Date Published: 10/10/2025, Author:

Spider Vein Removal 

Asclera Injections Before and After Photos

There are over 30 million Americans suffering from spider veins. Fortunately, you don’t need to feel conscious about showing off your legs anymore with Asclera. This spider vein removing treatment is FDA-approved for being used in sclerotherapy. Your healthcare provider will administer the procedure in-office for treating the following types of veins in the legs:

  1. Small varicose veins or uncomplicated spider veins that are less than 1mm in diameter
  2. Reticular veins or uncomplicated spider veins that are 1 – 3mm in diameter

Pre-treatment Consultation

Pre-operative consultation is an integral component of the spider vein treatment procedure. Strong foundations are created by good consultation. Patients will understand procedural steps better during the pre-operative consultation. You can also get an in-depth insight in the treatment provider’s background.

The healthcare provider will try and establish whether you are an ideal candidate for the injections during the pre-operative procedure. Few treatment providers also show before and after pictures of Asclera injection therapy. These images are shown to help new patients develop reasonable expectations.

In addition, new patients may also request for testimonials of former patients for understanding the procedure better.

Procedure Plan

The vein specialist will examine your spider veins during the pre-treatment consultation. They will assess your personal aesthetic requirements and goals. An individual treatment plan will be developed by the treatment provider based on the evaluation. Generally, treatment plans include only sclerotherapy. However, a combination of procedures may be recommended in severe cases.

Your vein treatment provider will assess all your medical records to see if you have a history of any vascular concerns. The treatment provider will recommend a suitable plan based on your medical and personal information obtained during the initial consultation.

Asclera Injectable Administration

Asclera injection sclerotherapy for the removal of spider veins can be performed using three techniques:

  • Liquid sclerotherapy
  • Foam sclerotherapy
  • Ultrasound-guided sclerotherapy

Other advanced procedures may be recommended in combination with Asclera injections. This includes endovenous laser treatment and ambulatory phlebectomy. Liquid sclerotherapy may be recommended if the spider veins are tiny.

The vein specialist will inject a medication solution in the problematic veins directly using tiny needles. It is usually not a problem to find and treat the veins since they are easily visible on the skin.

Foal sclerotherapy is particularly effective in patients that have varicose veins and spider veins. A specialized foamy solution is injected directly into the veins. Larger sized veins can also be treated and removed using the procedure. Ultrasound guided sclerotherapy is recommended for veins that are embedded underneath the surface of the skin.

Recovery

Healing of bruises may be expedited by the treatment provider by using a special cream or gel. You may be asked to apply an ice pack for the first 1 to 2 days.

To learn more about the Baumholtz Plastic Surgery treatments and procedures performed by Board Certified Plastic Surgeon and Reconstructive Surgeon, Dr. Michael Baumholtz please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Baumholtz receives patients from San Antonio, Shavano Park, Texas and surrounding areas.


ABOUT DR. MICHAEL BAUMHOLTZ

Meet Dr. Michael Baumholtz — or simply “Dr. B” — one of San Antonio’s most respected and trusted board-certified plastic surgeons. Known for his warm personality and remarkable precision, Dr. B combines artistry, experience, and honest communication to deliver natural, confidence-building results. Patients appreciate that he tells them what they need to know, not just what they want to hear — ensuring every transformation is guided by expertise, safety, and integrity.

With dual board certifications in General and Plastic Surgery, Dr. B brings decades of advanced training from world-class institutions including Baylor College of Medicine and the University of Texas Health Science Center. His rare blend of academic excellence, technical mastery, and genuine compassion has made him the surgeon of choice for discerning patients seeking aesthetic excellence. As former Division Chief of Plastic Surgery at the Audie L. Murphy VA Hospital and an educator of future surgeons, he sets the standard for quality and care.

Beyond the operating room, Dr. Baumholtz has authored or co-authored more than a dozen peer-reviewed publications and book chapters and delivered over 40 national and regional presentations. A guest oral examiner for the American Board of Plastic Surgery and Executive Committee Member of the Texas Society of Plastic Surgeons, he continues to advance surgical education while mentoring the next generation of physicians.

When you choose Dr. B, you’re choosing more than a surgeon — you’re partnering with a skilled artist who listens, educates, and delivers. His boutique, patient-focused practice offers a calm, supportive environment where every detail matters, from consultation to recovery.


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