What To Do Before Your Sclerotherapy Appointment

One Week Before Treatment

  • Obtain a pair of prescribed compression stockings (20-30mmHg or 30-40mmHg) to wear after your treatment. Wearing compression stockings for at least one week post-treatment improves results and may reduce the number of treatment sessions needed.
  • Avoid tanning and excessive sun exposure for one week before treatment, as UV exposure can increase the risk of hyperpigmentation.
  • If possible, avoid taking iron supplements for one week before and after treatment, as this may help reduce the risk of post-treatment pigmentation.

48 Hours Before Treatment

  • Avoid blood-thinning medications and supplements, including aspirin, ibuprofen (Advil®, Motrin®), naproxen (Aleve®), vitamin E, fish oil, Ginkgo Biloba, and other non-steroidal anti-inflammatory drugs (NSAIDs). These can increase bruising and interfere with treatment effectiveness. If these were prescribed by your physician, stop taking them only with your doctor’s approval.
  • Avoid alcohol and smoking for at least 48 hours before and after treatment, as both can impair circulation and healing.
  • Avoid applying creams, lotions, or moisturizers to your legs the night before and the day of your treatment to ensure a clean surface for the procedure.
  • If you take hormone replacement therapy or birth control pills, be aware that they can be angiogenic and may increase the risk of hyperpigmentation. Discuss any concerns with your provider.

Day of Treatment

  • Shower and wash your legs as usual, but do not apply lotion, sunscreen, or oils.
  • Wear loose-fitting clothing, as the treated areas may be wrapped in an ACE bandage, and tight clothing may not fit comfortably afterward.
  • Bring a pair of shorts to wear during the procedure.
  • Eat a light meal or snack before your appointment to prevent lightheadedness.
  • Avoid intense physical activity before your session, as increased circulation may impact results.
  • Inform your provider of any new medications, recent infections, or health changes that could affect your treatment.