• 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.

 Safety

• 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.

Our approach

• 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.