Exploring Varicose Vein Treatments: What You Need to Know about Asclera

If you’re concerned about the appearance of varicose or spider veins, or if the veins are causing you pain, a visit to your dermatologist is likely in order.  He or she will assess your condition and recommend treatment options ranging from conservative to more aggressive, depending on the particulars of your situation.  Mild cases may benefit from simply elevating the legs, or wearing compression stockings; however, in many cases, additional treatment is necessary.

Sclerotherapy: A Non-Surgical Varicose Vein Solution

One of the most common forms of treating varicose veins is called sclerotherapy.  Sclerotherapy is an in-office procedure that minimizes the appearance of varicose and spider veins in the legs.  The sclerotherapy treatment consists of injecting a chemical or saline solution into the visible section of the vein.  The injected solution serves as an irritant to the vein walls, causing them to thicken and then bind together, effectively closing the vein and allowing it to turn into scar tissue that is then absorbed by the body.

Asclera, Now Available in the United States

Though it’s been used in Europe for years, it was only recently that the FDA approved the Asclera sclerotherapy solution for use in the United States.  Like other sclerotherapy solutions, Asclera uses a chemical solution—in this case, a drug called polidocanol—as a method by which to damage or irritate the blood vessel lining, causing the veins to close and in time, disappear.

For What Type of Veins is Asclera Effective?

Asclera has proven especially effective at treating varicose veins less than 3 millimeters in diameter, including spider veins and reticular veins.  And though it is not specifically approved for the treatment of larger veins, many dermatologists have found success in using it off-label to treat larger veins.  When being used to treat veins larger than 3 millimeters, Asclera is typically shaken until it forms a foam and is then injected.  The reason for this is that the foam’s greater volume is more effective at reaching all of the vessel’s walls, which is necessary for the vein to bind together, close and eventually disappear.

What Happens After the Asclera Procedure?

Immediately after receiving Asclera, your dermatologist will likely request that you walk around the office for 15-20 minutes so that the solution can be more evenly distributed throughout the treated veins.  Your healthcare provider will likely request that you walk frequently in the first few days following your procedure.  Additionally, you may be given compression stockings to wear; your healthcare provider will let you know how often to wear them and for how long after the procedure.

The Asclera treatment and recovery process are minimally invasive and should not cause much disruption to your everyday activities.  However, there are a few things you should avoid in the days immediately following your procedure.  Healthcare providers suggest limiting both exercise and sun exposure for at least 2 or 3 days after treatment.  They also warn against extended flights and hot baths or saunas.  Of course, if you have a specific concern, ask your treatment provider.

How Long Does it Take to See Results from Asclera?

Like other varicose vein treatments, the amount of time it takes to see results can vary.  That being said, most patients notice results within 2-12 weeks of treatment.  If you’re planning on a short sundress for a summer wedding or simply want to look good for your family’s annual spring vacation to Florida, plan on having the procedure done at least 3 months prior.

Does Asclera Have any Side Effects?

Similar to other sclerotherapy varicose vein treatments, Asclera users typically report few or mild side effects.  The most common side effects reported include discomfort at the at the injection site, including mild irritation or bruising.  Rarely, allergic reactions requiring medical attention have been reported.
 
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Christine Krebs is the Patient Coordinator at the Center for Laser Surgery, a full-service cosmetic and laser surgery center serving the Washington, D.C. area. Founded by Dr. Robert M. Adrian, renowned laser surgeon and dermatologist, the Center for Laser Surgery offers a variety of facial rejuvenation and laser procedures. Visit http://www.lasersurgery.com for more information.