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A Refined Vein Treatment for Beautifully Healthy, Smooth Legs

Small, visible veins can affect both your confidence and comfort, especially on your legs, where you want to feel at ease in any outfit or activity. Spider and varicose veins can cause aesthetic frustration and physical discomfort, including aching, throbbing, or itching, and can also make it harder to stay active. Sclerotherapy is a safe, clinically proven treatment for unwanted leg veins, helping restore the appearance and comfort of your legs. At our Raleigh clinic, we combine advanced vein treatments with a personalized, supportive approach tailored to each patient’s needs. Schedule your consultation today by calling Diehl Plastic Surgery at (919) 381-5540 and take the first step toward smoother, healthier legs.o treat spider veins and small varicose veins. During the treatment, a specialized sclerosing solution is carefully injected into the affected veins. This solution irritates the vein’s inner lining, causing it to collapse and be gradually absorbed by the body. Blood flow is naturally redirected to healthier veins, improving circulation and resulting in smoother, clearer skin over time. This procedure is highly effective for both cosmetic and therapeutic purposes. Beyond improving appearance, Sclerotherapy can relieve discomfort, including aching, swelling, burning, and itching, caused by problematic veins. It is performed in an outpatient setting, requires minimal downtime, and is supported by decades of clinical use as a safe, reliable treatment for achieving healthier, more confident legs.

How Does Schlerotherapy Work?

Sclerotherapy is a minimally invasive treatment designed to reduce the appearance of spider veins and small varicose veins. During the procedure, a medical professional injects a specialized solution directly into the targeted vein using a very fine needle.

The solution gently irritates the inner lining of the vein, causing it to collapse and seal shut. Once the vein closes, blood is naturally redirected to healthier surrounding veins. Over the following weeks, the treated vein is gradually absorbed by the body and fades from view.

The treatment is typically quick and well-tolerated. Most sessions take 15 to 30 minutes, depending on the number of veins being treated. Patients can usually return to normal daily activities shortly after their appointment, with minimal downtime.

Because sclerotherapy works directly at the source of the vein, it offers a precise and effective way to improve both the appearance and overall health of your legs.

What Does Schelrotherapy Treat?

Sclerotherapy is designed to treat visible, damaged veins that commonly appear on the legs and occasionally on other areas of the body. It is most effective for smaller superficial veins that cause cosmetic concerns or mild discomfort.

Sclerotherapy commonly treats:

Spider Veins

These are small, thin red, blue, or purple veins that appear close to the surface of the skin. They often look like webs or branching lines and are most commonly found on the thighs, calves, and ankles.
Slightly larger than spider veins, reticular veins are bluish or green veins that sit just beneath the skin. They may feed into spider veins and can sometimes cause mild aching or burning.
In some cases, sclerotherapy can treat small varicose veins that are not severely bulging but still visible and bothersome.

Beyond cosmetic concerns, sclerotherapy may also help relieve symptoms associated with superficial vein issues, including:

  • Aching or heaviness in the legs
  • Mild swelling
  • Burning or throbbing sensations
  • Nighttime leg discomfort

By targeting these veins directly, sclerotherapy improves circulation efficiency and helps restore a smoother, clearer appearance to the treated area.

Meet Dr. Diehl

  • Dr. Diehl completed full training in general surgery before pursuing additional, specialized training in plastic surgery. She is board-certified by the American Board of Plastic Surgery—the only plastic or aesthetic board recognized by the American Board of Medical Specialties. This certification requires a rigorous, multi-year process, including written and oral exams, as well as in-depth case review. A practicing surgeon since 2001, Dr. Diehl brings over two decades of extensive surgical experience to every procedure she performs.
  • Recognized among the top 7% of surgeons nationwide by Castle Connolly
  • Born in Peru and Fluent in Spanish
  • Inventor of the Diehl Liposuction Cannula(Black & Black Surgical)—a tool designed to enhance the safety and precision of liposuction procedures.
  • National speaker on labiaplasty and sexual wellness
  • Fully trained general surgeon/trauma surgeon
  • Renowned for her expertise in labiaplasty, vaginal rejuvenation, and precision body contouring—including body, chin, and mons pubis liposuction
  • As Medical Director of miraDry, she has also traveled the world as an international speaker and educator
  • Previously certified by the American Board of Surgery
  • Provides non-surgical cosmetic treatments including CoolSculpting®, Thermi®, miraDry®, and injectables to patients
  • Trained in cosmetic facial, breast, and body procedures, including SmartLipo MPX, an FDA approved laser liposuction technology.
  • Dr. Diehl is known not only for her surgical excellence, but for her honesty, warmth, and discretion. Patients seek her out for results that feel natural, empowering, and beautifully transformative.
  • Member of the LIMITLESS Steering Committee – the LIMITLESS Leaders Summit is built to educate, elevate, and empower female surgeons through leadership development, collaboration, and networking.
Learn more about Dr. Diehl
Dr. Cynthia Diehl in the OR
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Benefits of Sclerotherapy

