How Long Before Spider Veins Disappear With Asclera??

I went in on 3/31 for Asclera injections on my right leg for very small spider veins. Four days later & the veins are still there & now I have red puncture marks.. It looks like the veins might be fading a little, but they havent disappeared like you see on tv, that's for sure... How long does it usually take? I'm wondering if the girl even got it right?

Doctor Answers 12

Veins be gone

After sclerotherapy the veins often look worse before they get better. After injection into the vein I see a red, inflammatory response along the path of the vein. After a few says the red will become brown and eventually fade away with no veins left underneath. Usually after a month everything is gone. It is important to wear compression stockings for at least a week to help the healing process. 

Venasmart compression stockings and sclerotherapy

Wear Venasmart compression stockings after injection and it is normal to see bruising for weeks after treatment. 


Dr. Karamanoukian

Los Angeles

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

Spider Veins

The disappearance of spider veins depends on the following: 

1. Knowledge and experience of the practitioner injecting the sclerosing agent.

2. Whether the reticular veins have been treated prior to the spider veins.

3. Solution used.

4.  All the above assume that you have a competent saphenous system.

Jose Almeida, MD, FACS
Miami Vascular Surgeon

Spider veins

It usually takes 4-6 weeks for spider veins to go away. Depending on how
much the patient presents with and how dilated the veins were to begin
with, the patient may need more than one session to completely erase all
of the spider veins.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 19 reviews

Timely Results with Asclera

Normally you should see results after 2-3 sessions about a month apart.So it can take1-3 months depending on the severity of the issue. Results should last for several years

Mimi Lee, MD
Little Rock General Surgeon
5.0 out of 5 stars 1 review

Asclera for spider veins and telangiectasias

As with sclerotherapy with any solution, Asclera effect will take months (3-6 months) for final effect. When used with foam, the veins disappear immediately aas the chemical passes through followed by redness within minutes which persistes and sometimes further darkening. It is imperative that patietns wear compression stockings for at least 3 months and also use some products topically to reduce the hyperpigmentation effect (VenoLucent or Venoquin).

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Asclera results can take weeks to months to be seen

Results from Asclera are often not immediate.  That's because the product is a sclerosant that irritates the vessels causing it to fade over time.  Typically while injecting one sees the vessel immediately disappear and then it reddens over the time.  The ultimate fading can take weeks to several months to be realized and often more than one treatment may be required.

Ritu Saini, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 8 reviews

What to expect from Spider Vein Treatment

The spiders veins should instantly disappear for a moment and then turn bright red. The veins often become dark for several days but within a week should be faded.

Marilyn Pelias, MD
New Orleans General Surgeon
4.7 out of 5 stars 15 reviews

Can take a few months

It can take a few months to see the full results after Asclera.  Make sure you go to a very experienced dermatologist to ensure you get the best possible results.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Results after Asclera

With any sclerotherapy procedure to treat spider veins, it can take up to two months to see the full results and resolution of the treated vessel. In the first few weeks after treatment, the spider veins will first begin to fade in color. In the majority of cases, patients also have a feeding vessel connected to the spider veins. Therefore, for optimal correction of the spider vein, "its feeding vein" must be treated too.

Jennifer Peterson, MD
Houston Dermatologist
4.3 out of 5 stars 17 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.