Sclerotherapy refers to the process of injecting a solution into the problem vein in order to reduce its appearance or close it. The injection causes the lining of the blood vessel to swell and scar, “forcing blood to reroute through healthier veins.” The vein is usually reabsorbed by the body.
Once injected, ASCLERA causes the lining of visible blood vessels in the legs to gently swell, blocking the flow of blood to visible spider or varicose veins. This blood flow blockage causes the vessels to clot, at which point the body naturally destroys and absorbs the treated veins so they disintegrate and disappear.
Most clinics perform sclerotherapy by injecting a hypertonic saline solution into the problem vein. Hypertonic saline solutions, while widely available over-the-counter at drugstores and pharmacies, are often ineffective and inefficient, and can lead to painful side effects. That is why Dr. Ralph Carullo and Dr. Fauzia Carullo exclusively use Asclera to perform sclerotherapy. Asclera is specifically designed to treat smaller spider and varicose veins, and is the only name-brand sclerotherapy solution approved by the FDA for use in Las Vegas.
Patients receiving sclerotherapy treatments with Asclera report very high levels of satisfaction with the product, far higher than those receiving other kinds of sclerotherapy. According to Asclera’s website, 87% of patients reported satisfaction 12 weeks following their treatment, as opposed to 14% of those who received an isotonic saline solution.
Asclera (polidocanol) injections are used for sclerotherapy to treat two types of veins
- uncomplicated spider veins (very small varicose veins less than 1mm in diameter)
- uncomplicated small varicose veins know as reticular veins (1mm to 3mm in diameter).
In this simple procedure, veins are injected with a sclerosing solution, which causes them to close and thereby fade from view. The procedure may also remedy the bothersome symptoms associated with spider veins, including lower extremity aching, burning, swelling and night cramps. The treatment only eliminates abnormal veins that are no longer used, so there are only positive effects on blood circulation.
Sclerotherapy is one of the most common methods for treating varicose and spider veins. Some patients are ineligible for sclerotherapy, including those who are currently pregnant, and those with a history of blood clots should receive special evaluation from their physicians before pursuing sclerotherapy. However, for many, it’s a quick and efficient way to remove problem veins.
Ultrasound-Guided Sclerotherapy uses ultrasound imaging to enable a physician to find and treat veins that are not immediately visible, as they are below the surface of the skin. As with standard sclerotherapy procedures, a sclerosing solution is delivered to the vein through injection causing the vein to be destroyed.
Laser therapy, or Endovenous Ablation Therapy, offers an alternative to sclerotherapy treatment for small leg veins, including small, purple spider veins. The Excel V, Cooltouch, or intense pulsed light (IPL) devices may be used for this type of treatment.
Another alternative to sclerotherapy treatment is phlebectomy.
Compression stockings should be worn 24 hours per day for 1 week following treatment to maximize results. High-impact activities, hot baths or saunas, and long plane rides should be avoided for several days after the procedure. Otherwise, there is no downtime and patients can resume normal activity immediately after the treatment.
In addition to leg veins, sclerotherapy can be used on veins found on the back of hands or the chest area.
Although significant improvement may be seen within days of treatment, maximum results are evident at approximately 2 months following treatment.