Feb
Unfortunately for your phobia, several head to head studies confirm that sclerotherapy is more effective and actually in my clinic, found to be less painful than laser for the treatment of spider and reticular leg veins. It is also less expensive because you are not paying for the expensive laser equipment costs.
Yes! I am happy to report that the Federal Drug Administration approved polidocanol in 2010. It is being sold by Merz to trained core aesthetic physicians under the trade name Asclera. Asclera is a detergent sclerosant FDA approved for spider and reticular veins in patients without complicated venous disease. Asclera works by damaging the cells, called endothelial cells that line the blood vessel. Over several weeks, the damaged cells cause a fibrosis and closing of the veins. The injections take about 15 minutes. There is no downtime, but stocking should be worn for 1-14 days and the sclerosis that permanently closes the vein takes several weeks. Bruising is the most common complication.
Sclerotherapy works best if compression stockings are worn for 24 hours after treatment for spider veins. This compresses the vessel and makes it heal closed rather than having the vessels pop open when you stand and put pressure on the venous system. It also reduces the chance of hyperpigmentation from the blood being trapped inside the vein. If blood is trapped, it results in a residual pigment called hemosiderin that causes dark lines and spots.
Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.
Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.
Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.
She has also received the following awards:
Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.
