Conveniently located to serve the areas of Santa Ana, San Clemente and Orange County, CA

Sclerotherapy also known as ‘injection therapy’ is the gold standard treatment for spider and varicose veins on the legs that has withstood the test of time. Sclerotherapy involves injecting veins with a safe solution that causes the body to absorb the vein without harming the rest of your body. Dr. Tim and Dr. Ali Roham are the Top Orange County Cosmetic and Plastic Surgeons and also Vein Removal Experts specializing in Vein Removal with Sclerotherapy. Patients from all over Southern California come to our office for vein removal treatments. Santa Ana and San Clemente vein specialist Dr. Roham uses sclerotherapy in the treatment of varicose and spider veins on the legs as well as breast veins and hand veins. The principal of sclerotherapy involves injection of a safe chemical solution “sclerosant or irritant” into an unwanted vein which in turn results in collapse and closure of the unwanted vein. As a result, you will see how spider veins virtually disappear in front of your eyes! In the following weeks after Sclerotherapy treatment, the body’s own immune system recognizes the treated vein as a damaged vein, breaks it down, and removes it from the body. After the removal of the unwanted vein, the blood is rerouted to another healthy vein and the normal venous circulation is reestablished.

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What does a sclerotherapy session feel like?

A Sclerotherapy treatment session at our Orange County center takes between 30-45 minutes and involves multiple injections. Most of our sclerotherapy patients here in Orange County describe the injection treatment as feeling like a pinprick or mosquito bite.

How many Sclerotherapy Vein Removal Treatments will I need?

The number of Sclerotherapy vein treatment sessions required generally will vary depending on the level and severity of varicose and spider veins. In general, Dr. Roham recommends a minimum of 1-3 sessions for an average patient. At the end of your vein treatment session, the leg is cleaned and special compression stockings are applied to the legs in order to minimize bruising, prevent blood clots and also maximize the results of your Sclerotherapy session. Dr. Roham recommends immediate return to normal daily activities and a minimum of 30 minutes of continuous walking every day. The compression stockings may need to be worn for 3-7 days after the procedure, depending on the size and number of the veins treated.

What are the different types of chemical agents used during a Sclerotherapy session?

Saline Sclerotherapy:

Saline Sclerotherapy has been in use since 1926 and has been a popular sclerosant because it is a naturally occurring body substance with no toxicity. However, with the advent of all the new sclerosant chemicals available for sclerotherapy, saline has fallen out of favor due to its high side effect profile. Additionally, saline does not work well in treating of larger varicose veins.

Foam Sclerotherapy:

Foam Sclerotherapy is a new form of delivering the sclerosing agent into varicose and feeder veins. The foam sclerotherapy is made by mixing air or Co2 with special agents and has the consistency of shaving cream. The Foam is very effective because since air is lighter than liquid it displaces within the vein, placing the sclerosing agent in direct contact with the vein wall without any dilution effects for an extended period of time. Additionally, since the foam is visible via ultrasound imaging, it can be easily tracked and guided to the source of the varicose vein problem.

Glycerin Sclerotherapy:

At Advance Laser and Cosmetic Plastic Surgery Center, we prefer Glycerin Sclerotherapy solution for the treatment of very small spider veins and broken capillaries. Since glycerin is a mild agent that only irritates the inner lining of spider veins, patients rarely develop any redness or bruising or any staining of the treated area.

Ultrasound-Guided Sclerotherapy:

Using duplex ultrasound, Dr. Roham can guide a needle to the exact location of the vein (valve) to be injected. A foam solution is often used with this treatment to allow full visualization of the solution in the treated vein. The major advantage of ultrasound is that it enables visualization and injection of larger and deeper veins that once required more invasive surgical treatments.


Which areas are treated?

The appearance of veins is diminished from the legs, hands, feet, and arms.

When will I see the results?

You’ll get 60%-80% vein reduction after your first treatment. Larger veins improve in three to four months. Smaller veins completely fade within three to six weeks.

How long do results last?

The results are permanent.

Are there side effects?

Yes. You may get redness that subsides within a few days.

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Dr. Roham is a top Orange County vein treatment specialist and talented cosmetic surgeon, serving patients in Santa Ana, San Clemente, Dana Point, Newport Beach, and the greater Orange County areas. He has helped numerous Orange County patients looking for vein removal treatments achieve their goals and is regarded as a Top Orange County Vein Doctor. View many before & after photos, read the reviews and schedule your Free consultation today!