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Asclera - Downtime? Pain? Results?

I'm Considering Asclera and I Heard It is an Amazing Procedure with No Downtime nor Pain. Feedback?

Doctor Answers 14

Asclera Info

Sclerotherapy is a popular method of reducing superficial telangiectasias (“spider” veins) and reticular veins. A solution called a sclerosing agent (e.g. polidocanol (Asclera©), glycerin) is injected into the veins to break down the vein wall or cause the vein wall to collapse on itself.
The majority of individuals who receive sclerotherapy treatment will have good visual improvement (not perfection) of their spider or reticular veins. However, there is no guarantee that sclerotherapy will be effective in every case.
A few patients may experience mild to moderate pain and some bruising around the injection
site. The veins may be tender to touch after the treatment and an uncomfortable sensation may be felt along the treated vein. This pain is usually temporary lasting 1 to 7 days.
There will be a short period of downtime. You should wear compression stockings and avoid vigorous activity and sun exposure for a few days and even weeks after the treatment. The injection sites may have some degree of discoloration and bruising of the skin after the treatment.

Salt Lake City Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Asclera vs Saline

Our patients find little to no down time with Asclera, You can go back to work same day,with little to no pain.
Saline burns ,Asclera does not for most.

Mimi Lee, MD
Little Rock General Surgeon

Asclera - Downtime? Pain? Results?

Thank you for your question. Pain is subjective, there may be mild discomfort with Asclera or any sclersosing agent used for sclerotherapy treatment. Side effects may include can bruise especially, if taking any anti-inflammatory medications. It may take more than one treatment every 6-8 weeks to get better result. I hope this helps.

Asclera Results

Yes, many patients are very happy with the results of Asclera.

Prior to its availability, doctors used sodium tetradecyl sulfate which tends to sting. But one of the benefits of Asclera is that pain is less of an issue.

The FDA also compared the two drugs, and Asclera was found to perform better than the conventional saline injection.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 27 reviews

Question about Asclera Sclerotherapy

Asclera (generically known as Polidocanol)  is the newest FDA approved medication for treatment of spider veins. It is known as a vein sclerosant, which means that it is used to get rid of abnormal veins (typically of the legs).  The procedure of injecting Asclera into spider veins or varicose veins is known as "sclerotherapy".  Some of the advantages of asclera over other sclerotherapy medications is that is tends to be less painful.  The reason for this that Asclera medication has an "anesthetic" quality to it that actually causes the treated veins to become numb during injection.  Other sclerotherapy medications can often cause significant burning or stinging while they are being injected since they do not have any numbing characteristics.  Asclera is unique in this quality.

All sclerotherapy medications, though, will have a short period of downtime.  It is recommended that you wear compression stockings and avoid vigorous activity and sun exposure for at least a few days after treatment. Also, since the medication does require injections, there will always be some degree of discoloration and bruising of the skin after the treatment, and you have to wait for these skin changes to subside over time.

Joel Gotvald, MD, FACS
Austin General Surgeon
5.0 out of 5 stars 1 review

Asclera is availabe at the Buffalo Niagara Vein Treatment Center

Asclera is trademark for Polidochanol. It is a sclerosant solution. It is not a procedure. It is used for sclerotherapy or foam sclerotherapy and the outcome depends on the expertise of the provider and whether or not you use stockings after the sclerotherapy and whether or not you develop pigmentation after the procedure.

Asclera- Downtime?

In fact, there is a very high patient satisfaction rate with Asclera.  It is not a painful treatment and is highly effective for most patients.  While most patients do need multiple treatments (depends of the severity and number of the veins a patient has), they do see significant improvement with every treatment which makes it very satisfying.

There is no downtime, and patients go back to their normal acitivities right after the treatment.



Victoria Karlinsky, MD
Manhattan General Surgeon
4.0 out of 5 stars 15 reviews

Asclera works well

Asclera is an FDA approved scleroscant that works extremely well on small to medium sized varicose veins in the legs.  Unlike other commonly used scleroscants, such as saline, asclera is very well tolerated and virtually painless.  There is minimal to no downtime.  A series of treatments about 3-4 weeks apart will achieve the best results.  Compression stocking worn a few days after treatments helps ensure better results as well. 

Donna Bilu Martin, MD
Aventura Dermatologist
5.0 out of 5 stars 1 review

Asclera treatment for leg veins (sclerotherapy)

The FDA approved Asclera for the treatment of small to medium sized leg veins in the past year; however, similar products have been available for many years in Europe so we have good knowledge about this product's safety and efficacy.  There is very little pain associated with the actual injections, just an occasional sting.  The treatment may take anywhere from 15 minutes to an hour depending on how many veins are treated.  There should not be pain after the treatment - that may be a sign of a complication and should be reported back to your treating physician.  Many people have temporary redness, swelling, and bruising but this will not keep you from going to work and doing your everyday activities.  The treated areas may be bruised or discolored for a few weeks or even a few months.  Wearing compression stockings and protecting the treated areas from the sun will help to minimize the risk and shorten the duration of discoloration.  Some people need to have 2 or 3 treatments about 6-8 weeks apart  to achieve maximal results; this usually depends on the number and size of the veins you started with. 

Nancy Samolitis, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Asclera results not as good as saline in my experience

The two most common sclerosants for sclerotherapy are Asclera and hypertonic saline (salt water).

Asclera is less painful, however, I have found the results for spider veins to be less reliable.   Downtime is usually minimal to none and similar to saline.  Some redness or bruising may occur that last up to several weeks.  Hemosiderin (red-brown discoloration) staining can last several months or longer, but is less common.  Compression hose are recommended for 2-5 days thereafter, depending upon vessel size.

All sclerosants take about one month for maximum fading or clearance of the visible veins.

Most patients will require several treatments for best outcome.

Robert Strimling, MD
Las Vegas Dermatologist
4.5 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.