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The cost of Spider Veins (Sclerotherapy) in South Africa is USD 200 - USD 500
However, this cost can vary depending on several factors, including the type and severity of the condition, treatment techniques chosen, the healthcare facility's location and reputation, the treating professionals' experience and specialisation, and the patient's overall health status.
Additionally, factors like the duration of treatment, the need for follow-up care, and the use of advanced technologies or specialised treatments can further influence the overall cost.
Sclerotherapy is a medical procedure for treating spider and varicose veins, typically found on the legs. Your doctor will inject a specific solution into your spider or varicose veins using a needle. This chemical solution irritates the lining of your blood vessels, causing them to swell, adhere, and create a scar. This seals off your vein, improving its appearance and sensation.
Sclerotherapy isn't for everyone, although it can suit those with spider or varicose veins. Before the surgery, a vascular specialist will evaluate your eligibility for sclerotherapy.
| City | Cost (USD) | |
|---|---|---|
| Cape Town | $200 – $500 | Explore More |
| Durban | $200 – $500 | Explore More |
| Johannesburg | $200 – $500 | Explore More |

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University.
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Last Reviewed - June 2026
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A medical procedure called sclerotherapy is used to treat spider and varicose veins, which are typically found on the legs. The doctor will inject a specific solution into your spider or varicose vein using a needle. The lining of your blood vessels becomes irritated by this chemical solution, which causes it to swell, adhere, and leave a scar. Your vein is sealed off, improving both its appearance and sensation.
Spider veins also known as telangiectasias, are inflamed blood vessels that appear red, blue, or purple immediately beneath the skin. They are usually not harmful. Although they rarely occur, spider veins can occasionally cause burning, itching, or discomfort (particularly in your legs). Spider veins can be removed, and treatments can improve your skin's appearance.
What are the types of Sclerotherapy?
The most common type of sclerotherapy is called liquid sclerotherapy, in which a tiny needle is used to inject a liquid chemical solution, or sclerosant, directly into the vein. The vascular lining becomes irritated by the sclerosant, which makes it expand and adhere. The vein eventually becomes fading scar tissue.
The size and location of the veins, the patient's general health, and the doctor's experience all play a role in the sclerotherapy procedure selection.
Who needs Sclerotherapy?
People with spider veins or varicose veins may benefit from sclerosing their veins, but not everyone is an ideal candidate. You will consult with a vascular specialist before the treatment, who will determine your eligibility for sclerotherapy.
Sclerotherapy is not often performed on veins that you may require in the future for surgical bypass treatments, such as the saphenous vein used in coronary artery bypass graft surgery unless the vein is already damaged beyond repair.
Johannesburg, South Africa
Durban, South Africa
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Ameera's symptoms have worsened. Her veins have become grossly enlarged and twisted, and her discomfort has progressed to pain that…
These thread-like veins are only 3mm in diameter and usually appear on the face and legs. They are called spider veins because they can take on a web-like pattern. This is how they derive the name. Small spider veins on the face and neck are usually red while the larger spider veins found within the legs appear blue. The veins themselves are translucent as the color comes from the blood traveling inside them. While these veins do not usually cause any harm, they can have an impact on a person’s appearance. The cost of spider veins treatment in South Africa starts at around 1300 USD and is billed per session. One session can last anywhere between 15 minutes to 30 minutes.
In order to perform sclerotherapy, a fine needle is utilized to inject a liquid agent (sclerosant) directly into the vein. This solution treats the inner lining (intima) of the vein, which causes total obliteration of the venous lumen. It is followed by compression with a decent bandage. To achieve this, the vein is injected while it is filled with as much blood as possible (for example, by elevating the leg).
The substances that are usually used nowadays are the hypertonic saline solution or sodium tetradecyl sulphate.
For the procedure of sclerotherapy, once the solution is injected, the adjacent tissues are wrapped using compression bandages and a dressing is given. This helps the venous walls to stay together. The vein later turns into the connective tissue that fades into the underlying structures. Both varicose veins and spider veins are treated with sclerotherapy. Usually, one treatment session is sufficient for patients. However, it varies for different individuals and cases based on the extent of treatment required. For all of those procedures, the quantity of pain sensation will vary, depending on the person’s general tolerance for pain, the extent of the treatment procedure, the region of the body that is being treated, complications involved, and other factors. No pain is felt during this procedure because the surgery is performed under anesthesia. After the anesthesia wears off, the patient will likely experience pain near the site of injection. For sclerotherapy, the degree of pain also will depend upon the dimensions of the needle used and which solution is injected. Most people find hypertonic saline to be a little painful as compared to other solutions. A burning and cramping sensation for several minutes can occur when it is injected. Some doctors mix a light local anesthetic with saline to minimize the pain. The cost of spider veins treatment in South Africa also depends on -
Consultation with the doctor
Anesthesia - It is required only in rare cases. It is usually performed as an outpatient procedure.
Number of sessions required
Degree of damage to the veins
Location of the clinic
Surgeon’s fee
Type of treatment
Laser sclerotherapy
Sclerotherapy
These are some of the best clinics for spider veins treatment in South Africa -
The Aesthetics HQ
Sunninghill & Waterfall Clinic
Derma Therapeutics Aesthetic & Cosmetic Clinic
Advanced Skin Solutions
SkinTx Medical Spa and Wellness Centre
Shaping You Laser Studio
Aesthetica Sandton
Noviskin
Vivacite Aesthetic Medical
LaserPoint
Med Aesthetics Sandton
Sandton Beauty Clinic
The Academy Of Plastic Surgery
These are some of the best doctors for sclerotherapy in South Africa -
Dr. Frikkie Rademan
Dr. Claire Jacobsohn
Dr. Y.V Popov
Dr. Johan Blignaut
Dr. Dawid Potgieter
Spider vein treatment procedures have more success rates all over the world including South Africa. It is usually around 85% to 90%. Most procedures take some time for a patient to recover, hence with regular exercise one can see improved results.
These are the most preferred cities for sclerotherapy in South Africa -
Cape Town
Johannesburg
Midrand
Pretoria
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