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What is spider vein treatment?

Spider veins are small webs of red, purple or blue clusters or lines impacting the appearance of the skin. Individuals prone to this may be genetically-susceptible or stand on their feet for prolonged periods of time.

Sclerotherapy is a minimally invasive treatment for spider veins. This involves injecting a medication into the spider veins that acts to scar the vessels closed, eventually causing the veins to involute and disappear.

Who is a good candidate for spider vein treatment?

Good candidates are men and women of all age groups interested in addressing unsightly spider veins. The veins need to be large enough to inject, but small enough to be responsive to sclerotherapy injection. Large, ropey varicose veins do not respond to this treatment and require more invasive treatment. Women who are pregnant should wait until after the pregnancy is complete.

During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve your desired result. At that visit, a test treatment may take place to test the effectiveness of the sclerosant and skin tolerance.

A second visit is then arranged for a full treatment session. Multiple sessions of sclerotherapy may be necessary for more complete treatment. In some cases after treatment, other veins will grow into the treated area. These tend to not be as full or remarkable as the original spider veins and may be susceptible to treatment.

What is the recovery like after spider vein treatment?

Treated veins will become inflamed, purple and more visible for a period of time while they react to the sclerosant. They will then involute. There may be some bruising. Regular exercise and activities may be resumed by the following day. Bruising may resolve better with Arnica ointment and oral tablets.

Comprehensive cosmetic care

The way you look and feel directly affects your self-image. In addition to treating Baltimore spider vein patients, Dr. Shermak takes care of many Baltimore Sculptra, dermal filler, and Botox patients. Please visit these pages to learn more about the other facial enhancement procedures offered. You may also visit our photo gallery to view representative results.

Taking the first step Schedule a Consultation

We invite you to call Dr. Shermak’s Baltimore plastic surgery office at 410-324-6592 to schedule your personal consultation today.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

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