Sclerotherapy in Brickell, Miami

A sclerosing solution that collapses the vein

Sclerotherapy is the gold-standard treatment for visible leg veins and has been for decades because the mechanism is simple and well-proven. A sclerosing solution — typically a saline-based or detergent-based agent — is injected directly into the target vein through a very fine needle. The solution irritates the inner lining of the vein, causing it to swell shut and seal. Blood flow naturally reroutes through healthy veins nearby, and the collapsed vein is gradually reabsorbed by the body over the following weeks.

The treated vein does not "come back." Once a vein has been sclerosed and reabsorbed, it is gone permanently. New spider or varicose veins can still develop over time in other areas — which is why periodic maintenance sessions are common — but the vein we treat today is treated for good.

Foam vs liquid sclerotherapy

Depending on the size and pattern of the vein, the sclerosing agent can be delivered as a liquid or whipped into a foam. Foam sclerotherapy increases contact between the solution and the vein wall, which makes it useful for larger reticular and varicose veins; finer liquid technique suits delicate surface spider veins. Your provider chooses the technique vein by vein.

What makes our approach different

Rather than chasing individual veins one at a time, our practitioners map the clusters and "feeder" veins that supply them, then treat strategically to clear the most visible areas efficiently. Addressing the source — not just the most visible branches — produces cleaner results in fewer sessions.

Spider veins (telangiectasias)

Spider veins are small, thin veins that sit close to the surface of the skin, appearing as red, blue, or purple web-like clusters — most commonly on the legs, but sometimes on the face. They are primarily a cosmetic concern, though some patients experience mild aching or heaviness. When patients search for spider vein removal in Miami, sclerotherapy is almost always the treatment they mean — the injected vein collapses, seals, and is permanently removed as the body reabsorbs it. It is the most direct path to clearer skin for this surface texture and tone concern, and most patients see significant improvement after just 1–2 sessions.

Varicose veins

Varicose veins are larger, raised, and often twisted or rope-like. They develop when the one-way valves inside veins weaken, allowing blood to pool and the vein to bulge. Varicose veins can cause aching, throbbing, swelling, and fatigue in the legs — and they tend to worsen over time if left untreated. Denser clusters may need 2–4 sessions spaced 4–6 weeks apart.

Leg, facial & reticular veins

We treat leg veins, facial veins, reticular feeder veins, and leg vein discoloration. Clearing veins is often one part of comprehensive leg rejuvenation — pigment, sun damage, and skin firmness on the same area can be addressed alongside vein treatment in a coordinated plan.

What causes them

• Genetics — the single strongest predictor; if your parents had visible veins, you are likely to develop them.
• Prolonged standing or sitting — jobs that keep you on your feet or at a desk for long hours raise venous pressure in the legs.
• Pregnancy — increased blood volume and hormonal changes weaken vein walls.
• Hormonal factors — estrogen and progesterone shifts (birth control, menopause, HRT) can dilate veins.
• Age — vein walls and valves naturally weaken over time.
• Sun exposure — UV damage can contribute to spider veins, especially on the face, where it overlaps with broader pigment and discoloration concerns.

How many sessions you'll need

Most patients see significant improvement after 1–2 sessions for spider veins. Larger varicose veins or dense clusters may require 2–4 sessions spaced 4–6 weeks apart. Multiple veins can be treated in a single appointment, so a session clears a meaningful area at once.

Results timeline

• Week 1–2 — treated veins may look darker or more visible temporarily as the solution works; mild bruising is common.
• Week 3–6 — spider veins begin to fade noticeably; smaller veins often clear completely in this window.
• Month 2–3 — larger veins and denser clusters continue to fade; full results are typically visible by this point.
• Month 3+ — results are considered final; the treated veins are permanently gone.

Before your session

• Pause blood-thinning medications and supplements — aspirin, ibuprofen, fish oil, and vitamin E — for a few days prior, and consult your prescribing physician before stopping any medication.
• Wear loose, comfortable clothing to your appointment.
• Do not apply lotion to your legs on the day of treatment.
• Skip shaving the treatment area for 24 hours prior.

Each appointment

• No anesthesia is required — you remain awake and comfortable throughout.
• The treatment itself takes 30 to 60 minutes depending on the number and size of veins.
• You can walk and move around right away; most patients resume normal activities immediately.

Who's a good candidate

Sclerotherapy is generally well-tolerated. You may be a good fit if you:

• Have visible spider veins or small varicose veins on the legs
• Are bothered by the cosmetic appearance of leg veins
• Experience aching, heaviness, or discomfort associated with varicose veins
• Are in good general health with no history of deep vein thrombosis (DVT) or blood-clotting disorders
• Are not currently pregnant or breastfeeding
• Have realistic expectations about the gradual nature of results

What we screen for

Sclerotherapy is not recommended for patients with certain vascular conditions or clotting disorders. Our team reviews your medical history thoroughly at consultation — including any blood-clotting conditions, current medications, and prior vein issues — to ensure the treatment is safe and appropriate for you.

Worth knowing: in vascular medicine, sclerotherapy is also used to treat venous ulcers and other advanced venous disease. Our Brickell studio focuses on cosmetic spider and reticular veins — if your consultation suggests advanced venous disease, including vein ulcers, we refer you for a vascular evaluation rather than treating it cosmetically.

Comfort during treatment

Most patients feel only a mild pinch or slight sting with each injection — the needles are extremely small and the discomfort is brief. Mild bruising, tenderness, or cramping at injection sites is normal and resolves within 1–2 weeks. Every treatment at Miami Skin Spa is performed by a licensed medical provider after an individual evaluation — meet the team.

Right after your session

• Compression stockings or bandages are applied and should be worn as directed (usually 3–7 days) to support the treated veins.
• You can walk and move around right away — in fact, walking is encouraged to promote circulation.
• Avoid strenuous exercise, hot baths, saunas, and direct sun exposure for 48 hours.

The first two weeks

Mild bruising, tenderness, or cramping at injection sites is normal and resolves within 1–2 weeks. Daily broad-spectrum SPF on treated legs matters while the skin settles — Miami sun is unforgiving, and protecting the area helps avoid post-treatment discoloration.

Maintaining your results

Treated veins do not return, but new veins can develop over time if the underlying contributing factors remain present. Most patients stay ahead of new vein development with:

• Annual or semi-annual touch-up sessions — addressing new veins before they grow into larger clusters.
• Compression stockings — during long flights, extended standing, or pregnancy.
• Regular exercise — walking, swimming, and cycling promote healthy leg circulation.
• Elevating the legs — when sitting for long periods, to reduce venous pooling.

What we pair it with

For patients who want comprehensive leg rejuvenation, sclerotherapy pairs naturally with other body treatments — many patients fold vein clearance into a broader leg plan that also addresses cellulite and skin tone. Sequencing matters — our team coordinates timing so each treatment supports the next without interfering with recovery:

• Body lasers — clearing veins with sclerotherapy while addressing skin pigmentation, sun damage, or textural issues on the legs with laser treatment. Some surface vessels also respond to laser vein treatment.
• IPL — intense pulsed light for diffuse redness and fine facial vessels that suit a light-based approach rather than injection.
• Morpheus8 Body — for patients with both visible veins and skin laxity on the thighs, treating both concerns in a coordinated plan.

Bring your concern, not a treatment name — your provider maps the right combination at the consultation.