ASCLERA is injected into the spider veins with a small needle. ASCLERA irritates the interior walls of the injected vein which causes them to constrict and close. 

ASCLERA has anesthetic properties, which may make treatment more comfortable for patients.

For most patients treated with ASCLERA, results will show in one to three treatments. Results may be evaluated within a few days of treatment. Some patients may require additional treatments. Each treatment is $350.

After treatment, you will need to wear compression pantyhose. We recommend wearing them for 72 hours after treatment and then for 21days during the day post treatment.  The pantyhose need to be 20/30 mmhg gradient compression.  These pantyhose vary in price from around $45 to $150. You can purchase these pantyhose at your local pharmacy, or online. Brands include: Medi, Jobst, and Juzo, etc. In Billings, stores such as St Vincent Home Health Care in the Yellowstone Medical Building, Juro’s, and Pharmacy One carry these products.

Your insurance might pay for the pantyhose, however, a prescription may be required. If you would like a prescription for these pantyhose, you may schedule a “screening appointment” with our Physician Assistant.  You will be assessed briefly and provided with a prescription for compression pantyhose as indicated. We will also explain other vein issues to you as part of this screening appointment. Spider veins may be one symptom of other more serious vein issues. There is no charge for this screening appointment; nor is there any obligation on your part to have cosmetic or medical treatment.  The purpose of this appointment is to provide information to you and provide a prescription for pantyhose if indicated.