Minimally invasive vein care.
Spider veins — the fine red, blue, or purple webbing on the thighs, calves, and ankles — are extremely common, affecting roughly half of women and a meaningful share of men. They're usually a cosmetic concern, but they can also itch, burn, or ache, particularly if they're associated with underlying venous insufficiency.
Asclera is the FDA-approved injectable sclerosing solution we use to fade them. The procedure is decades old, well-studied, and very well-tolerated. With ultra-fine needles, a small amount of solution is delivered directly into each visible vessel — the vessel walls swell shut, the body absorbs the closed vessel over the following weeks, and the visible spider vein fades from view.
Personalized care with noticeable results.
Cosmetic vein treatment isn't one-size-fits-all. Before any Asclera, we evaluate whether your spider veins are isolated or whether they're being fed by a larger underlying refluxing vein. If there's significant underlying venous insufficiency, treating the spider veins on the surface without addressing the source leads to faster recurrence. In those cases we treat the underlying disease first (often EVLT or Varithena) and then come back for cosmetic Asclera for any remaining surface vessels.
For patients whose spider veins are truly isolated cosmetic concerns, Asclera goes straight to work. Most patients see meaningful fading within three to six weeks of a session, with full results at eight to twelve weeks. One to three sessions, spaced four to six weeks apart, are typical for most patients to achieve their goal.
What happens at your visit.
Before treatment
- Brief evaluation of the spider veins to be treated
- Determination of whether a venous reflux ultrasound is indicated to rule out underlying disease
- Avoid sun exposure on the treatment area for 1–2 weeks prior
- Stop certain blood-thinning supplements (fish oil, vitamin E, ginkgo) for a few days before treatment if cleared by your other physicians — these can worsen bruising
- Wear loose-fitting clothing to your appointment
The procedure itself
- You lie comfortably on a treatment table with the legs slightly elevated
- The treatment area is cleansed with antiseptic
- Asclera is injected into the targeted vessels through ultra-fine needles
- Each injection takes only seconds; multiple injections per session are typical
- You may feel mild stinging or cramping during the injection — these fade within a minute or two
- The full session typically takes 15 to 45 minutes depending on the area treated
After the procedure
- Compression stockings or bandages are applied — worn for 24 hours to several days, depending on the area
- Walk immediately after the procedure — this helps the solution disperse and promotes healing
- Avoid strenuous exercise, hot baths, saunas, and direct sun on the treated area for 48–72 hours
- Some bruising, redness, or raised marks at injection sites — normal, fades over days to weeks
- Treated vessels begin to fade gradually starting around 3–6 weeks
Cost and financing.
Because cosmetic Asclera for spider veins is generally not covered by insurance, we offer transparent pricing at your consultation and accept CareCredit financing to help spread the cost over time with flexible no-interest and extended payment options.
If your spider veins are symptomatic and there's documented underlying venous insufficiency on ultrasound, portions of treatment may qualify for insurance coverage. Our billing team helps you understand what does and doesn't apply to your specific case.
Ready to schedule a consultation? Call (337) 425-9300.
