Vein Treatment

leg veins


Laser Treatment & Sclerotherapy Injections 

If you suffer from unsightly spider veins, Lewisburg Plastic Surgery & Dermatology offers the industry’s safest and most effective leg and facial vein treatment. With this revolutionary new technology, Dr. Normington and his staff can help.

There are two main non-surgical methods to treat leg veins. One treatment is known as sclerotherapy. In this method a "sclerosing" agent is injected to shrink the vessels from the inside out. For individuals who are "needle phobic" or have a tiny cluster of spider veins, an alternative is available. Lasers and light sources play a unique role to effectively treat nuisance veins. What's new is that these devices are much more sophisticated today than in years gone by, so our results are that much more impressive. 

"Spider" veins do not have any useful function and treating them will not affect your circulation. The number of treatments needed varies for each individual depending on the type, size and number of veins to be treated. Multiple treatment sessions are usually required. It is important to realize that the best results require patience, as it takes time for your body to respond to vein treatments. It is important to follow the post-treatment instructions to optimize your results. 

Procedure Guidelines For Laser Treatments


  • Candidates for laser vein treatment have spider veins, unattractive small red, blue, and purple blood vessels, most frequently on their legs.

Intended Result

  • Laser vein treatment can reduce the appearance of spider veins and create a pleasing cosmetic result in affected areas.

Procedure Description

  • Done on an outpatient basis, laser treatment requires no anesthesia.
  • During the procedure, light energy is absorbed by the blood vessels. This heat absorption causes coagulation of the blood vessel, which is subsequently absorbed by the body.

Healing Process

  • Following treatment, patients should expect some redness or swelling, which usually fades within 1 week.
  • While in the sun, sunscreen SPF 20 or greater must be worn for at least 4 to 6 weeks following a treatment.

Enhancement Options

  • Sclerotheraphy or saline injections into larger veins may be incorporated into the treatment plan.

Insurance Guidelines
Because this procedure is considered cosmetic, it is not covered by insurance and must be paid by the patient.

Note: The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.



What is Sclerotherapy?
Sclerotherapy is a minimally invasive procedure done by your healthcare provider to treat uncomplicated spider veins and uncomplicated reticular veins. The treatment involves the injection of a solution into the affected veins.

How does Sclerotherapy work?
A sclerosing agent is injected into the vein. It works by damaging the endothelium, the cells lining the inside of blood vessels. This causes blood platelets to attach to the lining of the vessels; eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.

External compression is applied using supportive hose that are worn for five consecutive days. The compression causes the vein walls to seal together and the vein can no longer transport blood. Over time your body will break down and absorb the damaged vein.

When the healing is complete, the vein is much lighter in appearance or is no longer visible. Your legs will look worse before they look better. After the veins are treated, the body needs time to heal. Most people notice a significant improvement approximately four weeks after their initial treatment.

How long is each Sclerotherapy session?
A typical sclerotherapy session lasts 30 to 45 minutes. One injection is usually administered per inch with multiple injections per session.

What should I avoid after receiving Sclerotherapy?
For five days following the treatment, avoid (if you are uncertain, please ask your healthcare provider):

  • Heavy exercise
  • Sunbathing
  • Long plane flights
  • Hot bath or sauna 

You should tell your doctor about all medicines your are taking, including prescription and nonprescription medicines, vitamins and herbal products.

Side Effects:

Common side effects include:
Itching, hyper-pigmentation (light brown discoloration), telangiectactic matting (formation of tiny cluster of spider veins that appears in the area where a larger vein has resolved), pain, swelling and bruising.

Rare side effects may include:
Ulceration at the injection site, allergic reaction, and pulmonary embolus / deep vein thrombosis (a blood clot to the lungs or a blood clot in the deep vein). This is not seen as a complication when treating superficial veins.

Anyone who may be pregnant, have a history of blood clots or have slow wound healing issues (diabetes, lupus), or is taking any blood thinning agents (such as Coumadin, Plavix, and Aspirin) should not undergo this treatment.

 There is no guarantee sclerotherapy will be effective in every case. Periodic re-evaluations are encouraged so that any new veins that develop can be injected before they become too large or too numerous.