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More Than a Cosmetic Concern
Spider veins and small varicose veins affect millions of Americans and are often dismissed as a cosmetic nuisance. However, visible veins may be one of the earliest signs of chronic venous insufficiency—a condition in which the veins struggle to return blood efficiently to the heart. Left untreated, venous disease can progress, leading to leg pain, swelling, skin changes, and larger varicose veins.
At the Vascular Institute of Chattanooga, every patient receives a comprehensive evaluation to determine whether visible veins are simply cosmetic or part of a more significant vascular condition.
What Is Sclerotherapy?
Sclerotherapy is considered the gold standard treatment for spider veins and many small varicose veins. During this minimally invasive office procedure, a specialized solution is injected directly into the affected vein. The solution causes the vein walls to collapse and seal shut. Over time, the treated vein is naturally absorbed by the body while healthy veins take over blood flow.
Who Is a Candidate?
You may benefit from sclerotherapy if you experience:
• Spider veins or small varicose veins
• Aching or heavy legs
• Burning or itching around visible veins
• Swelling after standing
• Leg fatigue
• Restless legs
• Cosmetic concerns about visible veins
Before treatment, many patients undergo an IAC-accredited venous ultrasound to identify underlying venous reflux or other circulation problems that should be addressed first.

Benefits of Treatment
Patients often experience improved comfort, reduced aching and swelling, enhanced confidence, and healthier-looking legs. The procedure requires no general anesthesia, takes less than an hour, and most patients return to normal daily activities immediately. Walking is encouraged after treatment, and compression stockings are often recommended to optimize results.
What to Expect After Treatment
Results develop gradually over several weeks as treated veins fade. Depending on the number and size of veins, multiple treatment sessions may be recommended. Mild bruising or temporary discoloration can occur but generally resolves with time.
Why Choosing a Vascular Specialist Matters
Many cosmetic vein centers treat visible veins without evaluating the deeper circulation. At the Vascular Institute of Chattanooga, treatment begins with determining the underlying cause of vein disease. Correcting venous reflux or other vascular problems first helps produce better cosmetic results and reduces the risk of recurrence.
Frequently Asked Questions
Does sclerotherapy hurt?
Most patients describe only a brief stinging sensation.
Will my spider veins come back?
Treated veins typically do not return, but new veins may develop over time if underlying venous disease progresses.
Is treatment covered by insurance?
Coverage depends on whether treatment is medically necessary. Cosmetic-only procedures are often self-pay.
How soon can I exercise?
Walking is encouraged immediately, while strenuous activity may be limited for a short period based on your provider’s recommendations.

Why Choose the Vascular Institute of Chattanooga?
Our board-certified vascular specialists provide comprehensive vein evaluations using nationally accredited vascular laboratories and offer a full spectrum of minimally invasive vein treatments. We focus on treating the underlying cause of venous disease—not simply the visible veins—helping patients achieve healthier legs and long-lasting results.
Schedule Your Vein Evaluation
If you are experiencing leg heaviness, swelling, aching, burning, restless legs, or visible spider or varicose veins, schedule an evaluation with the Vascular Institute of Chattanooga. Early diagnosis and treatment can improve comfort, appearance, and long-term vein health.



