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Houston’s Specialized Vein Clinic | 20+ Years’ Experience
Free Consultation Portal Patient

Advanced Vein Care · Houston, TX

Ultrasound-Guided Foam Sclerotherapy in Houston, TX

Precision treatment for larger, deeper varicose veins that standard sclerotherapy can't always reach

At Premier Vein & Vascular Center, we use real-time ultrasound imaging to guide a specially formulated sclerosant foam directly into diseased veins that lie too deep or too large for traditional injection sclerotherapy alone. The result is a non-surgical, image-guided procedure that closes problem veins with pinpoint accuracy.
Because the sclerosant is converted into a foam and the needle is placed under live ultrasound guidance, our physicians can treat larger trunk and feeder veins that feed visible varicose and spider veins — often the veins that standard sclerotherapy struggles to target precisely.
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  • Board-certified vein specialists
  • No downtime, walk in & walk out
  • Image-guided precision, minimally invasive

Redefining Sclerotherapy With Ultrasound Precision

Traditional sclerotherapy works well for the small, visible veins you can see just beneath the skin. But many varicose veins have deeper, larger feeder veins driving the problem — veins a physician cannot always see or safely inject without imaging support.
Ultrasound-guided foam sclerotherapy solves this by pairing a duplex ultrasound machine with a foamed sclerosant medication. The foam displaces blood within the vein more effectively than liquid solution, giving the medication more surface-area contact with the vein wall, while the ultrasound image lets your physician watch the needle and the foam in real time.
Venous ultrasound examination used to evaluate blood flow in the leg

— Patient Experiences

One of Houston's Highest-Rated Vein Care Practices

Real patients. Real experiences. Trusted by hundreds of patients across Houston and surrounding communities.

Read All Google Reviews
G o o g l e ★★★★★ 5.0 (930+ reviews) Trusted. Respected. Highly Rated.
★★★★★

“Amazing experience with Dr. Raza's office. Adrianna at the front was kind and made sure I was seen in a timely manner. Nurse Tiara answered all my questions, and during the outpatient surgery Nurse Nora and Dr. Sayed made me feel relaxed and safe. Definitely recommend!”

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Ana Elisa Google Review
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★★★★★

“One of the best experiences I've had. Dr. Syed and his staff are amazing. From the day before my appointment to the exit of my procedure, everyone was friendly, helpful and nice. I felt very comfortable and well taken care of.”

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Tomas Beltran Google Review
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★★★★★

“Best possible experience for a procedure I worried about for days. Professional and friendly staff. It happened so fast I didn't even remember any of it, and they served snacks and movies during recovery.”

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Tess Mambo Google Review
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★★★★★

“I was referred here for a liver biopsy. The surgical room is very clean and spacious, and nurses Tiara and Jen walked me through the procedure with great bedside manner. Concierge-level healthcare. Nothing was rushed.”

P
PP Alvarez Google Review
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★★★★★

“I had an excellent experience at Premier Vein & Vascular Center. From the moment I arrived, I was treated with first-class care.”

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Sharon Burns Google Review
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★★★★★

“A wonderful experience. The nurses were incredibly kind, professional, and attentive. They made me feel comfortable and truly cared for, and the entire staff was friendly and efficient. Highly recommend!”

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Maria Ascanio Google Review
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★★★★★

“We are so happy. All the nurses and staff are so grateful and helpful. I feel like I am in a five-star luxury hotel. Thank you Dr. Raza.”

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Olee Zaid Google Review
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★★★★★

“From the receptionist Adriana who is kind and caring to the nurses like Jen who assist Dr. Raza, they are the best and gave me excellent care. So thankful. Highly recommended!”

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Donna Psencik Google Review
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★★★★★

“Dr. Raza and the entire team leave a lasting impact. Every procedure is handled with precision and reassurance. From the front desk to Nora and Jenny, they treat patients like family. Simply the best.”

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Madison Wilner Google Review
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Common Vein Symptoms

Do You Have These Symptoms?

Vein disease can affect more than appearance. Click on a symptom to learn more.

View All Symptoms
Aching, heavy legs caused by vein disease

Aching or Heavy Legs

 Leg swelling from venous insufficiency

Leg Swelling

 Visible varicose veins on the leg

Visible Varicose Veins

 Spider veins before treatment

Spider Veins

 Night cramps and restless legs

Night Cramps & Restless Legs

 Skin changes and venous leg ulcer

Skin Changes or Leg Ulcers
Dr. Farooq Gowd, MD, board-certified interventional radiologist and vein specialist Expert Care
in Houston

Board Certified Vein Specialist and Interventional Radiologist

Vein & Vascular Care Led by an Experienced Specialist

Dr. Syed Raza MD

Board-Certified Interventional Radiologist & Vein Specialist

For more than two decades, our physicians have helped patients understand and treat complex vein and vascular conditions using image-guided, minimally invasive techniques.

