ASCLERA is an FDA-approved sclerosant to treat spider and reticular veins. Regarding how long t will last, the treated veins should permanently disappear but there is a possibility of new veins growing in the same area later on, which may also require treatment in time. I recommend you discuss this further with your vein surgeon.

Published on Jul 11, 2012

Asclera should work. It's hereditary, so you will get new veins over time.

Published on Jul 11, 2012

Asclera, pilodoconal, is approved for sclerotherapy of varicose veins. Vein size and location will determine the cosmetic outcome. I typically recommend 4 weeks between injections in order to evaluate efficacy of the treatment.

Published on Jul 11, 2012

The type of solution isn't the reason for your lack of results. Firstly, you should only be treated by an experienced physician or practitioner in the feet and ankles. The solution strength for different areas will vary. There also may be some "feeder/reticular" veins in the area that should also be treated. There is no way to predict how many treatments or the long-term outcome, as this varies from person to person. Average number of treatments could be 3-5. That said, because the feet are so far from the heart and nothing responds as well or heals as well in the ankles, it can be more difficult. In our clinic, we see many good results in ankles due to our experience and being able to vary the solution to achieve the results. We use Sotradecol and Asclera equally with the same results. WE do no use hypertonic saline as it is not FDA approved for spider veins and is only used "off label". It is also more painful to inject.

Published on Jul 11, 2012

Asclera works well on spider and reticular veins. Sclerotherapy, however, no matter what solution is used, is not a permanent cure for spider veins. Some veins will recur over time and some new ones will form. For treatment, see a physician with experience both using Asclera and doing sclerotherapy.

Published on Jul 11, 2012

Chances are that if 2 other sclerotherapy solutions did not work, that Asclera will also not work. The spider veins may be telangiectatic matting, which may respond better to several sessions of topical laser. Either way, some spider vein complexes need to be treated many times with both sclerotherapy and laser before they go away.

And note: just because they go away does NOT mean that you will not develop new veins in that area in the future. It is your body and you are known to develop spider veins, and you will continue to develop more as you get older.

Published on Jul 11, 2012

Ideally, results should be permanent after Asclera. If not, your physician may consider conducting an ultrasound evaluation to look for "feeder veins."

Published on Jul 11, 2012