  • Reduces the appearance of spider and varicose veins for smoother, clearer legs
  • Helps you feel more confident wearing shorts, skirts, or swimwear
  • Relieves discomfort such as aching, burning, swelling, or itching
  • May prevent vein problems from worsening or causing complications
  • Minimally invasive procedure with little downtime

What to Expect During Schlerotherapy

Our minimally invasive vein treatment process is safe, structured, and designed to maximize results while keeping you comfortable:

Step 1: Comprehensive Consultation

Your provider reviews your medical history, examines your legs, and discusses your concerns and aesthetic goals. Any necessary assessments, such as vein mapping or ultrasound, are completed to ensure safety and suitability for Sclerotherapy.

Step 2: Personalized Treatment Plan

Based on your evaluation, your provider creates a plan tailored to your veins, which may include:
  • Number of Sclerotherapy sessions needed
  • Targeted veins and injection strategy
  • Post-treatment care instructions
  • Follow-up appointments to monitor results

Step 3: The Procedure

In a private treatment room, your provider injects the sclerosing solution directly into targeted veins. Most patients experience only a brief stinging or burning sensation. The session typically takes 30–45 minutes, depending on the number and size of veins treated.

Step 4: Recovery & Follow-Up

After treatment, you’ll receive clear instructions for compression stocking use, walking, and activity restrictions. Follow-up visits ensure veins respond as expected and schedule any additional treatments as needed.

Step 5: Maintenance & Long-Term Results

Once treated veins have healed, ongoing steps such as wearing compression stockings as needed, staying active, and monitoring for new vein formation can help maintain smooth, healthy legs over the long term. Your provider will discuss lifestyle tips and strategies to support lasting results.

Are You an Ideal Candidate for Sclerotherapy?

Sclerotherapy is not a one-size-fits-all treatment. Ideal candidates typically:
  • Are adults bothered by visible spider or small varicose veins
  • Are in generally good overall health
  • Have realistic expectations for cosmetic improvement and symptom relief
  • Do not have certain circulatory disorders or allergies to sclerosing agents
  • Are not pregnant or currently breastfeeding
A consultation with our board-certified provider helps ensure your safety and determine whether Sclerotherapy is the right option for your needs and goals.

Why Choose Diehl Plastic Surgery for Sclerotherapy?

At Diehl Plastic Surgery, every vein treatment is performed with precision, expertise, and a commitment to natural-looking results. Led by a board-certified female plastic surgeon, our practice combines advanced medical knowledge with an aesthetic eye to deliver beautifully refined outcomes in a modern, comfortable setting.

Sclerotherapy is both a medical and cosmetic treatment, and experience matters. We carefully evaluate your veins, circulation, and overall leg health before designing a personalized treatment plan. Our goal is not just to treat visible veins, but to create smoother, clearer legs that look balanced and natural.

From your initial consultation through follow-up care, your experience is fully personalized. We take time to understand your concerns, answer your questions, and ensure you feel confident every step of the way.

Reveal Smoother Legs With Sclerotherapy Near You in Raleigh, NC

If you are ready to address spider or varicose veins and feel more confident in your own skin, scheduling a consultation is your next step. Our caring Raleigh team is here to guide you, answer your questions, and design a personalized sclerotherapy treatment plan to meet your goals.

Take the first step toward smoother, healthier-looking legs by calling Diehl Plastic Surgery at (919) 381-5540 to reserve your appointment and discover how expert care can help you feel comfortable and beautiful every day.

Call (919) 381-5540 to schedule a consultation today and transform your appearance with confidence.

Sclerotherapy FAQS

Most patients find Sclerotherapy very tolerable. The injections themselves may cause a mild burning or stinging sensation that typically subsides within a few seconds. Our providers use the smallest possible needles and gentle techniques to minimize discomfort, and we remain attentive to your comfort throughout the procedure.

The number of Sclerotherapy sessions required depends on the extent and size of the veins being treated. Some patients notice improvement after a single session, while others may need two or more treatments for optimal results. Your provider will outline a personalized plan during your consultation so you know what to expect.

Sclerotherapy involves minimal downtime. You can usually return to work and light activities immediately, with recommendations to wear compression stockings and avoid strenuous exercise for several days. Most patients experience only minor bruising or redness that fades quickly.


Many patients notice visible improvement within 3 to 6 weeks for smaller veins, while larger varicose veins may take 3 to 4 months to fully improve. Multiple sessions may be recommended for optimal outcome.

Treated veins are permanently removed, but new veins can develop over time. Maintaining a healthy lifestyle and following your provider’s recommendations can help reduce the appearance of new veins.