Sclerotherapy Foam Treatment Performed by Dr. Chopra

“Here's another picture where you can see—this bothers a lot of a lot of women and some men. And this is after three or four treatments. They kind of go through a phase over time, so you kind of monitor it and make sure you get that. So you can see here, I'm getting into a branch right there. It’s a 27 gauge. Sometimes you'll even use a 31. I make sure I’ve kind of flushed that out well with saline, and very delicately—don't use any anesthesia or anything like that. I’ve got the foam and an assistant holding it and we're going to slowly push into that. You're probably wondering why I don't have gloves on at this point. Sometimes I can't feel it [the vein] too well, so we'll kind of do that without, but now I’m very careful in terms of—and you can see how now I have as I’m putting the foam in, I'm kind of milking it into all these tele-injected branches, and once i've done that—she's still injecting slow and steady—recently if I have Varithena, I’ll use it. But no matter what agent it is, if you get it in the skin, it'll harm the skin. If you get in the subcutaneous tissue, it'll harm the subcutaneous tissue. How do you know if it is in the vein correctly? The patient will not experience any pain. If, however, they start feeling burning, itching of some kind, and it starts the swelling—I was palpating for that extravasation—then they will have problems with that.”