At some point in their lifetime, more than half of the population will be affected by venous insufficiency. Phlebology is the medical specialty that evaluates and treats veinous diseases.

Dr. Hould offers the non-invasive treatment of varicose veins through sclerotherapy. Using small, normally painless needles, she injects a mild sclerosant solution into problematic veins, causing them to close. The body reabsorbs and clears the veins within a few days, the treated areas quickly heal, and legs soon look and feel healthier.

Varicosities and varicose veins

In your body’s circulation system, veins return blood to your heart as arteries carry blood away from your heart.

Veins that become varicose have gradually lost the ability to maintain healthy blood flow. They first appear as thin lines beneath the surface of the skin and develop into clusters resembling fine tree branches. These clusters are known as spider veins. With time, the condition can progress and cause bulging veins at the surface of the skin. Beyond the protrusion of unsightly veins, venous insufficiency can cause discomfort, pain, and a feeling of constant heaviness in the legs.

Risk factors

Over half the population will experience varicose veins in their lifetime. Medical research has documented several probable contributors that include:

  • Heredity: there is more risk of suffering from venous disease if one of more family members presents with varicosities.
  • Gender/Pregnancy : female hormones such as progesterone can have an impact on vein walls and cause them to dilate. During a pregnancy, hormone levels are higher than normal for all three trimesters. The veins that become dilated will often not return to their normal function and appearance post-pregnancy.
  • Age : varicosities increase as we age
  • Lifestyle habits : the calf muscles act as pumps to push the blood from the legs to the heart. When are sedentary or remain seated for extended periods without contracting our calf muscles, we don’t activate this essential function for healthy legs.
  • Occupation : people who stand for extended periods of time are more at risk of developing varicosities
  • Obesity
  • Previous trauma to legs (fractures, etc.)
  • Ethnicity : Research has shown that Caucasians are more prone to venous insufficiency

Venous insufficiency is a chronic disease

There is no known cure for venous insufficiency. However, regardless of the severity of your varicose veins, there are numerous non-invasive, non-surgical options available to help slow the progression of the disease and improve the appearance of your legs. We offer sclerotherapy, the safest, most reliable and time-tested therapeutic procedure available for treating spider and small varicose veins.


Sclerotherapy involves the injection of a solution directly into the afflicted vein, causing the vein to collapse. Your body channels blood flow to the surrounding veins, while gradually absorbing and clearing the injected vein. Within a month, treated veins usually disappear.

For small spider veins, we perform visual sclerotherapy. When venous disease is more advanced and we need to reach deeper veins beneath the skin, we use ultrasound-guided sclerotherapy.

First consultation

For your initial consultation, you will be asked to complete a questionnaire on your medical history, including important considerations such as health issues, past surgeries, medication, allergies, family history, and previous vein care procedures. We will also ask you about venous symptoms.

We will then examine your veins and perform an ultrasound exam of the superficial venous system. The ultrasound allows the physician to evaluate deeper veins and localize the source of any problems. In some cases, the small veins located at the surface of the skin are caused by a diseased deeper vein. If that vein is not treated first, the treatment will not be as effective, and the results less satisfying.

After this complete evaluation, we then take the time to explain our findings and discuss various treatment options. We will answer your questions and decide on a treatment plan together.


How long do treatment sessions last?

Treatment sessions usually last from 20 to 30 minutes. The quantity of veins treated in a session will vary depending on their size, location, and the general state of your health.

How many treatment sessions are required?

The number of treatment sessions varies for each patient. For the aesthetic treatment of varicose veins, an average of 2 to 6 treatment sessions is usually necessary. In cases where problematic vein areas are more numerous, clustered or advanced, the number of sessions required for proper treatment may be higher.

As venous insufficiency is a chronic condition, an annual vein care check-up is also recommended.

Are the treatments painful?

Given the small needles used in sclerotherapy, treatments are normally pain-free. Patients may feel a slight pin-prick and mild burning sensation during injections, but any discomfort quickly subsides.

When needed, we can also use a small vibrating device that, when pressed against the skin, distracts from any discomfort during treatment.

Do the treatments have any secondary side effects?

There may be some light bruising, swelling, or spotting in the injection areas immediately following a treatment session. These minor effects usually subside within 1 to 2 weeks, and will be explained in detail during the initial consultation. Patient awareness and education are among our highest priorities.

Do I need to take any time off?

No. We recommend that you walk for 20-30 minutes after the treatment to enhance circulation. You can resume your normal daily activities, including work, immediately after your visit.

How long will it take to see results?

Results usually become visible within 2 to 6 weeks post-treatment. Any post-treatment secondary effects usually disappear within the same timeframe.

How can I maximize treatment success?

While you can and should resume regular daily movement and exercise, if possible, avoid prolonged sun exposure and soaking legs in hot water for 10-14 days following treatment.

We also strongly recommend a daily walk of at least 20 minutes for the first 3 days after your treatment. The use of compression stockings for one week after treatment will also maximize the benefits of sclerotherapy.

What is compression therapy ?

Simply put, medical compression stockings have calibrated elasticity from bottom to top. They put constant, gentle pressure on the lower legs to facilitate blood flow and valve closure. As circulation gets a helpful boost, legs feel less heavy, and in more advanced cases of varicose veins, less painful.

Wearing medical compression stockings during the day is one of the best ways to slow the progression of venous insufficiency.