- Asclera® is Dr. Sherber’s preferred injectable for sclerotherapy to treat spider veins (<1mm) and small varicose veins (1-3mm) in the legs.
- It was used for years in Europe before gaining recent U.S. FDA approval, and is a much more comfortable treatment than hypertonic saline which is commonly used for sclerotherapy.
- Dr. Sherber will not perform sclerotherapy on patients with a history of a clotting disorder or acute vein diseases.
- Patients with a known allergy to polidocanol are not candidates for Asclera® treatment.
- Dr. Sherber often recommends an ultrasound of the deeper veins in the legs before treatment of the superficial veins is undertaken.
- Treatment is quite comfortable as Dr. Sherber uses very small needles and a slow injection technique.
Preparing for Treatment
Dr. Sherber asks that her patients bring compression leggings or compression stockings (15-20 mmHg) to the appointment to be worn immediately post-treatment: www.rejuvahealth.com has an excellent selection.
- Compression garments should also be worn for a week following Asclera® treatment.
What to Expect
- This is a comfortable in-office treatment that takes 30-60 minutes to perform.
- An antihistamine may be recommended following treatment if the areas injected are itchy.
Depending on the number and size of veins to be treated, multiple treatments may be needed. Dr. Sherber may treat larger veins with Asclera® and then touch up smaller veins with the Nd:YAG Laser.