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Asclera (polidocanol)

Asclera is an injectable solution used in sclerotherapy—a common vein removal procedure used since the mid-1800s.

Before You Go

Questions to ask your doctor:

  • Do I have spider veins or reticular/varicose veins?
  • How much will my Asclera injections cost?
  • How long will it take for the veins to fade?
  • Will they fade completely, or will I be left with scar tissue?
  • How long will I need to wear a compression garment for?

On the day of treatment: Do not take any blood thinners or anti-inflammatory medications on the day of Asclera injections.

What To Expect

Asclera necessitates multiple injections in a session. The fluid is injected into the affected veins through a fine needle. When the greenish-yellow colored fluid enters the vein, it creates an immediate chemical reaction that causes the cells lining the veins (called the endothelium) to become irritated, the blood to clot, and the vein to collapse.

What's left are fibrous cords that look like scar tissue. These cords are eventually absorbed by the body, leaving little evidence of their previous, ugly existence.

When the Asclera injections are complete, a stocking or bandage will be added to apply pressure to the treated veins. You will walk around the office for 15 to 20 minutes while being monitored by the physician.

Who should do it: Asclera is a prescription treatment, and is only available from board certified dermatologists and surgeons.

Duration: The injections take just 15 to 45 minutes total. You may be asked to stay for 20 to 30 minutes after the veins are treated to ensure that no adverse reactions occur.

How Painful Is It?

Asclera is a sclerosing agent made of a relatively gentle fluid called polidocanol. When compared to saline sclerotherapy treatments, polidocanol injections are more comfortable - though the injections can still produce a mild tingling sensation.

If the Asclera fluid leaks outside of the vein, it can be painful. That being said, consult a board certified physician for Asclera injections.

Options for anesthesia: Anesthesia is not required. Asclera has anesthetic properties that make the injections tolerable.

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