Dr. Aouthmany, MD, FAAD
Board Certified Dermatologist



Pre-Treatment instructions for your legs prior to treatment for veins:

  • No aspirin or blood-thinning products for 2 weeks before the procedure

○     This includes fish oil, vitamin E, ibuprofen, non-steroidal anti-inflammatory drugs such as aspirin as well

○     Check with your physician first if you must be on these medications

  • Bring heavy, thigh-high support hose to wear when you leave the office and seven days after treatment
  • Do not shave or use depilatories on legs the day of the procedure.
  • Do not apply lotion to your legs on the day of the procedure.
  • Shower and thoroughly wash your legs on the day of the procedure.
  • Expect possible bruising for approximately one week after the procedure.
  • Wear loose-fitting clothing to wear during treatment.
  • Try to avoid drinking alcohol or smoking 2 days prior and 2 days after the procedure.
  • If you have any further questions, please ask the doctor prior to the procedure.

 Instructions for your legs after treatment for veins:

  • Leave thigh-high compression stockings on 24 hours a day for 1 week after treatment. They can be worn in the shower, using the hair dryer on the cool setting to dry them.

○     After the first week, stockings can be removed at night or any time that the legs can be elevated. Wearing the compression stockings will help you to achieve the best possible result with fewer side effects. The should continue to be worn as part of your regular routine and may prevent the appearance of new veins especially if you sit or stand for more than 6 hours a day, are pregnant, or have a strong family history of varicose veins.

  • Do not shave your legs for 3-4 days.
  • Do not use jacuzzis or take hot baths to prevent vein dilation for 1 week
  • Do not perform aerobic exercise such as jog or ride a bicycle for 1 week.

○     Take at least a 30 min walk after treatment, then daily at least 20 minute walk for 2 weeks

  • Mild muscle cramping is not uncommon. Tylenol can be taken if necessary.
  • It is normal and expected to have some redness and swelling around the treated veins that may last a week. May improve with over-the–counter Benadryl 25mg or a non-sedating antihistamine such as Zyrtec 10mg.
  • Bruising around the treated area is also normal and should resolve within 1 week.
  • Veins often temporarily become discolored as they heal. This means they may appear purple, darker red, or brown. Sun or tanning bed exposure worsen discolorations and may cause them to last longer or become permanent. Avoid sun exposure completely until the treated areas return to your normal appearing skin.
  • Some people develop a firm lump in a vein that may appear purple through the skin, usually 2 weeks after treatment. This is a non-dangerous, superficial accumulation of trapped blood that can easily be treated in the office. Please make an appointment for it to be evaluated.
  • Painful areas, expanding redness/ swelling, blistering, or leg swelling should be immediately reported to your doctor.
  • It may take up to 6 weeks for treated veins to improve. The appearance immediately after treatment can often look worse than prior to treatment.
  • Avoid blood thinners for 1 week following procedure (ask your doctor first if these are prescribed by your doctor)