What is sclerotherapy?

Sclerotherapy is a minimally invasive procedure we perform to treat uncomplicated spider veins and uncomplicated reticular veins. The treatment involves the injection of a solution into the affected 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. Reticular veins, or feeder veins, are 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 causes spider and reticular veins?

Spider and reticular veins can be caused by many factors. Heredity, age, female gender (changes in hormones due to puberty, pregnancy, menopause, or taking birth control pills) may increase a risk of developing varicose veins. Other factors contibuting to enlarged veins are having extra body weight and prolonged standing or sitting. This is particularly true with legs bent or crossed. When standing or sitting with legs bent or crossed, the veins have to work harder to pump the blood up to the heart.

On the face, spider veins are called capillaries and are best treated with laser. On the legs, however, the treatment is different.

Sclerotherapy is a minimally invasive procedure we perform to treat uncomplicated spider veins and uncomplicated reticular veins of the legs. The treatment involves the injection of a solution into the affected veins.

In 2010, the FDA approved Asclera for the treatment of spider and varicose veins after this agent’s successful 40 year run in Europe. Asclera, or Polidocanol, is the newest drug in a long line of sclerotherapy procedures currently used to remove unsightly veins.

So what is so special about this European vein-removal treatment?

Asclera is an injectable agent designed to treat uncomplicated spider veins (less than 1 mm in diameter) and reticular veins (ranging from 1 to 3 mm in diameter). The solution irritates the interior walls of the vein, dissolving the inner lining of the vessel. This, in turn, causes the walls to become sticky and constrict, eventually closing the vein completely so blood cannot enter. Without the blood rushing into the vein, swelling, bulging, discomfort, discoloration and pain associated with varicose and spider veins are effectively eliminated.

Why Asclera™?

While this new drug sounds similar to other vein removal treatments, it does have some advantages. First, it has an impressive track record that is difficult to ignore. Asclera has been used in Europe for over 40 years, and has been used in over five million treatments with a high success rate. Second, its anesthetic properties make it a more comfortable treatment option for patients, meaning it causes less pain and skin irritation than current procedures. Asclera has proven to be very effective, and patients have showed satisfaction with the overall procedure and results.

What is the Treatment and Recovery for Asclera™?

Asclera is a relatively quick vein removal procedure, lasting about 15 to 45 minutes. It takes about two to three sessions for patients to see full results, which begin to show about two weeks after the first treatment and continue to improve up to 12 weeks. Recovery is fast, and most patients can return to their normal routines in about a day or two. Following treatment compression stockings or support hose should be worn continuously for 2-3 days and for 2-3 weeks during the day time.

Asclera™ Risks and Side Effects

As with any sclerotherapy vein removal procedure, there are some risks and side effects, though it should be noted that the side effects that have been observed with Asclera are generally mild and clear up quickly. These side effects include scarring, infection, bruising, irritation, discoloration and hematoma (blood pooling at the injection site.) Severe allergic reactions have occurred with Asclera™ but this tends to happen with larger doses or with people who have a preexisting condition, so it is important that the treatment be administered properly by a specialist and that all past medical history is discussed before having the procedure.

You should not be treated with Asclera® if you:

· Have a known allergy to polidocanol
· Have an acute vein or blood clotting (thromboembolic) disease
· Are pregnant or nursing


To learn more about Asclera, contact our office today.


Khrom Aesthetics Location Details:

2797 Ocean Pkwy. 1st Floor

Brooklyn, NY 11235


For Aesthetic Inquiries

To Schedule your complimentary consultation please contact our Aesthetic Coordinators Kristina or Irina at 1-855-4-KHROM-NOW (1-855-454-7666)



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