Most sclerotherapy is cosmetic. This is medicine. At Starsiak Aesthetics, sclerotherapy for larger leg veins begins where med spa treatments stop: with formal Duplex screening that maps your superficial venous reflux and identifies the vessels that communicate with the deep venous system. Treating what the ultrasound reveals — not just what the eye can see — is what makes vein treatment maximally safe, effective, and lasting.
Why mapping changes everything
Purely aesthetic vein injections treat the visible vein and ignore the faulty circulation feeding it — which is why recurrence is so common. Close a surface vein while reflux keeps pouring into it from above, and the problem finds its way back. Dr. William Starsiak, DO takes a different approach: a true, medically informed redesign of the superficial blood flow in your lower leg. The ultrasound shows where reflux begins, which vessels connect to the deep system, and in what order treatment should proceed — so each session works with your circulation, not against it.
What you gain
- Appearance — visible veins close and fade, treated at their source rather than chased at the surface.
- Comfort — aching, heaviness, and end-of-day leg fatigue improve as refluxing veins are closed.
- Circulation — blood is redirected into healthy veins, improving the flow dynamics of the entire lower leg.
What to expect
The starting point is a sclerotherapy consult. If your veins warrant treatment, formal Duplex screening follows — it establishes where the reflux originates and is what the injection strategy is planned around. Injections are then performed with ultrasound guidance where needed, proceeding in the order your anatomy calls for. Treatments range from $500 to $1,500 per session depending on the extent of treatment, and some cases require multiple sessions to fully redesign the flow. Smaller spider veins can be finished with laser spider vein treatment once the underlying reflux is handled.
Ready for legs that look better, feel better, and flow better? Call (317) 410-9978 or request an appointment.