Spider veins, (telangiectasias or sunburst varicosities) are small, thin veins that lie close to the surface of the skin. These thin cluster of red, blue or purple veins are connected with the larger venous system, but are not an essential part of it. They are commonly found on the thighs, calves and ankles. The cause of spider veins is not completely known. Some factors that may contribute to spider veins include:​ heredity, pregnancy, weight gain, or prolonged standing or sitting.​

We treat spider veins with sclerotherapy, using Asclera solution. Asclera is made by Merz, the same company that makes Radiesse, Belotero, and Xeomin. Asclera is injected into the spider vein which causes the vein wall to swell, stick together, and seal shut. This stops the flow of blood and the vein turns into scar tissue. Within a few weeks, the vein will fade. Spider veins generally need to be treated more than once for optimal results. 


The injection uses a fine needle that causes a barely noticeable pinprick feeling. Some people experience a slight to moderate burning feeling immediately after the injection, but this disappears after a few seconds.

To improve the blood circulation in the deep veins, it is essential to walk after the treatment. A compression stocking is worn to reduce the risk of bruising and swelling or other complications. This may help seal the treated vessels, keep the blood from collecting under the skin, and reduce the development of dark spots. It may also reduce the number of treatments necessary, and the possibility of recurrence. Regular exercise, weight control and the use of support stockings (if practical) are recommended between treatments and after treatments. Detailed pre-and post-care instructions will be given prior to your treatment.

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