Spider veins (telangiectasias) are damaged, visible blood vessels just beneath your skin’s surface. They typically look red, blue or purple. They may appear in clusters that resemble spider webs or tree branches. Spider veins can form anywhere, but they usually develop in your legs or face.


Sclerotherapy is a procedure used to eliminate varicose veins and spider veins of the legs. The procedure involves injection of a solution directly into superficial veins. The solutions cause irritation and damage to the lining of the blood vessels, causing them to collapse and ultimately fade from view.

Before Asclera Procedure

  • Avoid Vitamin E & Non-steroidal Anti-inflammatory medications (NSAIDS) such as Motrin, aspirin, Ibuprofens, and advil at least 1 week before procedure.
  • Shave 48 hours before appointment
  • Wear comfortable shorts, loose-fitting pants or a long skirt to appointment if possible
  • Make sure to have compression stockings ready for use after the procedure. Stockings should be of medium compression (20-30mm Hg) that entirely cover the treatment area 

After Care for Asclera

  • Continuously wear compression stockings for 3 days, except in the shower. Medium-weight compression support hose are recommended for daytime wear during the 2-3 weeks following treatment
  • Avoid heavy exercise for at least 10 full days. Moderately paced 30 minute walk is OK and recommended 
  • Walking Immediately after treatment and continuing daily for a few days for about 15-20 minutes. 

Laser Vein Treatment

Laser Vein Treatment is a safe and effective treatment for Spider and reticular veins on the body.  

What are Spider Veins?

Spider veins are small and thin veins caused by dilation of the small blood vessels. They merge with the veins under the skin when the pressure inside the vein increases enough to overcome normal resistance of the vein wall.

What are Reticular Veins

They are small veins that are blue or purplish-colored in color. They carry blood to the skin venules and are larger than spider veins. These veins have thin walls and dilate with excessive pressure.

    • Your skin should be completely clean and dry prior to treatment. Remove or omit application of any skin care  products on the day of treatment. 
    • AVOID THE SUN – The area to be treated should not be exposed to sun 4- 6 weeks prior to treatment. If you are  in the sun during this time you should defer treatment until a later date. 
    • Treatment of tanned skin may cause blistering or possible hypopigmentation which may last for 3-6 months. 4. Avoid using tanning creams, spray tans, or any type of temporary pigmented creams prior to treatment. 
    • Patients who have a darker Fitzpatrick Skin Type (V-VI) may have an increased risk of hypopigmentation (white spots) or hyperpigmentation (dark spots). Consult your provider. 
    • Patients with a history of the following conditions may not be good candidates for laser treatment and should  consult their primary care provider when considering treatment: 
    • The heat from the laser pulses may be slightly uncomfortable during and immediately following treatment. Cold gel packs/ice can be applied to reduce discomfort. 
    • If legs were treated: elevate your legs to decrease discomfort, especially when large areas are treated. 
    • Tylenol is recommended for any pain, as needed. 
    • AVOID THE SUN completely after treatment to reduce hyperpigmentation. Use a broad-spectrum SPF 30 zinc  oxide or titanium dioxide with UV A/B sunblock. 
    • Check with your provider about the possibility of using a daily moisturizer. 
    • Avoid strenuous exercise for 48 hours after treatment. Consult your provider. 
    • Compression stockings may or may not be recommended by your provider. 
    • TEST SPOTS: Wait 8 weeks to see if the treatment was effective. Your provider will evaluate treatment response  or side effects at the follow up visit. 
    • FULL TREATMENT: Wait at least 8 weeks before the next treatment as resolution of the vessels continues  throughout this entire period. Your provider may have you wait even longer between treatments. 
    • Your individual vein may appear bruised or darker red following treatment. This discoloration will fade over the next  few weeks. If on the legs: brown discoloration may take several months to fade. 

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