Asclera Vein Removal

FDA-Approved Sclerotherapy to Eliminate Spider & Reticular Veins.Quick, Effective, Minimal Downtime

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  • ExpertiseTop 1%Injector in the country
  • ExperienceOver 11,000Patients treated
  • Excellence590+Five star reviews

Why Choose Dr. Avaliani for Asclera Vein Removal?

Spider veins and reticular veins affect millions of people, causing visible purple, blue, and green vessels that impact confidence and comfort. Dr. Avaliani uses Asclera (polidocanol), an FDA-approved sclerosing agent, to directly treat and eliminate these veins through precise injection. The medication causes affected veins to shrink, collapse, and gradually fade from view over the following weeks.

  • FDA-Approved Treatment

    Asclera (polidocanol) is an FDA-approved prescription sclerosing agent specifically designed to treat spider veins (1mm or less) and reticular veins (1-3mm), proven safe and effective with extensive clinical evidence

  • Board-Certified Physician

    11+ years of aesthetic medicine experience. Dr. Avaliani personally performs every Asclera injection with meticulous precision, targeting each vein individually for maximum clearance

  • Minimal Downtime

    Return to your daily routine with minimal restrictions. Compression stockings are worn briefly after treatment. Walking is encouraged. Most patients resume normal activities the same day

  • A Reputation Built on Results

    5.0-star rating with 565+ verified patient reviews and proven vein removal results that progressively clear with each session

  • Personalized Approach

    Customized treatment plans targeting your specific vein pattern, size, and distribution for comprehensive clearance

What Is Asclera Sclerotherapy?

Asclera (polidocanol) is an FDA-approved prescription sclerosing agent used to treat two types of veins: uncomplicated spider veins (1mm or less in diameter) and uncomplicated reticular veins (1-3mm in diameter). It is injected directly into affected veins using an ultra-fine needle, causing the vein walls to seal shut. Blood is then naturally rerouted to healthier veins, and the treated vessels gradually shrink and fade from view.

At Dr. Avaliani’s practice, every Asclera sclerotherapy session is performed with meticulous precision. The medication is injected directly into each targeted vein using an ultra-fine needle. The polidocanol damages the inner lining of the vein, causing it to collapse and seal shut. Blood naturally redirects to deeper, healthier veins, and the treated vessels progressively fade over the following weeks.

How Asclera Sclerotherapy Works

The Asclera treatment follows a straightforward, well-proven protocol:

  • Dr. Avaliani maps and evaluates your spider and reticular veins, identifying vein size, depth, and distribution to create a targeted injection plan
  • Asclera (polidocanol) is injected directly into each targeted vein using an ultra-fine needle with very slight, transient stinging
  • The sclerosing agent damages the inner lining of the vein, causing it to seal shut, collapse, and begin to be reabsorbed by the body
  • Blood naturally reroutes to deeper, healthier veins while the treated vessels progressively shrink and fade from view
  • Over 2-3 treatment sessions, veins progressively diminish for smoother, clearer skin free of visible veins

Vein Types & Areas We Treat

  • Spider Veins (Legs)

    Fine, web-like purple and red veins on the legs that are visible through the skin surface. These small vessels (1mm or less) respond excellently to Asclera injection, typically fading within weeks of treatment for clearer, smoother-looking legs.

  • Reticular Veins

    Slightly deeper blue-green veins (1-3mm in diameter) that may appear slightly bulging beneath the skin. These feeder veins often supply spider vein clusters and must be treated for lasting clearance. Asclera effectively treats reticular veins at their source.

  • Facial Veins

    Visible spider veins on the face, particularly around the nose, cheeks, and chin. These delicate veins can be carefully treated with Asclera or laser, restoring an even, clear complexion. Dr. Avaliani selects the ideal approach based on vein size and location.

  • Thigh Veins

    Spider and reticular veins on the inner and outer thighs that create a web-like pattern visible through the skin. Asclera sclerotherapy effectively clears thigh veins, restoring confidence in shorts, skirts, and swimwear.

  • Behind the Knees

    Spider veins behind the knees are extremely common and highly visible. This sensitive area responds well to carefully administered Asclera injections, clearing the visible vein network for smoother-looking legs from every angle.

  • Ankle & Calf Veins

    Spider veins around the ankles and calves that become noticeable with open shoes and shorter hemlines. Asclera sclerotherapy effectively treats these lower leg veins, allowing you to show off your legs with confidence.

About Asclera Sclerotherapy

There are several options for treating spider and reticular veins. Here’s why Asclera sclerotherapy is an excellent choice:

  • FDA-Approved Asclera®

    Asclera (polidocanol) is an FDA-approved sclerosing agent specifically designed for spider and reticular veins. It works by directly damaging the vein lining, causing collapse and gradual reabsorption. Proven safe and effective in extensive clinical trials with minimal side effects.

  • Precise Injection Technique

    Dr. Avaliani uses ultra-fine needles to inject Asclera directly into each targeted vein with precision. Both spider veins and their deeper reticular feeder veins are treated in the same session for comprehensive, lasting results rather than cosmetic surface treatment alone.

  • Combination Approach

    For complex vein patterns, Dr. Avaliani may combine Asclera sclerotherapy with Elite+ Nd:YAG laser treatment. This dual approach addresses veins from both inside (sclerotherapy) and outside (laser), providing the most comprehensive clearance for stubborn or extensive vein networks.

