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Varithena / Ultrasound Guided Sclerotherapy (Venous Ulcers and More)

Are you struggling with larger or deeper varicose veins that cause discomfort, swelling or even venous ulcers? Advanced sclerotherapy techniques, including Varithena® and ultrasound-guided sclerotherapy, offer highly effective, minimally invasive solutions for these complex vein conditions. At Vein Care Center, Dr. Manu B. Aggarwal provides specialized sclerotherapy treatments to help patients from Lima, Celina and surrounding areas find relief from advanced venous disease and achieve healthier legs.

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What Are Varithena and Ultrasound Guided Sclerotherapy?

Varithena and ultrasound-guided sclerotherapy represent the next generation of vein treatment technology, offering targeted solutions for veins that may not respond well to traditional treatments. These advanced techniques build upon the proven principles of sclerotherapy while incorporating specialized tools and guidance systems for enhanced precision and effectiveness.

Varithena Treatment

Varithena is an FDA-approved injectable foam treatment specifically designed for more prominent varicose veins. This proprietary, pharmaceutical-grade microfoam contains polidocanol, a proven sclerosing agent suspended in a precise COâ‚‚/Oâ‚‚ gas mixture. When injected into problematic veins, Varithena fills and treats the entire vein segment, even around valves and in areas where the vein diameter varies.

Varithena is particularly effective for treating the great saphenous vein system and incompetent perforator veins that connect the superficial and deep venous systems. It provides a non-thermal, non-tumescent alternative to procedures like endovenous laser treatment for patients with anatomically challenging veins or those seeking a less invasive option.

The unique foam formulation allows for:

  • Consistent concentration throughout the treated vein
  • Even contact with the vein walls
  • Treatment of more significant vein segments with fewer injections
  • Effective closure of tortuous veins that may be difficult to treat with other methods

Ultrasound Guided Sclerotherapy

Ultrasound-guided sclerotherapy (also known as echo sclerotherapy) enhances traditional sclerotherapy by incorporating real-time ultrasound imaging to visualize veins that lie deeper beneath the skin. During this procedure, Dr. Aggarwal uses ultrasound technology to guide the injection needle to the exact treatment location precisely, ensuring accurate delivery of the sclerosing agent.

Ultrasound-guided sclerotherapy is particularly valuable for treating deeper reticular veins, perforator veins and recurrent varicose veins after previous treatments. Depending on the specific characteristics of your veins, the procedure can be performed using liquid sclerosants or specialized foam formulations like Varithena.

This advanced guidance system allows for:

  • Treatment of veins that aren’t visible on the skin surface
  • Precise targeting of vein segments with valve dysfunction
  • Confirmation of proper needle placement before injection
  • Real-time monitoring of the sclerosing agent’s distribution
  • Verification of successful vein closure following treatment

Conditions Treated with Advanced Sclerotherapy

These specialized techniques address a wide range of complex venous conditions:

01 /
Large Varicose Veins

Both Varithena and ultrasound-guided sclerotherapy effectively treat larger varicose veins that cause bulging, discomfort and heaviness in the legs. Varithena’s foam formulation is particularly effective for larger-diameter veins, while ultrasound guidance ensures precise treatment of deep varicose veins that may not be visible on the surface.

02 /
Venous Ulcers

Advanced venous disease can lead to painful, slow-healing ulcers on the lower legs and ankles. These specialized sclerotherapy techniques help address the underlying venous insufficiency that causes these ulcers by treating the incompetent perforator veins that contribute to venous hypertension. By improving venous circulation, these treatments promote faster healing of existing ulcers and help prevent recurrence.

03 /
Perforator Vein Insufficiency

Perforator veins connect the superficial and deep venous systems. When these veins become incompetent, they allow blood to flow backward, contributing to increased pressure in the lower leg veins. Ultrasound-guided sclerotherapy enables precise targeting of these specific veins, which are often invisible from the surface but play a crucial role in venous circulation.

04 /
Recurrent Varicose Veins

For patients who have previously undergone vein treatments but experienced recurrence, these advanced techniques offer effective solutions. Ultrasound guidance allows Dr. Aggarwal to identify the exact sources of recurrent venous insufficiency and target them precisely, even in areas of scar tissue or altered anatomy from previous procedures.

05 /
Complex Vein Anatomy

Some patients have vein patterns that make traditional treatments challenging. Varithena’s foam consistency and ultrasound-guided sclerotherapy’s precision make these treatments ideal for tortuous (twisted) veins, veins with variable diameters and that are located in anatomically tricky positions.

