Asclera (Polidocanol) for Varicose Veins?

Does Asclera, Polidocanol work on varicose veins?

Doctor Answers 21

Asclera for Sclerothrapy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Asclera (Polidochanol) is FDA approved. It has advantages because it is painless on injection, has low likelihood of skin necrosis and is effective.

It is commonly used for feeder veins, reticular veins and some individuals use it for varicose veins. Its concentration when used is 0.5% to 1 %.

Asclera is a wonderful product for cosmetic sclerotherapy.  

Varices and poli

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Under 4 mm veins work the best with sclerotherapy but veins over 4mm can be treated with sclerotherapy if the solution is foamed first.  Foam sclerotherapy is where the solution is agitated and made into a foam like shaving cream.  This solution is then injected into the veins. The foam acts like a stronger solution at the same concentration.  It can be pushed down various veins and milked into various branches of the veins.  The foam pushes the blood out of the vein so a less strong solution can be used to treat the same size veins.  Foaming allows weaker solutions to treat larger veins and allows branch veins to be treated at the same time.  High volume foam has risks as well and can cause discoloration of the overlying tissue, hard lumpy bump veins and if used at high volumes has been reported to cause neurological symptoms, migraines, strokes and transient ischemic attacks. Make sure whoever treats your veins is a vein expert

Susan Fox, DO
Hollywood Phlebologist
5.0 out of 5 stars 8 reviews

Asclera treatment

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Asclera is a versatile sclerosing agent and can be used for very small veins (telangiectasia) to larger veins, including varicose veins. It is important that a thorough vein evaluation has been done to ensure you receive the right treatment. Larger veins more often then not usually indicate some sort of venous disease. Thus a thorough evaluation is important.  

We do not recommend #Asclera for deeper #VericoseVeins.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In our office, when our nurse sees that a patient's vein problem is deeper-rooted than just a few spider veins on the legs, we refer to a vein specialist. Vericose veins often need more attention than sclerotherapy can provide.

Asclera (polidocanol) for varicose veins

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You have options for the treatment of varicose veins. The first step is to schedule a vein evaluation, make sure to select a physician who you can trust to understand your goals and help you make an informed healthcare decision. Ultrasound guided sclerotherapy is useful for treating feeder veins that are harder to see. During the ultrasound guided procedure, a reticular vein or varicose vein is identified using ultrasound. Asclera (polidocanol) is injected into the vessel, ensuring precise delivery of the medication. The formulation causes the vein to decrease in size and eventually disappear. As with liquid sclerotherapy, for optimal results patients are advised to wear compression stockings for three to seven days after the procedure. 

Varicose veins and Asclera Sclerotherapy-Orange County, CA

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Asclera MICROFOAM ultrasound guided varicose vein sclerotherapy is a safe and effective option of treating varicose veins. Superior results are achieved nonsurgically. A postprocedural ultrasound is advised a week following treatment. Varicose veins occlude following treatment with healing and absorption of varicose veins over am I the depending on the size and extent of varicose veins. 

A diagnostic ultrasound following a comprehensive examination is recommended prior to treatment.

Maraya Altuwaijri, MD, FACS
Laguna Hills Vascular Surgeon

Asclera Treats Spider Veins

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Varicose vein treatments generally require a vascular specialist in comparison to the smaller spider or reticular veins that can be treated with Asclera. 

#spiderveintreatments   #Aschleratreatments   #Aschleraforspiders

Treating Varicose Veins vs Spider Veins

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
  • Varicose veins are the  large blue, dark purple veins that  protrude from the skin and often   have a cord-like appearance and may twist or bulge. Varicose veins are found most frequently on the legs.These require treatment with a vascular specialist in comparison to the smaller spider or reticular veins that will appear to be blue or red and much smaller in diameter. Asclera safely and effectively treats these veins that are 1-3 mm .
#Treatingspiderveins     #Ascleratreatsspiders    #SpiderVeininjections

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Asclera for Varicose Veins

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Asclera is used to reduce 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 of their spider or reticular veins. However, there is no guarantee that sclerotherapy will be effective in every case.
Unfortunately, Asclera is not typically used for varicose veins, which are significantly larger. Instead of an injection, the veins need to be broken down/collapsed with heat or ultrasound, removed via stripping or via a brand new method, glue. I believe this is the future of varicose vein treatments. Venaseal©, is a cyanoacrylate, like super glue. It was recently approved by the FDA and will be available for widespread use in the US in 2015.

David J. Myers, MD
Salt Lake City Dermatologic Surgeon

Asclera for varicose veins.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Asclera (Polidocanol) is an FDA-approved sclerosant for treating small unsightly spider veins up to somewhat larger (but still relatively small) varicose veins. Varicose veins can be quite large and visibly disfiguring, and also symptomatic with bulging, itching, or pain and heaviness in the affected areas.

Large varicosities (> 3-4mm in diameter) may still be effictively treated with sclerotherapy, but as the abnormally dilated vessels get larger, the amount of sclerosant gets correspondingly larger as well as less effective, since the sclerosant works by irritating the lining of the vein, stimulating spasm and clotting within the vein. The larger the vein, the more blood that is present to dilute the sclerosant, making it less potentially effective. Asclera works great for small spider veins, but the smaller they are, the more technique-dependent effective sclerotherapy is dependent upon.

For large(r) varicosities, better options exist, including endovenous laser ablation all the way to old-style surgical vein stripping. A dedicated vein clinic or a specialist in vascular surgery would be the people to see. Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 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.