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How can I get rid of my spider and varicose veins?


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Asclera™ is a very popular medication used to treat spider veins, reticular veins and small varicose veins.  Asclera, used in varicose vein removal with sclerotherapy, is injected via small needles into the veins in order to cause the veins to seal shut and dissolve. The varicose vein treatment was approved by the Food and Drug Administration (FDA) in 2010 for use in the United States. Asclera injections are generally used to treat smaller sized varicose veins or spider veins, most commonly located on the legs. Varicose vein removal for large bulging veins often needs other treatments such as endovenous thermal ablation or phlebectomy.

Varicose veins become enlarged as a result of the pooling of blood. Typically blood will pool in a vein because a valve within that vessel is not working properly. Small varicose veins and spider veins can cause symptoms such as aching, leg heaviness and/or leg fatigue, but the majority of these cases are treated to improve a patient’s appearance. Enlarged veins create visible lines on the surface of the skin that may appear blue, purple or red. Whether you are looking to treat enlarged veins for medical or cosmetic reasons, explore your treatment options by contacting a doctor listed in our medical directory. A qualified vein doctor can perform a simple physical exam to determine whether Asclera is right for you.

Similar to other forms of sclerotherapy, Asclera causes the blood vessel to shrink, close up and eventually shrivel away. The procedure is generally very well tolerated with mild discomfort because the needles used to make the injections are very small. After the treated vein has collapsed, blood that would normally flow through it will naturally reroute its path in order to flow through the many remaining veins that are properly functioning. Patients should notice improvement in a matter of weeks after spider vein removal or varicose vein removal.

Depending on the number of veins you need treated, the entire Asclera procedure will generally take from 15 to 45 minutes. Your doctor may ask you to wear compression stockings for a week or so after the procedure in order to maximize results of the sclerotherapy treatment. Typically several Asclera treatments may be necessary in order to maximize varicose vein removal or spider vein removal.  Although no varicose vein treatment has absolutely zero risk, the risks associated with Asclera are very low. Consult with a vein specialist who can inform you about varicose vein treatment options, risks and benefits. A doctor will tell you what to expect during an Asclera procedure.


Reviewed by Steven E. Zimmet, MD, RVT, FACPh
Editor of Phlebology
President, Zimmet Vein & Dermatology
Past-President, American College of Phlebology

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