Clearer legs. Fewer veins. Minimal downtime.
Say goodbye to tiny spider veins and small blue reticular veins. At Metamorphosis, we use Asclera (polidocanol) in two strengths—0.5% and 1%—to safely close unwanted leg veins so your body can absorb them over time, revealing smoother, more even-toned skin.
What is Asclera—and how does it work?
Asclera is a prescription sclerosing solution. When it’s gently injected into a vein, it irritates the vein’s inner lining, causing the vessel to collapse, seal, and fade as your body naturally clears it.
- Precise micro-injections
- No incisions or heat
- Built-in numbing effect for comfort
Which strength do we use—and when?
- Asclera 0.5% → best for spider veins (≤ 1 mm)
Think fine red or purple lines that look like webs. - Asclera 1% → best for reticular veins (1–3 mm)
The slightly larger blue/green “feeder” veins that can nourish spider veins.
Your injector may treat reticular “feeders” first with 1% and then refine remaining spiders with 0.5% for the most even clearance.
Who is a good candidate?
• Visible spider and reticular veins on the lower legs
• Want a non-surgical treatment with minimal downtime
• Realistic about needing a series for best clearance
Not a fit right now if: you’re pregnant, have a history of acute blood clots, or are allergic to polidocanol. We’ll review your medical history to keep you safe.
What to expect
Treatment time: 15–45 minutes, depending on the number of veins.
Sensation: tiny pinches; most patients find it very tolerable.
Number of sessions: usually 1–3+ sessions per area, spaced 4–6 weeks apart.
When you’ll notice changes: veins often darken first, then fade over weeks as the body reabsorbs them; full outcome builds over 2–3 months.
Aftercare that maximizes results
- Compression: wear compression stockings as directed (typically continuous for the first 24–48 hours, then daytime wear for ~1–2 weeks depending on vein size).
- Move: take brisk walks the day of treatment; avoid strenuous lower-body workouts for 24–48 hours.
- Skip heat: avoid hot baths, saunas, steam rooms, and sun exposure on treated areas for a few days.
- No tanning until any bruising or discoloration has resolved.
We’ll give you a simple, customized plan at checkout.
Potential side effects (usually mild and temporary)
- Vein-informed approach: we treat feeder veins first for better, longer-lasting clearance
- Dedicated leg-vein protocols using both 0.5% and 1% Asclera
- Comfort-focused care and clear aftercare so results keep improving between visits
Why choose Metamorphosis for sclerotherapy?
- Compression: wear compression stockings as directed (typically continuous for the first 24–48 hours, then daytime wear for ~1–2 weeks depending on vein size).
- Move: take brisk walks the day of treatment; avoid strenuous lower-body workouts for 24–48 hours.
- Skip heat: avoid hot baths, saunas, steam rooms, and sun exposure on treated areas for a few days.
- No tanning until any bruising or discoloration has resolved.
We’ll give you a simple, customized plan at checkout.
Ready to love your legs again?
Book your consultation to map your veins and get a personalized plan with Asclera 0.5% & 1%.
Call 425-626-2436 or schedule online.
The Sclerotherapy Procedure
During sclerotherapy, a solution of saline and a sclerosant is injected into the damaged veins. This will cause irritation in the affected veins and produce their eventual collapse. During this procedure, the surgeon is guided through the use of ultrasound to ensure precision. When the weakened veins collapse, they will be reabsorbed into the body and other healthier veins will take their place in the circulatory system.
Sclerotherapy has proven to be a safe procedure and is performed outpatient in the provider's office. Typically, sclerotherapy is performed in less than an hour, although a varying number of injections may be required, depending on the number of veins involved. Patients do not require an anesthetic and usually report little or no discomfort during the procedure, only a mild burning sensation. In some instances, several sclerotherapy treatments may be necessary.
Risks of Sclerotherapy
Although sclerotherapy is a safe procedure that has been successfully performed for many years, there are certain risks associated with any medical procedure. Certain minimal, temporary side effects are to be expected, including bruising and discoloration. More serious complications are rare, but may include:
Inflammation
Swelling, warmth and discomfort around the injection site may indicate the presence of an infection for which the provider may prescribe antibiotics.
Blood Clot
A lump of clotted blood may form in a treated vein and require drainage. Rarely, a deeper blood clot may develop, known as a deep vein thrombosis. Since there is danger that such a clot will break off and travel to the chest, resulting in a pulmonary embolism, such a clot requires urgent medical attention. Sudden shortness of breath, chest pain, dizziness or the coughing up of foamy blood are signs of pulmonary embolism and must be addressed immediately.
Air Bubbles
Tiny air bubbles may rise in the bloodstream. These may not result in any symptoms, but if the patient experiences visual disturbances, headache, coughing or nausea, the physician should be contacted.
Nerve Damage
Numbness or odd sensations in the affected limb following sclerotherapy should always be investigated. While rare, it's possible for a patient to have a severe allergic reaction to the sclerosant used in the treatment.
Recovery from Sclerotherapy
Patients are able to return home shortly after sclerotherapy. Most can return to work and resume normal activities the next day, although exercise and strenuous activities are to be avoided a week or two. Compression bandages usually need to be worn for a week or so after the procedure. While it may take up to a month for the patient to see full results, some improvement is usually visible immediately.
In order to promote vascular health and to preserve the positive effects of the sclerotherapy, it is recommended that patients maintain a healthy weight and make exercise part of their daily routine.
