Sclerotherapy w/Asclera® (Polidocanol)

Bothered by spider veins? A few or a lot?

If you’re wearing pantyhose or long pants to cover up unsightly veins when you really want to show off your legs then we have the treatment for you. We use injection therapy to treat the veins and make your legs more attractive.




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“You offer the latest procedures available for a reasonable price. You are  true professionals and experts in what  you are doing.”.
— Olga, Palo Alto 

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Sclerotherapy is a non-surgical injection therapy used to eliminate varicose and spider veins and is considered the primary treatment for small-vessel varicose disease, such as spider veins. During sclerotherapy affected vessels are injected with a sclerosant solution- Asclera® (polidocanol), which causes the vessel to collapse. As a result the treated vessel can no longer hold blood and shrinks, ultimately disappearing. Performed in-office, scleroptherapy is a relatively quick procedure and takes anywhere from 20 to 30 minutes depending on the number of spider/varicose veins being treated and their size.

Approximately one injection is administered for every inch of spider/varicose vein, varying anywhere from five to forty injections per treatment session.

Although you should take it easy for at least two days following the procedure, sclerotherapy generally does not require any recovery period. After sclerotherapy treatment, external compression is applied to the treated areas and patients are encouraged to wear elastic bandages or support stockings for a few days, which aid in the closure of treated veins.

Benefits of sclerotherapy:
Sclerotherapy can result in the elimination of unwanted varicose and spider veins making the skin of your legs appear younger, clearer, and more healthy-looking. Results are quite remarkable often even after just one procedure. Sclerotherapy of  spider veins is a relatively simple procedure that requires no anesthesia.

  • No downtime-patients can immediately resume work and non-vigorous activity.
  • Little to no discomfort.
  • Generally, excellent overall improvement in the appearance is achieved.
  • Sclerotherapy is a safe, time-proven procedure.

Sclerotherapy may also improve the associated symptoms of spider veins, such as mild pain and itchiness. The mildness of the sclerosing agent has made sclerotherapy a relatively painless procedure with very predictable results. Although sclerotherapy will rid the noticeable veins permanently, it’s important to remember that the sclerotherapy treatment will not prevent new spider veins from occurring.

Frequently asked questions about sclerotherapy:

  • What is the recovery time for sclerotherapy treatment?
    Daily activity will not be significantly limited in any other way from sclerotherapy treatment. Walking is encouraged to prevent clotting in the deep veins of the legs. However, during the period of time to complete your treatment program, prolonged sitting and standing should be avoided, as should squatting, heavy weight lifting and “pounding” type exercises, including jogging.
  • What are the common side effects of sclerotherapy?
    Serious medical complications from sclerotherapy treatment are extremely rare when the procedure is performed by a qualified practitioner. Risks can include the formation of blood clots in the veins, severe inflammation, adverse allergic reactions to the sclerosing solution and skin injury that could leave a small but permanent scar.
  • Are multiple sclerotherapy treatments necessary?
    Sclerotherapy can enhance your appearance and your self confidence, but it’s unrealistic to believe that every affected vein will disappear completely as a result of treatment. After each sclerotherapy session, treated veins will appear lighter. Two or more sessions are usually required to achieve optimal results.

You should also be aware that the procedure treats only those veins that are currently visable; it does nothing to permanently alter the venous system or prevent new veins from surfacing in the future.

Next Steps… We invite you to schedule a complimentary consultation by filling out the form to the right or by calling our office at 650.401.6060. We look forward to hearing from you.

Current clients can request an appointment here.