeon Perth
Dr Nishath Altaf

Vascular surgeon Perth

This technique has been used for more than 150 years, and with new developments like ultrasound guidance and foam solutions, it has become more precise and reliable.

  • Liquid sclerotherapy works best for smaller veins,
  • Foam sclerotherapy can treat medium-sized varicose veins. The foam pushes the blood out of the way so the medication can reach the vein walls more effectively. However, for larger veins, other treatments like laser or glue therapy tend to work better.

Sclerotherapy treatment Perth

How does sclerotherapy work?

The procedure is straightforward and performed in the comfort of our rooms. Here’s how it works:

  1. Preparation – The targeted veins are identified using ultrasound guidance if necessary.
  2. Injection – A sclerosant solution, either liquid or foam, is injected directly into the vein.
  3. Vein closure – The sclerosant irritates the vein lining, causing it to collapse and seal shut. Blood flow is naturally redirected to healthier veins.
  4. Ultrasound monitoring – The procedure is monitored in real-time to ensure precision and effectiveness.
  5. Healing process – Over the following weeks to months, the treated vein is gradually reabsorbed by the body and fades from view.

Sclerotherapy results

Who is sclerotherapy suitable for?

Sclerotherapy is particularly effective for:

  • Small varicose veins and spider veins
  • Patients who have undergone previous varicose vein treatments and need follow-up care for smaller remaining veins
  • Those looking for a minimally invasive alternative to open varicose vein surgery

However, it is less effective for larger veins, where treatments like endovenous laser ablation or glue therapy may be more appropriate.

What are the outcomes of sclerotherapy?

Sclerotherapy offers moderate effectiveness, particularly for small-to-medium-sized veins. Studies show that around 60% of patients will remain varicose vein-free for at least three years following treatment. However, some veins may need re-injection for optimal results.

Regular ultrasound surveillance is often recommended to monitor early recurrences.

Is sclerotherapy covered by private health insurance?

Unfortunately, sclerotherapy is not covered by private health insurance as it is classified as an outpatient procedure. However, Medicare may provide a rebate if the treatment is considered medically necessary.

sclerotherapy perth

Recovery sclerotherapy

Recovery and aftercare

Walk-in, walk-out treatment – You can walk immediately after the procedure and resume normal activities the next day.

Compression stockings – Wearing compression stockings for about one week post-treatment helps improve results.

Mild discomfort – You may experience minor bruising, swelling, or itching, but these symptoms usually resolve within days to weeks.

Sclerotherapy is generally safe, but like any medical procedure, it carries some risks. I take every precaution to ensure these are minimised. Potential side effects include:

  • Bruising – Common after treatment but typically fades within a few weeks. Bruising creams and anti-inflammatory gels can help.
  • Skin staining – Occurs in 40-50% of cases, where the skin over the treated vein darkens. This usually fades within 6-12 months, but in rare cases, it may persist longer.
  • Skin ulceration – Rare, occurring in less than 1% of cases, but in severe instances, a skin graft may be required.
  • Deep vein thrombosis (DVT) – Very uncommon (less than 1% of cases), but in rare cases, a clot could travel to the lungs, causing a pulmonary embolism.

Sclerotherapy Perth

Sclerotherapy questions answered

What should I avoid after sclerotherapy?

Avoid direct sunlight on treated areas, hot baths, and saunas, for the first 48 hours. Skip intense leg workouts and high-impact sports. Flying should be avoided for the period we advise at your appointment. Wear your compression stockings as directed, walk daily, and try not to sit or stand in one spot for too long.

After treatment, heavy exercise can raise pressure in the treated veins. Pushing too hard too early may lead to irritation, skin staining, or small lumps. Gentle walking is encouraged, but it’s best to hold off on anything strenuous until we’ve reviewed your progress.

You might feel a brief pinch or mild sting with each injection. Some tenderness can linger for a few days, but it usually eases with walking and simple pain relief. Let us know if you’re sensitive to needles and we’ll take steps to make you more comfortable.

Sclerotherapy works best on spider veins and small to medium varicose veins. Larger veins, especially trunk veins, are usually better treated with laser or glue. We decide based on your scan, and sclerotherapy may still be used for smaller leftover veins.

Yes, for the right veins. Smaller veins often respond well, but results may vary. Some areas might need more than one session. Ongoing reviews help us track progress and treat new veins early if they appear.

Start by asking your GP for a referral. This helps you access any Medicare rebates available. We offer appointments in Nedlands, Carine, Midland, and Northam. During your booking, we’ll explain the costs, whether compression stockings are needed, and if an ultrasound will be part of your visit. Give us a call if you have questions about timing or travel, our team’s happy to help.

Vascular surgeon Perth Dr Altaf - About Dr Nishath

Sclerotherapy near me

Book a consultation

If you’re thinking about sclerotherapy for varicose veins or spider veins in Perth, I’d be happy to chat with you about your options. Book a consultation, and we can go through whether this treatment is the right fit for you.