Dr. Josiane Lederman


Here at Dr. Lederman’s Dermatology Office, we like to use both cutting edge technology along with tried and tested treatments that have lasted and worked forever. Used since the 1930’s, Sclerotherapy remains the treatment of choice for eliminating spider veins and varicose veins.  The procedure involves injecting a specially formulated sclerosing solution directly into the vein causing it to collapse and fade from view. Our preferred method of sclerotherapy is through a product called Asclera.

Asclera® is used for the treatment of uncomplicated spider and uncomplicated reticular veins  Asclera® (polidocanol) Injection is a prescription medicine that is used in a procedure called sclerotherapy and is administered by a healthcare provider to treat two types of veins:
– Uncomplicated spider veins (very small varicose veins less than or equal to 1mm in diameter)
– Uncomplicated small varicose veins (1 to 3mm in diameter) known as reticular veins

The number of veins treated in a single session depends on the size and location of the veins.  Studies show that as many as 50% to 80% of veins treated may be eliminated with each Sclerotherapy session.

What is Sclerotherapy?
Sclerotherapy is a minimally invasive procedure done by your healthcare provider to treat uncomplicated spider veins and uncomplicated reticular veins. The treatment involves the injection of a solution into the affected veins.

How does Asclera® Works?
Asclera® is a sclerosing agent that is injected into the vein. It works by damaging the endothelium, the cells lining the inside of blood vessels. This causes blood platelets to attach to the lining of the vessels; eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.

How long is Each Asclera® Session?
A typical sclerotherapy session lasts 15-45 minutes. One injection is usually administered per inch with multiple injections per session. Your healthcare provider may recommend that you wear compression stockings following treatment.

What should I Avoid After Receiving Asclera®?
For two to three days following the treatment, avoid (if you are uncertain, please ask your healthcare provider):

Are there any Possible Side Effects to Asclera® ?
Yes allergic reactions have been reported following polidocanol use, including anaphylactic reactions.  Severe reactions are most frequent with use of larger (3 mL.). The dose of polidocanol should therefore be minimized.

Asclera Before and After Gallery

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