Spider Vein Treatment
Safe, effective, and comfortable — modern sclerotherapy with no downtime.
About Spider Veins
Spider veins can form as early as the teenage years. By age 35, many have unsightly spider veins — but treatment is easier than ever. At Asheville Vein Center, Dr. Fontenot and Dr. Bock use modern sclerotherapy techniques to treat spider veins with some of the tiniest needles made. They personally perform each treatment. No saline injections, minimal discomfort, no unnecessary skin damage.
After your quick, office-based procedure, there are essentially no restrictions. You’ll leave in knee-high or thigh-high stockings, which we’ll ask you to wear for a few days — but you can immediately return to normal activities, including running, cycling, and working out. Most patients need two to three sessions for optimal results, spaced at least two months apart.
In some cases, we use ultrasound during treatment to identify and treat “feeder veins” beneath the surface — veins that, if left unaddressed, can cause spider veins to recur. When we address these feeding veins, your results are more lasting.
Spider veins are not caused by crossing your legs — that’s an unfounded myth. They are more common in women, especially those who’ve had multiple pregnancies or have a family history, but they can affect anyone.
What to Expect
- Office-based procedure — no hospital or surgical center required
- Modern sclerotherapy agents (not saline); minimal discomfort
- Ultrasound guidance used when feeder veins are present
- Leave in compression stockings, return to normal activities within a few days
- Two to three sessions typically spaced 2+ months apart
What Is Sclerotherapy?
Sclerotherapy is a time-tested, highly effective technique for treating spider veins and small-to-medium varicose veins. A specialized sclerosant solution is injected directly into the targeted vein using some of the smallest needles available, causing the vein to close and gradually fade from view.
At Asheville Vein Center, we use modern sclerosant agents — not the outdated saline injections that caused burning and skin damage. Our agents are gentler, more effective, and produce superior cosmetic outcomes.
When larger or deeper abnormal veins are contributing to spider veins, Dr. Fontenot or Dr. Bock may use ultrasound-guided foam sclerotherapy to treat those feeder veins beneath the surface. Addressing the root cause produces longer-lasting results and reduces the chance of recurrence.
Sclerosant Agents We Use
Compounded foam sclerotherapy — Compounded polidocanol foam is prepared on-site for precise, customized treatment of spider veins, reticular veins, and smaller varicosities. Foam sclerosants displace blood within the vein, maximizing contact with the vessel wall and improving efficacy.
Liquid sclerotherapy — For fine spider veins and telangiectasias, liquid sclerosant delivered through ultra-fine needles offers precise, comfortable treatment with minimal discomfort and excellent cosmetic results.
What to Expect
- Quick, office-based sessions — no sedation, no hospital
- Modern sclerosant agents; minimal discomfort
- Ultrasound guidance used when treating feeder veins
- Leave in compression stockings; return to normal activities within 3 days
- Most patients complete treatment in 2–3 sessions spaced 2+ months apart
- Treated veins gradually fade over weeks to months
Ready to Set Your Legs Free?
Contact our office today to schedule a consultation with Dr. Fontenot or Dr. Bock.