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Foam Sclerotherapy Los Angeles

Foam sclerotherapy, also known as ultrasound-guided foam sclerotherapy, is one of the relatively new vein treatment options in Los Angeles.

During the treatment, your Doctor injects the treatment substance as foam rather than a liquid, as in transilluminated Sclerotherapy (a technique usually used for removing spider veins). The injected foam irritates the vein, causing its irreversible damage and gradual disappearance.

Ultrasound-guided foam sclerotherapy has distinct advantages over traditional sclerotherapy since the foamed nature of the sclerosant allows its visualization while it spreads inside the veins.

The treatment of a particular vein with foam sclerotherapy requires the use of a smaller amount of the sclerosant chemical than its treatment with liquid sclerotherapy. This, of course, is important when the veins are not small.

The increase in the potency of the foamed sclerosant compared to liquid sclerosant, and hence the need for smaller amount of sclerosant is explained by the fact that compared with liquid sclerosing solution, foam makes better contact with the inside of the vein walls, stays longer in contact with the vein walls, provides larger contact surface, and the foam does not get diluted by readily mixing with the blood inside the vein.

Dr. Dishakjian – a Pioneer in Foam Sclerotherapy in Los Angeles

Being one of the first vein surgeons in the Los Angeles area to perform ultrasound-guided foam sclerotherapy, Dr. Raffi Dishakjian of Nu Vela Laser and Vein Center was featured on ABC Eyewitness News. Since then, the doctor has successfully used the technique to treat the veins of thousands of patients.




Preparing Foam for Foam Sclerotherapy

Preparation of foam for foam sclerotherapy. Two syringe Method.

Injecting Foam for Foam Sclerotherapy

Injecting foam during Ultrasound-guided foam sclerotherapy.

Varicose vein valves


In vein treatment, ultrasound imaging is used to map out the veins and to detect venous reflux or blockages to blood flow (such as blood clots). The machine is also used as an aid in the placement of a needle, a catheter, or a laser fiber.

At Nu Vela, Dr. Dishakjian uses ultrasound-guided foam sclerotherapy to treat branch varicosities of the saphenous veins. He may also use the technique for superficial or very tortuous varicosities unsuitable for Venefit™ and Endovenous Laser Therapy (EVLT)). Venefit and EVLT are two FDA-approved Endovenous procedures commonly used for the treatment of leg varicose veins.

Note that Venefit and EVLT  entail the use of a catheter or a laser fiber, which are often impossible to advance along the length of severely curved veins. In addition, treating very superficial veins with the above mentioned heat-based techniques could be unsafe due to the potential of causing skin burns.

Foam Sclerotherapy – the Procedure

The foam, with the consistency of thick shaving cream, is created in the office immediately before the injections by combining and agitating traditional detergent class sclerosants (like STS) with harmless carbon dioxide gas. The thick consistency of the foam makes it very effective for treating large and bulging leg veins.

Bulging leg veins treated with ultrasound-guided foam Sclerotherapy by Dr. Dishakjian, the vein surgeon at Nu Vela in Los Angeles
*Individual results may vary.


During the procedure, Dr. Dishakjian carefully traces the exact path of the problematic vein with the help of an ultrasound scanner. He then inserts a needle into the vein with absolute precision and injects the foam. Ultrasound mapping of the veins allows the doctor to track and monitor the distribution of the foam inside the vein.

Within minutes of the injection, the unsightly, bulging, discolored veins are affected. They are then gradually absorbed by the body to disappear over time without the scarring and bruising associated with surgery.

For more details, please watch the video posted below. It is an old video showing Dr. Dishakjian as he performs ultrasound-guided sclerotherapy for leg vein removal in Los Angeles.


Foam Sclerotherapy – Aftercare

Immediately after treatment, you will be fitted with a pressure bandage. This will ensure optimal treatment outcome by keeping the walls of the vein close together. On the day following the treatment, you can replace the bandage with graduated pressure stockings. These should be worn for at least two weeks. Go to compression therapy and watch the video on how to wear graduated compression stockings.

Questions about the Cost of Foam Sclerotherapy or the Treatment?

You may reach our Los Angeles vein clinic by clicking the “Contact” button at the top of the page, or by calling 818-832-4500.

Our receptionist will be delighted to assist you with any inquiries regarding cost, information, or scheduling a consultation with our vein specialist.

Consultations with the doctor are free with the purchase of any service. The nominal fee you pay for a consultation with the doctor is fully credited towards a future service cost.

Click vein treatments Los Angeles to read about other treatment options available at our advanced vein center.

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