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Foam Sclerotherapy Los Angeles

Foam sclerotherapy, also known as ultrasound guided foam sclerotherapy, is one of the relatively new varicose vein treatment options. During the treatment, your Doctor injects the treatment substance as foam rather than a liquid, as in sclerotherapy (a technique usually applied to leg reticular and spider veins). The injected foam irritates the vein, causing its irreversible damage and gradual disappearance. In ultrasound guided foam sclerotherapy, this foamed version of the sclerosant is injected into the target veins under direct ultrasound imaging in order to deliver the foam where it’s needed. 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, and the treatment of a particular vein with foam sclerotherapy requires the use of smaller amount of chemical sclerosant 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 in foam sclerotherapy, 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.

At Nu Vela Laser and Vein Center, Dr. Raffi Dishakjian, the phlebologist of the Center, uses ultrasound guided foam sclerotherapy to treat branch varicosities of the saphenous veins, as well as very superficial or very tortuous varicosities unsuitable for Venefit™ varicose vein treatmentor Endovenous Laser Therapy (EVLT)). Note that it is often impossible to advance the treatment catheter of the Venefit or the laser fiber of EVLT systems 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. It should be mentioned that Dr. Dishakjian was featured on ABC Eyewitness News for being one of the first physicians in Southern California to perform this minimally invasive vein treatment procedure, foam sclerotherapy. See the video posted below.


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 during foam sclerotherapy or endovenous ablation, such as the VNUS Closure or EVLT.

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.

Foam Sclerotherapy
*Individual results may vary.


During the procedure, Dr. Dishakjian carefully traces the exact path of the problematic vein with  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. For more details, please watch the video posted below. The unsightly, bulging, discolored veins are affected within minutes of the injection and gradually absorbed by the body to disappear over time without the scarring and bruising associated with surgery.


Foam Sclerotherapy – Aftercare

Immediately after treatment, you will be fitted with a pressure bandage to keep the walls of the vein close together for optimal treatment. After 12-24 hours, the bandage can be replaced with graduated pressure stockings, which should be worn for about 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 medical spa and 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 enquiries regarding cost, additional information, or scheduling a consultation session with Dr. Dishakjian, the vein specialist of the center. Consultations with the doctor are free with the purchase of any service. We charge a nominal refundable consultation fee for the first office visit only. This fee is fully credited towards a subsequently purchased service.

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