Who should not receive sclerotherapy?

Who should not receive sclerotherapy?

Steve Fallek (Plastic Surgeon and Medical Director, Face Focus Medical Spa) gives expert video advice on: Who can get spider veins?; Who should not receive sclerotherapy?; Will all my spider veins be removed in one sclerotherapy session? and more...

I believe that anybody on blood thinners or anticoagulants should not have sclerotherapy by injection because this will lead to increased bruising and swelling in the area. If in fact there are other causes for the spider veins such as deeper venous issues, varicose veins, then I think it's important that this is a procedure that's done by a vascular surgeon, not a procedure performed in a medical spa.