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Woman with nice legs at the beach


in Northern Virginia


Varicose Vein Removal

AVERAGE COST: $300 – $1,500

Using a chemical solution, sclerotherapy is a treatment that safely and permanently removes spider veins and varicose veins from the legs.

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Sclerotherapy, at Mountcastle Plastic Surgery & Vein Institute, is a procedure that is used to permanently and safely remove spider and varicose veins from the legs. Spider veins are the tiny red and purple wavy lines that appear on the legs of both men and women.

Many find them to be an unsightly nuisance. Some individuals will have larger veins, known as varicose veins. These are larger, bulkier veins that are blue and purple in color, and can cause pain and discomfort. Both types of veins are hereditary and will worsen with age if left untreated. After our board-certified plastic and general surgeon, Dr. Timothy Mountcastle, removes these veins, sclerotherapy helps to restore the beauty of the skin and allows for greater confidence to wear shorts, dresses, or skirts again. For additional information, follow the link below.

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Sclerotherapy is a cosmetic medical procedure used to treat varicose and spider veins. Our office uses Asclera, an FDA-approved solution for the treatment of spider veins. A tiny needle is used to inject Asclera directly into the vein. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Over time, the body will absorb the treated vein. Mild discomfort may occur, and a cramping sensation may be felt for 1 to 2 minutes when larger veins are injected. The number of veins injected in one session is variable, depending on the size and location of the veins, and the patient’s overall medical condition. Anywhere from one to several sclerotherapy sessions may be needed for any vein region.

Sclerotherapy is a procedure that will be tweaked for every individual based on the number, size, and location of the veins that are being treated. In most cases, there is usually one injection for every inch of spider vein. As each injection takes place, the surgeon will place light pressure on the injection site with a cotton ball and ointment.


Sclerotherapy is performed in an accredited surgical facility. No anesthesia is required for this procedure but you should only experience minimal discomfort. Recovery following vein treatment through sclerotherapy does not require any downtime or absence from the workplace.

Most individuals can resume normal activities within 24 hours. Medically prescribed support hose and/or bandages may need to be worn for several days to several weeks to assist in resolution of the veins. In general, spider veins respond to treatment in 3 to 6 weeks, and larger veins respond in 3 to 4 months.

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