Sclerotherapy is a minimally invasive procedure done by your healthcare provider to treat uncomplicated spider veins and uncomplicated reticular veins. The treatment involves the injection of a solution (Asclera) into the affected veins.
What are spider veins?
Spider veins are very small and very fine red or blue veins. They are closer to the surface of the skin than varicose veins. They can look like a thin red line, tree branches or spider webs. Spider veins can be found on the legs and face and may cover a small or large area.
What are reticular veins?
Reticular veins can also be known as feeder veins. They are the blue and green veins beneath the surface of the skin.
Reticular veins enlarge because of increased pressure in the vein. They can be caused by heredity. You may have reticular veins alone but you may also have spider veins at the same time.
What Is Asclera®?
Asclera® (polidocanol) Injection is a prescription medicine that is used in a procedure called sclerotherapy and is administered by a healthcare provider to treat two types of veins:
Uncomplicated spider veins (very small varicose veins ≤ 1 mm in diameter)
Uncomplicated small varicose veins (1 to 3 mm in diameter) known as reticular veins
How does Asclera®Work?
Asclera® is a sclerosing agent that is injected into the vein. It works by damaging the endothelium, the cells lining the inside of blood vessels. This causes blood platelets and cellular debris to attach to the lining of the vessels; eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.
How long is each Asclera®session?
A typical sclerotherapy session lasts 30 to 60 minutes. One injection is usually administered per inch with multiple injections per session. Following treatment, medical grade compression stockings or support hose should be worn continuously for 2-3 days and for 2-3 weeks during the day time only. Repeat sessions may be necessary. If additional treatment sessions are required they are usually repeated every 4 to 6 weeks.
What should I expect after being treated with Asclera®?
Maintain graduated compression
2-3 days after treatment of spider veins
5-7 days after treatment of reticular veins
For extensive varicosities, longer compression treatment is recommended
Post-treatment compression is necessary to reduce the risk of deep vein thrombosis.
15-20 minutes immediately after treatment
Daily for a few days
What should I avoid after receiving an Asclera®injection?
For two to three days following the treatment, avoid (if you are uncertain, please ask your healthcare provider):