Call us today to schedule your Asclera sclerotherapy consultation with Dr. Avaliani and take the first step toward clear, vein-free skin!

Does It Hurt?

Your comfort options (we tailor this to you)

Asclera injections involve very slight stinging or burning as the medication enters each vein, but the sensation is quick and transient. Dr. Avaliani uses ultra-fine needles and works methodically through the treatment area. Most patients tolerate the procedure very well.

After treatment, compression stockings are worn briefly and walking is encouraged to promote circulation. Soreness, swelling, redness, and mild bruising are the most common side effects and resolve within days. Pro-Nox (nitrous oxide) is available for patients who prefer additional relaxation during treatment.

Feel Calm. Stay in Control. Look Amazing.

Learn about your comfort options ›
  • Reduced anxietySettle into a calm, relaxed state before and during your treatment, with no stress and no tension.
  • Less discomfortEnhanced comfort for your treatment, so you can focus on your results.
  • No downtimeWalk out feeling great and drive yourself home. No recovery time required.

Is Asclera Sclerotherapy Right for Me?

Ideal Candidates

You may be a good candidate if you:

  • Have visible spider veins or reticular veins on your legs or face that affect your confidence
  • Want to eliminate veins without surgery, incisions, or significant downtime
  • Are looking for an FDA-approved, proven treatment specifically designed for vein removal
  • Do not have a history of blood clots, active skin infections at the treatment site, or allergy to polidocanol
  • Are in good general health and not currently pregnant or breastfeeding
  • Want a customized sclerotherapy plan targeting your specific vein pattern for comprehensive clearance

What Does Asclera Sclerotherapy Cost?

  • Pricing Information

    Asclera sclerotherapy pricing depends on the number of treatment areas, vein density, and the number of sessions needed for optimal clearance. Price Range: Most patients achieve optimal results in 2-3 sessions, as there is a limit to how much medication can be used per session During your consultation, Dr. Avaliani will evaluate your veins, discuss your goals, and provide transparent pricing. Treated veins progressively fade over the following weeks, and each session builds on the previous for cumulative improvement.

View before & after gallery

Results vary from patient to patient. The gallery shows real outcomes from treatments performed by Dr. Avaliani.

Before and after imagery to be added for this treatment.

Asclera Vein Removal frequently asked questions

  • What is Asclera?

    Asclera (polidocanol) is an FDA-approved prescription sclerosing agent used to treat uncomplicated spider veins (1mm or less) and reticular veins (1 to 3mm) in the legs and face. It is injected directly into the affected veins, causing them to shrink, collapse, and gradually fade from view.

  • How many treatments will I need?

    Most patients achieve optimal results with 2 to 3 treatment sessions. There is a limit to how much medication can be used at each session, so multiple treatments allow for safe, thorough coverage of all affected veins. Sessions are typically spaced 4 to 6 weeks apart.

  • Does Asclera treatment hurt?

    There is very slight stinging or burning as the medication is injected into each vein, but the sensation is quick and transient. Dr. Avaliani uses ultra-fine needles for maximum comfort. Most patients tolerate the procedure very well. Pro-Nox nitrous oxide is available for additional relaxation.

  • What are the side effects?

    The most common side effects are soreness, swelling, redness, and mild bruising at the injection sites. These resolve within days. Post-inflammatory hyperpigmentation may occasionally develop and typically fades over weeks to months. Dr. Avaliani will discuss all potential side effects during your consultation.

  • When will I see results?

    Some improvement is visible within days as treated veins begin to close. Full results develop over 3 to 6 weeks as the body absorbs the collapsed vein tissue. Results continue to improve with each subsequent treatment session for progressive vein clearance.

  • Can treated veins come back?

    Veins that are successfully treated with Asclera are permanently eliminated and will not return. However, new spider or reticular veins may develop over time due to genetics, hormones, pregnancy, or lifestyle factors. Periodic maintenance treatments can address any new veins as they appear.

  • Who should not get Asclera treatment?

    Asclera is not suitable for individuals with a history of blood clots in the legs, active skin infection at the treatment site, or known allergy to polidocanol. Pregnant and breastfeeding women should also avoid treatment. Dr. Avaliani will review your medical history during consultation.

  • What is the downtime?

    Downtime is minimal. Compression stockings are worn briefly after treatment and walking is encouraged. You can return to most daily activities the same day. Avoid strenuous exercise and prolonged hot baths for 48 hours. Most patients resume their full routine within a day or two.

  • How is Asclera different from laser vein removal?

    Asclera sclerotherapy injects medication directly into the vein from inside, while laser treatment uses external light energy to heat and seal veins. Both are effective, and Dr. Avaliani may recommend combining both for complex vein patterns. Asclera is often preferred for larger reticular veins.

  • Can Asclera be combined with other vein treatments?

    Yes. Asclera sclerotherapy can be combined with Elite+ Nd:YAG laser treatment for comprehensive vein clearance. This dual approach addresses veins from both inside and outside for the most thorough results, especially with complex or extensive vein patterns.

Luxury treatments. Flexible payment options.

Exceptional aesthetic care should be available when you are ready. We offer financing that lets you begin treatment now and manage the cost over time.

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30 East 60th Street, Suite 1100New York, NY, 10022(btw Park & Madison Ave)
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