Asclera (Polidocanol) for Varicose Veins?

Does Asclera, Polidocanol work on varicose veins?

Doctor Answers 18

Asclera for Sclerothrapy

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.  

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Asclera (polidocanol) for varicose veins

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

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

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

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 159 reviews

Treating Varicose Veins vs Spider Veins

  • 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 110 reviews

Asclera for Varicose Veins

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
5.0 out of 5 stars 4 reviews

Asclera for varicose veins.

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 255 reviews

Asclera for Varicose Veins

If varicose veins are extensive and/or painful, I suggest you consult a board-certified VAscular Surgeon, as Sclerotherapy (leg vein injections) may not be as suitable for you as Endovenous Foam Ablation (perhaps using polidocanol foam), which is a newer more comprehensive treatment). 

Manjula Jegasothy, MD
Miami Dermatologist
4.6 out of 5 stars 10 reviews

Asclera and leg veins

Asclera is a fabulous injection to remove leg veins and superficial spider veins. The injections can be somewhat painful so I always recommend applying Emla to numb the skin before the injections. It usually takes several treatments spaced one month apart to treat these veins. The procedure works extremely well but takes multiple treatments. 

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Asclera (Polidocanol) Sclerotherapy for Varicose Veins & Spider Veins of the Legs

Yes, Asclera (also known as Polidocanol) does work well for varicose veins, as long as any deeper venous problem is addressed at the same time.  Most patients with varicose veins also have a deeper circulation condition known as venous reflux disease.  This deeper disease results in the varicose veins forming at the surface.  If the underlying vein disease is not treated, the surface branches will not response properly or will occur.  Usually this disease affects the deeper saphenous veins of the legs and can usually be addressed by a laser treatment or radiofrequency treatment prior to or in conjuction with the sclerotherapy.  A good analogy is that the diseased saphenous vein is the trunk of a tree and the varicose veins at the surface are the branches of the tree.  If you only treat the branches, the trunk will just grow new branches (new varicose veins).  If the trunk problem (which is usually present) is successfully identified by ultrasound and treated, then the branches can often be treated with Polidocanol or Asclera sclerotherapy.  Very large surface branches are usually best treated with phlebectomy (they tend not to respond well to sclerotherapy), but small to moderate sized varicose veins or reticular veins tend to respond very well to sclerotherapy with Polidocanol.  Asclera / Polidocanol is an FDA approved medication for both small varicose veins as well as spider veins.

Since you should always have an ultrasound done to check for the deeper vein problem and since this deeper problem should always be addressed before treating the surface branches, I would suggest that you see a board-certified vein specialist for a detailed evaluation before you have any treatments on your varicose veins done.

Joel Gotvald, MD, FACS
Austin Vascular Surgeon
5.0 out of 5 stars 2 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.