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  • ◈
    Board CertifiedInterventional Radiology
  • ✔
    IAC AccreditedVein Center
  • ☺
    Fellow of SIR(Society of Interventional Radiology)
  • ☺
    Member of SVS(Society for Vascular Surgery)

Varicose Vein Treatment for Houston-Area Patients

Proud to Be Among Houston's Leading Vein Clinics

At Premier Vein & Vascular Center, we know you have many available choices when it comes to caring for your vein health. Whether you have spider veins or deep vein thrombosis, we’re here to help you live a more active and pain-free lifestyle. Our team specializes in varicose vein treatments that will not only increase your comfort but guide you to long-term positive results. We have two clinics in the Houston area to offer our patients convenient same-week consultations in many cases.

Call Now: (832) 321-5355

Schedule Your FREE Consultation Today!

Our Vein & Vascular Services

Comprehensive Care for a Healthier Tomorrow

From varicose veins to women's health and advanced vascular procedures, we offer expert, minimally invasive treatments using the latest technology.

View All Services
Varicose Veins treatment at Premier Vein & Vascular Center

Varicose Veins

Bulging, twisted veins, most common in the legs. Treatment improves symptoms and appearance.

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Spider Veins treatment at Premier Vein & Vascular Center

Spider Veins

Small, visible veins treated effectively with sclerotherapy and other options.

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Pelvic Congestion Syndrome treatment at Premier Vein & Vascular Center

Pelvic Congestion Syndrome

A condition in women 20–45 caused by enlarged pelvic veins. Minimally invasive treatment options are available.

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Fibroid Treatments treatment at Premier Vein & Vascular Center

Fibroid Treatments

Minimally invasive Uterine Fibroid Embolization (UFE) to shrink fibroids while preserving the uterus.

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Venous Ulcers treatment at Premier Vein & Vascular Center

Venous Ulcers

Treatment for open sores caused by poor circulation.

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Deep Vein Thrombosis treatment at Premier Vein & Vascular Center

Deep Vein Thrombosis

Evaluation and management for blood clots in deep veins.

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Genicular Artery Embolization treatment at Premier Vein & Vascular Center

Genicular Artery Embolization

A minimally invasive option for chronic knee pain related to osteoarthritis.

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Other Procedures treatment at Premier Vein & Vascular Center

Other Procedures

Advanced treatments for PAD, venous access, fistula maintenance and more.

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Patient Education

Understand Your Vein Condition Before Choosing Treatment

Learn how vein disease develops, why symptoms occur and how minimally invasive treatments can help you get back to the activities you enjoy.

Watch the Video
Ultrasound-guided vein evaluation at Premier Vein & Vascular Center ▶

Why You Should Choose an IAC-Approved Vein Clinic

Trusted Care. Proven Standards.

The Intersocietal Accreditation Commission (IAC) ensures quality patient services and outstanding health care. We are committed to providing the best vascular treatments to relieve your discomfort and restore health to your legs and veins.

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IACACCREDITED FACILITYVASCULAR TESTING

What to Expect

A Clear Path From Symptoms to Treatment

1💬

Consultation

Tell us about your symptoms and how they affect your life.

→
2🩺

Vein Evaluation

Ultrasound and diagnostic imaging when needed.

→
3📋

Personalized Plan

We explain your findings and discuss treatment options.

→
4♡

Treatment & Follow-Up

Minimally invasive procedures with a focus on long-term results.

Start With a Free Consultation

Who We Are

Over 20 Years of Experience

When it comes to treating vascular conditions, unsightly veins are just the tip of the iceberg. Our board-certified doctors know how to spot and treat the underlying cause of your symptoms. From varicose veins to peripheral arterial disease, you can count on our skilled team to utilize the latest advances in vascular treatments to provide you with lasting results.

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Active couple enjoying life after vein treatment More
Life in
Every Step

Expertise

Your Guide to Understanding Your Vascular Health

Early diagnosis and treatment are essential. You should contact us if you notice any of the following symptoms.

  • Dark blue, swollen, or twisted veins
  • Heaviness, burning, itching, tiredness, or pain in your legs
  • Swelling in your legs, feet, or ankles
  • Aching, pressure, cramps, or throbbing in your legs
  • Fatigue in your legs
Learn More

The Basics

What Is Ultrasound-Guided Foam Sclerotherapy?