Benefits of Advanced Sclerotherapy at Vein Care Center

When you choose Vein Care Center for your advanced sclerotherapy treatment, you’ll experience numerous advantages compared to traditional vein treatments:

  • Targeted Precision: Ultrasound guidance ensures accurate treatment of problematic veins that may be invisible from the surface, leading to better outcomes.
  • Minimally Invasive Approach: These procedures require only tiny needle access points, eliminating the need for surgical incisions and reducing recovery time.
  • Versatile Applications: Effectively treats more prominent varicose veins, perforator veins and other complex venous conditions that may not respond to traditional sclerotherapy or be unsuitable for thermal ablation.
  • Comfortable Experience: Treatments are performed in our office with minimal discomfort, requiring only local numbing at the injection sites.
  • Quick Recovery: Most patients return to normal activities within 24 hours, with only minor activity restrictions for a brief period.
  • Comprehensive Treatment: These techniques can address multiple veins in a single session and can be combined with other treatments for complete care.

Clinically Proven Results: Both Varithena and ultrasound-guided sclerotherapy have demonstrated high success rates in clinical studies, particularly for complex vein conditions.

The Advanced Sclerotherapy Treatment Process

Your journey to healthier veins begins with a comprehensive consultation at Vein Care Center. The treatment process unfolds in several carefully planned stages:

01 /
Initial Consultation and Vascular Mapping

During your first visit, we will conduct a thorough evaluation of your venous health using advanced duplex ultrasound technology. This detailed assessment creates a complete map of your venous system, identifying all areas of reflux (backward flow) and abnormal vein function. Our team reviews your full medical history, previous treatments and current symptoms to ensure the safest, most effective approach. We discuss your treatment goals and expectations in detail, helping you understand what results you can realistically achieve. Based on this comprehensive assessment, Dr. Aggarwal alongside her team determines whether Varithena, ultrasound-guided sclerotherapy or a combination of treatments will provide optimal results for your specific condition.

02 /
Preparing for Your Procedure

Prior to your scheduled treatment, we provide detailed pre-procedure instructions to help you prepare. 

We recommend wearing comfortable, loose-fitting clothing on the day of your procedure and bringing compression stockings if you already own them. For optimal outcomes, stay well-hydrated in the days leading up to your appointment, but avoid caffeine on the treatment day.

03 /
During the Treatment

On the day of your procedure, we begin by positioning you comfortably on the examination table. The treatment area is thoroughly cleansed, and ultrasound is used to identify and mark the exact locations for injection. A local anesthetic may be applied to ensure your comfort during the procedure.

For Varithena treatment, Dr. Aggarwal accesses the targeted vein with a small needle or catheter under ultrasound guidance. The specialized microfoam is then injected into the vein, displacing blood and filling the vein segment. The active ingredient causes the vein walls to seal together, and the body absorbs the gas components of the foam.

For ultrasound-guided sclerotherapy, Dr. Aggarwal uses real-time ultrasound imaging to guide the injection needle precisely to the target vein. Once proper positioning is confirmed, the sclerosing agent (liquid or foam) is carefully injected into the vein. The ultrasound allows continuous monitoring of the procedure to ensure optimal solution distribution.

Both procedures typically take 30-60 minutes, depending on the number and complexity of veins being treated. Throughout the process, you’ll be awake and able to communicate with our team. However, you’ll likely be asked to perform specific breathing or positional maneuvers at certain points to optimize treatment safety and effectiveness.

04 /
Post-Treatment Care

Once the injections are complete, compression is applied to the treated areas, and you’ll be helped into compression stockings. You’ll be encouraged to walk for 10-15 minutes immediately after treatment to promote circulation. Before leaving our office, you’ll receive detailed aftercare instructions for your treatment. Most patients return to regular daily activities immediately after treatment, though we may provide specific guidance based on your treatment and occupation.

For most patients, we recommend:

  • Wearing compression stockings continuously for 24-48 hours, then during daytime hours for 1-2 weeks
  • Walking regularly throughout the day to promote circulation
  • Avoiding strenuous exercise, hot baths and saunas for 1-2 days
  • Keeping well-hydrated to support the healing process
  • Avoiding long periods of standing or sitting without breaks

Recovery and Results

Vew Results Now

Recovery from advanced sclerotherapy procedures is typically straightforward, with most patients experiencing minimal disruption to their daily routines. Following treatment, you may experience some temporary side effects in the treated areas. 

Mild to moderate tenderness or discomfort along the treated vein, minor bruising that typically resolves within 1-2 weeks, temporary hardening or cord-like feeling in the treated vein, slight swelling that improves with compression and elevation and temporary skin discoloration over the treated area are typical and generally resolve quickly with proper aftercare. 

