Frequently Asked Questions
Considering Venous Treatment?

Here are a few of our most frequently asked questions and the answers regarding venous disease and treatment.

What procedure do you use to treat spider or varicose veins?
Cosmetic treatments are performed using a system of injections called sclerotherapy. A tiny needle is used to inject an FDA approved solution to cause the veins to close down. The body will absorb this vein naturally over time.

Does sclerotherapy cause discomfort during treatment?
Sclerotherapy is performed with extremely small needles (typically, the size of a single hair strand), and most individuals barely feel the injection at all. However, there may be a mild burning sensation for 30 to 45 seconds after each injection. A cold compress may be used to minimize the discomfort.

Can varicose veins and spider veins reappear?
Once a varicosity or spider vein has been adequately treated, that vein is gone forever and will not reappear. You can, however, develop new varicosities and/or spider veins in other areas or even in areas that were previously treated.

Will getting rid of varicose veins and spider veins hurt my circulation?
Removal of true varicosities actually improves venous circulation by helping to restore normal venous blood volumes and venous pressures. In general, the removal of spider veins has a minimal effect on overall circulation and may improve local venous circulation in the area treated.

Can I get a blood clot from injection therapy (sclerotherapy)?
Blood clots may occur in the superficial varicosities when they are shut down by injection therapy, also known as sclerotherapy, but they do not impose any health risks and resolve as the body absorbs the injected vein. These superficial blood clots should not be confused with much more dangerous blood clots which can occur for other reasons in the deeper veins in the legs.

How long will it take before I see results?
This varies based on the severity of the disease being treated. Some individuals see results within a few weeks, but we caution most people not to expect their best cosmetic results for two to three months. In rare instances, it may take up to six months before the best cosmetic result is achieved. Individuals who are being treated for systematic varicosities will notice improvement in their symptoms within the first week or two following treatment.

Where do these veins come from?
Both varicosities and spider veins arise from previously normal veins that have become large or dilated. The most common causes of vein enlargement are an inherited weakness in the vein wall and local injury.

How many treatments will I need?
The number of treatments varies with the severity and type of venous disease. Larger varicosities can generally be treated in one or two sessions. Since spider veins run within the skin and not beneath it, they need to be treated more delicately to avoid injury to the surrounding skin. Generally, it takes at least two or three sessions to achieve optimal clearing for spider veins. Each session will take between 30 to 45 minutes to complete the procedure.

Will I be under any restrictions after treatment?
Depending on the size of the veins treated, you may be asked to recline with your legs elevated higher than the level of your heart for up to three hours.

When can I start exercising following treatment?
In general, light exercise can be started approximately 72 hours following injection with resumption of normal or even aggressive activity at one week.

Are compression stockings required?
No. A temporary elastic wrap may be applied and worn for 24 to 48 hours. These wraps are included in the cost of treatment.

Can I get treated the same day as my consultation?
There is always this possibility if a time slot is available. Most treatments take 30 minutes. If elevating your legs after treatment is recommended, planning ahead for this would be best.

What recommendations do you have for someone with diabetes regarding sclerotherapy?
The Clinical Director will treat each diabetic patient on a case-by-case basis depending on medications and severity of the condition.

Will hospitalization be required?
Sclerotherapy is considered to be a cosmetic treatment and will be performed on site in The Vein Center of South Carolina's treatment room. Venous surgery, performed by the physicians will be scheduled as outpatient surgery at a nearby hospital.

Will my health insurance pay for treatment?
Injection sclerotherapy is not covered by insurance; however, consultations by Clinical Director Catherine Quinn are free-of-charge. During consultation, treatment options and financial estimates will be provided. If the prescribed treatment is performed and the results fall below your or our expectations, we will continue treatment free-of-charge. If it is determined that you require treatment other than injection sclerotherapy, diagnostic studies and surgical procedures prescribed by Dr. Mark Borowicz will be pre-certified and are usually covered. Consultations by the physician are filed under insurance.

PLEASE NOTE: HMO patients must request a referral from their primary care physician if physician services are necessary. HMO patients are responsible for their co-payment.
Schedule an appointment
Call 843-449-3333 or
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Hours of operation:
Monday - Thursday 8 a.m. - 5 p.m.
Friday 8 a.m. - 2 p.m.

4036 River Oaks Drive
Myrtle Beach, SC 29579

Phone:   843-449-3333
Fax:   843-796-2376
Email The Vein Center Of South Carolina