Asclera - Downtime? Pain? Results?

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

Doctor Answers 19

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.



Manhattan General Surgeon
4.4 out of 5 stars 22 reviews


Asclera sclerotherapy may be administered as a solution or a MICROFOAM suspension. It is very well tolerated with minimal discomfort. There typically is no downtime with immediate return to normal activities. 

Maraya Altuwaijri, MD, FACS
Laguna Hills Vascular Surgeon

Foam sclerotherapy in Los Angeles

We continue to see very positive results with minimal downtime with asclera foam injections for spider veins and reticular veins. 


Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

What to expect with asclera

Asclera is a simple and easily performed procedure done right in the office. We inject medication (Asclera) directly into the problematic veins (spider veins, reticular veins and varicose veins), which cause them to collapse and disappear over time. A tiny needle is used so minimal discomfort is caused. There is no downtime after the procedures. Patients can go back to their usual activities immediately. Keep in mind though, that the appearance may look worse before it gets better. You can expect to see results 4-6 weeks post-treatment. Our patients are very happy with the appearance of their legs after treatment. For best results we advocate wearing compression stockings for 1 week after the procedure. Depending on the severity of the veins, multiple treatment sessions may be needed to obtain desired results. 

- VIP MD Team 

#Asclera - great product for small veins

Asclera® (polidocanol) Injection is used for sclerotherapy treatments to eliminate uncomplicated and unwanted visible "spider" veins (very small varicose veins ≤ 1 mm in diameter) and occasionally for slightly larger uncomplicated small varicose veins (1 to 3 mm in diameter)

Most patients were satisfied or very satisfied with Asclera® treatment. You might also consider laser options especially for unwanted veins above the waist whereas Asclera is often preferred on the legs.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 142 reviews

Schlerotherapy with Asclera

Asclera is used for sclerotherapy treatments for uncomplicated spider veins (very small varicose veins ≤ 1 mm in diameter) and occassionally for uncomplicated small varicose veins (1 to 3 mm in diameter)

Studies show that at least  87% of patients were satisfied or very satisfied with their Asclera® treatment! The pinpoint injections are relatively painless and benefits outweigh the risks of other solutions.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 100 reviews

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.

David J. Myers, MD
Salt Lake City Dermatologic Surgeon
5.0 out of 5 stars 4 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
5.0 out of 5 stars 1 review

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
4.7 out of 5 stars 30 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.