Preparation of foam for foam Sclerotherapy. Two syringe
Injecting foam during Ultrasound guided foam Sclerotherapy.
Ultrasound imaging uses high frequency sound waves to produce pictures of the inside of the body. In vein treatment, it 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.
Minimally Invasive, Doctor Performed, Painless Procedure to Remove Leg Varicose Veins. Performed by the Center's Vein Specialist, Doctor R. Dishakjian.
Foam Sclerotherapy, also known as Ultrasound Guided Foam Sclerotherapy, is a relatively new technique to treat larger or bulging varicose veins of the leg. 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 to deliver the foam where it's needed while avoiding collateral damage to adjacent structures.
Utrasound guided foam Sclerotherapy has distinct advantages over traditional Sclerotherapy, since the foamed nature of the sclerosant allows its visualization while it spreads inside the targeted 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 foam makes better contact with the inside of the vein walls and stays longer in contact with the vein walls, because foaming provides a larger contact surface to the sclerosant and the foam does not get diluted by readily mixing with the blood inside the vein.
At Nu Vela Esthetica, 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 endovenous thermal (heat-based) ablation techniques (like EVLT or Venefit™). Note that it is often impossible to advance the treatment catheter or the laser fiber of the Venefit or EVLT systems along the length of severly curved veins. In addition, treating very supericial veins with the above mentioned heat-based techniques could be unsafe due to the potential of causing skin burns. Click here to watch the Doctor featured on ABC Eyewitness News - Foam Sclerothrapy for being one of the first physicians in Southern California to perform this minimally invasive vein treatment 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 or Polidocanol) with harmless carbon dioxide gas. The thick consistency of the foam makes it very effective for treating large and bulging leg veins.
During the procedure, Dr. Dishakjian uses an ultrasound-guided catheter to inject the foam into the veins to be treated. 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 of 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, you can change into 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 us" 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, a cosmetic surgeon and phlebologist. 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.