Dermatologist Dr. Jessica Wu demonstrates Asclera injections, a brand-new solution for spider veins.
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Male Speaker: Dermatologist Dr. Jessica Wu is here with her patient Christina to show us who this works. Dr. Andrew Ordon: Welcome ladies, how are you? So Christina you have some Spider Veins right, on your legs right? Christina: I would like to cover them up whenever possible, I never wear shorts, rarely wears skirts etc. Dr. Andrew Ordon: And such a common problemespecially in women and why do we call them Spider Veins, well as you will see on Christina that their appearance is like little Spiders under the skin, but you have a new solution for us today, right? Dr. Jessica Wu: Yes I do. Now up until recently the standard of care was injections with saline or salt water solution and the problem with those is that it can be very painful, it can cause leg cramping and even occasionally skin ulcers or skin sours. Dr. Andrew Ordon: And I have seen that. Dr. Jessica Wu: Yes, now what's brand new and what's just recently have been approved by the FDA is a new solution called Asclera and this is a solution that is similar to the saline injected into the veins and what's new about it is that it's much less painful and there is much lower risk of skin alterations. So it will be much more comfortable for Christina. Dr. Andrew Ordon: And we are going to do it right now. Dr. Jessica Wu: Yes we are. Dr. Andrew Ordon: On you, are you ready? Christina: I am. Dr. Jessica Wu: So what I am going to do is put on my attractive visor here my magnifying goggles and the reason I need to do that is that remember that when we inject solution into the veins, I have got to put the tip of the needle into each little vein to make it collapse. So the first thing, we will do is clean off the area and Christina, I am going to have you turn your leg out a bit just like that and then I am going to wipe off with a little bit of a alcohol just like this, and I am going to slip a tiny-tiny needle which is very-very thin just underneath the skin and you will be seeing the treatment right before your very eyes, okay. Dr. Andrew Ordon: Close your - These are non functioning veins so there is no functional problem at all and it's -- It's to be differentiated from varicose veins which are much-much larger and nattier and they potentially can lead to a D-dimer in the lower extremity. Dr. Jessica Wu: Yeah you certainly don't need these veins. You are ready Christina? Christina: I am. Dr. Jessica Wu: Okay, here we go, you are going to feel a little pinch on the count of three, one, two, three. Dr. Andrew Ordon: So that fine needle tip goes right into that vein. Dr. Jessica Wu: In the vein now and you are going to see a little flush. Christina: I can feel it a little bit but not bad. Dr. Jessica Wu: Good, do you see it flushing away? Dr. Andrew Ordon: I do. Christina: Yeah. Dr. Jessica Wu: Here we go, the vein is flushing away and what this tells us is that the solution is getting into the vein exactly where we want it to be and the solution causes a little bit of mild safe, mild irritation of the vein and it makes the vein collapse and stick together and over the next few weeks your body absorbs it and eventually it will disappear. Dr. Andrew Ordon: So in a case like this you have to do multiple little treatments and all those because she has multiple spiders in that area. Dr. Jessica Wu: Yes, yes absolutely. Dr. Andrew Ordon: But that area is clear now you can see that where she had that discoloration. Dr. Jessica Wu: You can see it's clear and that tells us that the solution went exactly where we wanted it to be and the rest is up to your body to absorb the vein and dissolve it. So I am going to send you home with a little bit of cotton and a dressing and I am going to tell you take it easy for a couple of days and within about 4 to 6 weeks you should be much smoother, much clear you will be able to show your legs. Dr. Andrew Ordon: And we have some pictures of how this works somebody who is before treatment and after treatment, that's a big dif