Walking and light activity are encouraged throughout your recovery to promote circulation and healing. However, as advised by Dr. Aggarwal, strenuous activities should be limited for the first few days.

The results of advanced sclerotherapy develop progressively over time. Initial improvement in symptoms like aching and heaviness often occurs within days of treatment. Visual improvement develops more gradually as the body absorbs the treated veins over the following weeks and months. For more prominent veins treated with Varithena, visible improvement typically develops over 4-8 weeks.

Ultrasound evaluation at follow-up appointments confirms successful vein closure before the changes are evident on the surface. For optimal results, most patients with complex venous conditions require a series of treatments spaced several weeks apart, with each session addressing different segments of the venous system according to your customized treatment plan.

Patients with venous ulcers often experience significant improvement in healing rates when these advanced techniques are incorporated into their treatment plans. While these treatments permanently eliminate the specifically treated veins, it’s essential to understand that venous disease is often progressive, and new veins may develop over time. Following Dr. Aggarwal’s vein health maintenance recommendations helps preserve your long-term results.

Before & After

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Are Advanced Sclerotherapy Techniques Right for You?

Varithena and ultrasound-guided sclerotherapy are ideal for patients with more complex venous conditions who desire effective treatment with minimal downtime. These advanced techniques may not be suitable for everyone. Factors affecting candidacy include pregnancy, active superficial or deep vein thrombosis, significant arterial disease, certain allergies or specific medical conditions. 

The best candidates are typically:

  • Individuals with larger varicose veins or venous insufficiency symptoms
  • Patients with recurrent varicose veins after previous treatments
  • Those with venous ulcers or skin changes from chronic venous disease
  • Individuals with deeper veins that aren’t visible on the surface
  • Patients seeking alternatives to thermal or surgical vein treatments
  • Those with anatomically challenging vein patterns
  • Individuals who can follow post-treatment instructions, including wearing compression stockings

Why Choose Vein Care Center for Advanced Sclerotherapy

The choice of provider for your vein treatment significantly impacts your results and experience. At Vein Care Center, Dr. Aggarwal’s extensive credentials and specialized training in vascular medicine ensure you receive the highest standard of care. 

Our state-of-the-art treatment centers in Lima and Celina offer advanced ultrasound technology and the complete spectrum of vein treatment options, allowing us to provide customized care. Each patient receives a comprehensive vein assessment and personalized treatment plan addressing their unique venous anatomy and specific symptoms.

Through our commitment to excellence in vein care, we maintain a long history of successful procedures and satisfied patients. Our entire team focuses on your comfort, safety and satisfaction throughout your treatment journey. For complex venous conditions that require advanced treatments like Varithena and ultrasound-guided sclerotherapy, this specialized expertise significantly improves both the treatment experience and the results.

Get Rid Of Those Painful Veins

Don’t let complex vein problems continue to affect your comfort, health and quality of life. Experience the advanced care and outstanding results available at Vein Care Center. Schedule your consultation today to discuss how specialized treatments like Varithena and ultrasound-guided sclerotherapy can help address your specific venous condition with minimal disruption to your busy life.

Schedule Your Vein Consultation

Take the first step toward healthier legs by booking your consultation at Vein Care Center. We serve Lima, Celina and surrounding areas with expert vein care and advanced treatment options. Our team is ready to answer your questions and create a personalized treatment plan just for you.

Contact us at (419) 227-4472 or click below to book your appointment. Let Dr. Aggarwal and our expert team help you achieve relief from complex vein conditions through safe and effective advanced sclerotherapy treatments.

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Tell Us Your Story

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“Gwynne is the best! She knows her job and does a fantastic job! Reception area was great also.”

R. S.

“My nurse was outstanding and very helpful. Ultrasound tech was fabulous – considerate of my needs. No complaints.”

G. A.

“Very friendly, make you feel like they really care!”

R. G.

“Dr. Aggarwal and staff are great!”

J. C.

“Thank you for making this patient feel that I am a top priority for your help.”

L. C.

Happy Legs, Happy Life

Professional Skin and Beauty Care at Our Aesthetic Treatment Center

Aesthetic Care Center, our specialized aesthetic treatment facility led by Dr. Aggarwal, combines advanced anti-aging technologies with personalized treatment plans to address your unique skin concerns. Our comprehensive suite of medical-grade aesthetic services includes the latest innovations in skin rejuvenation and body contouring, such as Botox, RF microneedling and truSculpt, all delivered with the same expertise and attention to detail that defines our vein care practice. Begin your transformation with a complimentary skin care screening, where we’ll create a customized plan to help you achieve your aesthetic goals.

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