For patients with larger varicose veins and chronic venous insufficiency, ultrasound-guided foam sclerotherapy offers a minimally invasive, highly effective solution. This advanced technique targets deeper, problematic veins that may not be visible on the skin’s surface, relieving pain, swelling, and discomfort while improving circulation.
At Vascular Surgery Associates, our leading vein specialists in Los Angeles and Santa Monica utilize ultrasound imaging to precisely treat diseased veins, ensuring optimal results with minimal downtime. This office-based procedure provides a safer, more efficient alternative to traditional vein stripping or surgical removal.
What is Ultrasound-Guided Foam Sclerotherapy?
Unlike traditional sclerotherapy, which is used for small spider veins, ultrasound-guided foam sclerotherapy is designed for larger, deeper varicose veins that are not easily seen on the surface.
How the Procedure Works
- Ultrasound imaging identifies the affected veins, ensuring precise treatment.
- A fine needle is inserted into the diseased vein, guided by ultrasound for accuracy.
- A medical foam sclerosant is injected, causing the vein walls to collapse.
- Over time, the treated vein is absorbed by the body, and blood reroutes to healthier veins.
This highly targeted approach improves treatment effectiveness and patient outcomes, especially for large varicose veins or veins that have recurred after previous treatments.
Who is a Candidate for Ultrasound-Guided Foam Sclerotherapy?
This treatment is ideal for patients who:
- Have larger, deeper varicose veins that cause pain, swelling, or discomfort
- Have experienced vein recurrence after previous treatments
- Are not candidates for laser vein treatments due to vein size or location
- Have chronic venous insufficiency (CVI) affecting circulation
- Want a minimally invasive alternative to vein surgery
If you suffer from bulging veins, leg pain, or venous insufficiency, a consultation at Vascular Surgery Associates can determine if ultrasound-guided foam sclerotherapy is right for you.
Benefits of Ultrasound-Guided Foam Sclerotherapy
This advanced vein treatment offers significant advantages over other procedures:
Minimally invasive
No major incisions or stitches
Highly precise treatment
Ultrasound guidance ensures accuracy
Effective for deeper veins
Treats veins not visible on the skin’s surface
Fast recovery
Patients resume normal activities immediately
No general anesthesia required
Local anesthesia ensures comfort
Long-lasting results
Eliminates problematic veins permanently
Ultrasound guidance allows our specialists to safely and accurately treat veins that would otherwise require surgery, reducing downtime and improving patient comfort.
What to Expect Before, During, and After Treatment
Before the Procedure
- A venous ultrasound is performed to map out the diseased veins.
- Patients should avoid applying lotion or shaving the treatment area on the day of the procedure.
During the Procedure
- A fine needle is guided into the vein using ultrasound imaging.
- A foam sclerosant is injected, collapsing the diseased vein.
- The procedure takes 30-45 minutes, with minimal discomfort.
After the Procedure
- Patients walk immediately after treatment and return to daily activities.
- A compression stocking is worn for a few days to support healing.
- Mild swelling or bruising may occur but resolves quickly.
- Results improve over several weeks as the vein is absorbed by the body.
Frequently Asked Questions About Ultrasound-Guided Foam Sclerotherapy
Most patients require 1-3 sessions, depending on the size and severity of the veins.
The procedure is well tolerated, with minimal discomfort. Patients may feel mild tingling or warmth during injection.
Patients can walk immediately after treatment but should avoid vigorous exercise for a few days.
Treated veins gradually fade over several weeks, with full results visible in 3-6 months.
Insurance may cover treatment if the veins cause medical symptoms. Our office will assist with insurance verification.

Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Get Lasting Relief from Varicose Veins – Schedule Your Consultation Today
If you are experiencing painful, swollen varicose veins, ultrasound-guided foam sclerotherapy offers a proven, minimally invasive solution. At Vascular Surgery Associates, our expert vein specialists in Los Angeles and Santa Monica use the latest ultrasound technology to provide precise, effective vein treatments.
Contact us today to schedule your consultation and take the next step toward healthier, vein-free legs.