The established treatment for leg spider veins — a solution injected into the vein collapses it, and your body absorbs it over the following weeks.
A sclerosing solution is injected directly into the target vein through a very fine needle. It irritates the vein lining, causing the walls to swell, stick together and seal shut. The collapsed vein becomes scar tissue and is gradually absorbed by your body, while blood reroutes through healthier veins nearby.
It has been used for decades and remains the standard treatment for spider veins on the legs — generally more effective there than laser, which tends to work better on facial vessels.
Large, bulging varicose veins usually indicate underlying venous insufficiency — valves in the deeper veins failing, allowing blood to pool. Treating surface veins without addressing that means they recur. If your examination suggests underlying insufficiency, the appropriate step is a vascular assessment with ultrasound, and we will tell you that rather than treat the surface.
Symptoms suggesting more than a cosmetic issue include aching or heaviness in the legs, swelling around the ankles, skin discolouration near the ankle, and cramping at night. Those warrant proper vascular evaluation.
Multiple sessions are normal. Most patients need two to four treatments spaced several weeks apart, and each session addresses a set of vessels rather than all of them. Anyone promising complete clearance in one visit is overselling.
Results take time. Treated veins fade over three to six weeks as your body absorbs them. Some vessels darken before they fade, which is normal.
Compression matters. Wearing compression stockings afterward — usually for one to two weeks — meaningfully improves results and reduces complications. Patients who skip it do worse.
You are pregnant or breastfeeding, have a history of deep vein thrombosis or a clotting disorder, have an active infection in the area, or are immobile. Disclose your full history and medications, including hormonal contraception, at consultation.
Filler is not a commodity procedure. Where product sits relative to bone, muscle, and vasculature decides whether a result looks refreshed or overdone. At Modern Aesthetica the founder and medical director, Dr. Daniel Moghadam, performs the injections himself rather than delegating to a technician.
We do not begin with a product. We begin with what is actually happening in your face — where volume has gone, how your skin behaves when it moves, how light falls across your cheekbones. The right filler follows from that. Sometimes the answer is a different treatment entirely, and we will say so.
We would rather place less and refine at your follow-up than overfill. Hyaluronic acid fillers can be dissolved if needed, but a face that has been overcorrected takes real time to recover its proportions.
Fillers are priced per syringe. You will know how many syringes are planned and what the total is before anything is injected. Current offers are on our promotions page.
Dr. Moghadam examines your legs and asks about aching, swelling and family history — to establish whether this is a surface problem or suggests underlying venous insufficiency.
Target vessels are identified and a treatment sequence planned across sessions.
A fine needle delivers solution into each vessel. You will feel small stings. Thirty to forty-five minutes.
Stockings are applied and worn for one to two weeks. Walking is encouraged; prolonged standing and heavy exercise are avoided initially.
Vessels fade over three to six weeks. We reassess before planning the next session.
Most patients need two to four sessions spaced several weeks apart. Each session treats a set of vessels rather than all of them, and results build across the course. Anyone promising complete clearance in a single visit is overselling it.
Treated vessels fade over three to six weeks as your body absorbs them. Some darken temporarily before fading, which is normal and not a sign of a problem.
The needles are very fine and most patients describe small stings with mild burning as the solution enters. It is generally well tolerated without anesthesia. Some cramping in the treated area is possible for a few minutes.
Yes, and it genuinely affects your result. Compression for one to two weeks afterward improves outcomes and reduces the risk of complications including hyperpigmentation. Patients who skip it consistently do worse.
Treated veins are permanently closed and absorbed. However, sclerotherapy does not prevent new veins forming, and genetic predisposition, pregnancy, hormones, prolonged standing and weight gain all contribute. Many patients have maintenance sessions every year or two.
Not with sclerotherapy alone. Large varicose veins usually indicate underlying venous insufficiency — failing valves in deeper veins. Treating surface vessels without addressing that means recurrence. If examination suggests insufficiency, the right step is vascular assessment with ultrasound, and we will refer rather than treat the surface.
Brownish staining along the treated vein, caused by iron deposits from broken-down blood. It occurs in a minority of patients, usually fades over several months, and occasionally persists longer. Compression reduces the risk, and it is more likely with larger vessels.
For leg spider veins, sclerotherapy is generally more effective and remains the standard treatment. Laser tends to work better on facial vessels and on very fine leg vessels too small to inject. Dr. Moghadam will advise based on what you actually have.
Patients come to our Beverly Hills office for sclerotherapy from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
Sclerotherapy is well established and effective for spider veins. Book a complimentary consultation to find out how many sessions yours would need.