Your Trusted Los Angeles Vein Specialist
Cosmetic Ultrasound-Guided Sclerotherapy
Cosmetic ultrasound-guided sclerotherapy is an advanced, minimally invasive clinical treatment used to permanently close varicose and spider veins that lie deep beneath the skin’s surface. Unlike traditional surface treatments, this procedure combines real-time ultrasound imaging with a specialized medicated foam to map and treat hidden, malfunctioning veins with extreme precision. Performed entirely in our comfortable office setting at the Vein & Wound Center of LA, this quick therapy requires zero surgery, minimal downtime, and lets you return to your day immediately.

BEFORE

AFTER
This procedure is specifically designed to eliminate problematic vein networks and the uncomfortable or aesthetic symptoms that accompany them, including:
Visible Varicose & Spider Veins: Rope-like bulging veins or dense surface webs clustered tightly on the thighs, calves, or ankles.
Persistent Aching & Throbbing: A continuous, deep muscle soreness or localized raw throbbing that intensifies after sitting or standing still.
Leg Exhaustion: A heavy, fatigued, or sluggish feeling in the lower extremities that grows increasingly drained by the end of the day.
Swelling & Fluid Buildup: Mild to moderate puffiness or tight-skin sensations around the ankles and lower legs.
The primary target of this procedure is venous insufficiency, a condition where the one-way valves inside your leg veins stretch, weaken, or fail. Instead of pumping blood smoothly back up to your heart, these broken valves allow blood to flow backward and pool. This pooling inflates adjacent branches and feeds twisted surface veins.
During your session, our specialist utilizes real-time ultrasound imaging to safely locate the hidden “feeder” veins responsible for your surface concerns. Using a micro-needle, a specialized medical solution (sclerosant) is mixed with air or a gas to create a light foam, which is then precisely injected into the targeted vein. The foam consistency easily displaces blood within the vessel, ensuring complete and direct contact with the interior vein wall. This action causes the diseased vein to safely collapse and seal completely shut. Your body naturally reroutes your blood flow to healthy surrounding veins, and the closed vessel gradually dissolves over time.

Using a medicated foam provides several distinct clinical benefits over standard liquid sclerotherapy:
Enhanced Visualization: The foam creates a bright, highly visible image on the ultrasound monitor, allowing our specialist to track and guide the solution through hidden branches with absolute precision.
Greater Coverage & Efficacy: Because foam expands, it covers a much larger area and can treat wider, more complex networks of veins using a lower concentration of medication.
Better Contact: Liquid medication gets diluted by blood. Foam pushes the blood out of the way, keeping the medication fully concentrated against the vein lining for maximum closing power.
When it comes to your circulatory and aesthetic health, you deserve specialized, compassionate care:
Our vein specialists possess advanced training in vascular medicine and complex wound care, ensuring you receive the highest standard of medical excellence.
We utilize the latest in-office diagnostic ultrasound and a comprehensive array of modern, non-surgical vein closure systems.
We are uniquely equipped to treat everything from early-stage spider veins to advanced varicose veins and complex venous ulcers under one roof.
We don’t believe in one-size-fits-all treatments. We design a personalized care plan tailored specifically to your lifestyle, medical history, and recovery goals.
Step 1: Evaluation & Mapping: We perform a targeted ultrasound scan to locate the hidden feeder veins supplying blood to your visible varicose or spider vein clusters.
Step 2: Microscopic Injection: Under precise, real-time ultrasound guidance, the medicated foam is injected into the targeted veins using a microscopic needle. The process takes less than 30 minutes.
Step 3: Quick Recovery: A light compression stocking is placed on your leg, and you are asked to take a brief walk immediately. You can walk right out of our clinic and return to your daily life.

It targets hidden “feeder” veins deep beneath the skin that supply blood to visible varicose and spider veins.
Minimally. It uses a tiny micro-needle, so you will only feel a mild pinch or a brief mosquito-bite sensation.
No. You can walk immediately and resume regular light activities the same day, though high-impact workouts should be avoided for a few days.
Most patients see excellent results within 2 to 4 short sessions, depending on the size and extent of the vein networks.
Yes. When an ultrasound documents that these veins are causing medical symptoms like pain, swelling, or aching, it is covered by Medicare and private insurance.
Don’t let visible veins or self-consciousness hold you back from living your life to the fullest.
Schedule a consultation with our vein specialists today to receive a personalized treatment plan.