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Sclerotherapy involves injecting a “sclerosant” into spider veins that commonly appear about the knees, thighs, and even ankles. This is an office procedure that our plastic surgeon, Dr. James F. Boynton, commonly performs. The injections typically cause very little discomfort and can eradicate these spider veins, but in most cases, it has to be done over several sessions.

Dr. Boynton commonly treats spider veins on the legs as well as prominent veins on the backs of the hands and chest. Sclerotherapy remains the treatment of choice to eradicate most superficial leg veins; however, there are several other related techniques that can be used that allow Dr. Boynton to create a unique treatment plan for each patient.

Foam Sclerotherapy for Larger Vein Treatment

Foam sclerotherapy is a special technique that may be used to increase the clearance-rate of larger vessels. The traditional solution used in sclerotherapy is aerated to increase the surface area of the drug, thus making it more efficacious than the liquid solution, vastly improving the nonsurgical treatment of unsightly leg veins.


Asclera is a solution that is injected into the spider vein or varicose vein. The solution damages the inside of the blood vessel, which triggers a reaction in the body that causes the vein to close and eventually disappear. Typically, Asclera is used for uncomplicated spider veins and smaller varicose veins, but it may also be combined with other leg vein treatments depending on the goals of each patient and Dr. Boynton’s experience with sclerotherapy.

Laser Leg Vein Treatment and Hyfrecation

Very tiny veins may need to be treated with lasers, hyfrecation (especially around the base of the nose), or a combination of lasers and sclerotherapy.

High-frequency eradication, or Hyfrecation, has a large number of uses ranging from wart removal to treatment of smaller, superficial veins. Depending on the needs and cosmetic goals of each patient, Dr. Boynton will utilize Hyfrecation as necessary.

Combination of Leg Vein Treatments for Best Outcome

Dr. Boynton will often utilize multiple injection techniques (including both standard and foam sclerotherapy) as well as a variety of solutions such as STS (sodium tetradecyl sulfate), glycerin, and hypertonic saline to get the best possible results in each individual patient.

Contact Boynton Plastic Surgery

For more information on sclerotherapy and leg vein treatment, and how Dr. Boynton can help restore your confidence in the appearance of your legs, contact Boynton Plastic Surgery today.

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