Sclerotherapy is one of the most common treatments for problem veins: an injectable medication (the sclerosant) is introduced into a diseased vessel, causing it to collapse, scar closed, and gradually fade as the body reabsorbs it. Standard sclerotherapy uses a liquid sclerosant and is guided by sight and touch, which works well for veins near the skin surface.
Ultrasound-guided foam sclerotherapy elevates this proven technique in two ways. First, the sclerosant is agitated into a foam, which fills a vein more completely than liquid and stays in contact with the vein wall longer. Second, a duplex ultrasound machine lets your physician see the exact position of the needle and the spread of the foam inside the vein in real time — something that isn’t possible with standard standard sclerotherapy, which relies on visible, surface-level veins alone.

Understanding the Technology

Ultrasound Imaging

Duplex ultrasound uses high-frequency sound waves to create a live, detailed picture of the veins beneath the skin, including deeper trunk and feeder veins that can’t be seen or felt. This lets your physician map the full extent of venous reflux before a single injection is made.

Precise Needle Placement

With the vein visualized on screen, the physician guides the needle directly into the target vessel and confirms placement before injecting. The foam’s movement is tracked on the ultrasound monitor in real time, so the physician can adjust the injection to fully treat the vein while avoiding surrounding tissue, nerves, and healthy veins.

Step By Step

The Ultrasound-Guided Foam Sclerotherapy Process

1. Ultrasound Mapping

Your physician scans the leg with duplex ultrasound to map every diseased vein and plan the injection sites.

2. Guided Needle Placement

Using the live ultrasound image, a fine needle is precisely placed into the target vein under direct visualization.

3. Foam Sclerosant Injection

A foamed sclerosant medication is injected and its spread through the vein is confirmed on the ultrasound screen.

4. Closure & Reabsorption

The treated vein closes, scars down, and is gradually reabsorbed by the body as blood reroutes to healthy nearby veins.

Is This Right For You?

Who Is a Candidate for Ultrasound-Guided Foam Sclerotherapy?

Good General Health

Ideal candidates are in good overall health and are not pregnant or nursing at the time of treatment.

Larger & Feeder Veins

Best suited for larger, deeper trunk and feeder veins that standard sclerotherapy can’t precisely target without imaging.

Non-Surgical Preference

A strong option for patients who want an alternative to vein-stripping surgery for veins beyond simple spider veins.
Every patient’s veins are different, so candidacy is always confirmed with an in-person consultation and ultrasound evaluation. Your physician will review your vein pattern, medical history, and treatment goals to determine whether foam sclerotherapy, standard sclerotherapy, or another therapy is the best fit.

Why Choose This Treatment

Benefits of Ultrasound-Guided Foam Sclerotherapy

Expedited Relief

Because larger feeder veins are treated with precision, many patients notice faster improvement in pain, heaviness, and swelling.

No Downtime

Treatment is performed in-office and patients typically resume normal activity the same day, with no recovery period required.

Minimally Invasive

No incisions or surgical cutting are involved, so there is no scarring risk associated with the procedure itself.

Precision Targeting

Ultrasound guidance lets your physician treat veins that can’t be safely or accurately reached by sight and touch alone.

Common Questions

Questions About Foam Sclerotherapy

How Is Foam Sclerotherapy Different From Regular Sclerotherapy?

Regular standard sclerotherapy injects a liquid medication into small, visible veins using sight and touch to guide the needle. Foam sclerotherapy uses an ultrasound machine to see beneath the skin and a foamed version of the medication, which allows your physician to treat larger, deeper veins that liquid sclerotherapy alone cannot reach as precisely.

Is Ultrasound-Guided Foam Sclerotherapy Painful?

Most patients describe the injections as a brief pinch or mild stinging sensation. The needle used is very fine, and no anesthesia is typically required. Any discomfort is usually minimal and resolves quickly after the injection is complete.

After Your Treatment

Recovery & Aftercare

There is no downtime after ultrasound-guided foam sclerotherapy, and most patients return to normal activities, including work, the same day. Your physician will typically recommend wearing compression stockings for a period of time after treatment to support healthy blood flow through the newly rerouted veins and help the treated vein close completely.
  • Walking is encouraged immediately after treatment
  • Compression stockings support closure and reduce swelling
  • Avoid prolonged sun exposure to the treated area
  • Strenuous exercise and hot baths are limited for a short period

What To Expect

You May Need More Than One Session

Larger and more extensive vein networks often respond best to a series of treatment sessions rather than a single visit. Your physician will space sessions several weeks apart to allow each treated vein to fully close and to reassess your veins with ultrasound before deciding whether additional injections are needed. The total number of sessions depends on the size, depth, and number of veins being treated.

Coverage

Is Ultrasound-Guided Foam Sclerotherapy Covered By Insurance?

When performed to treat symptomatic venous disease — such as pain, swelling, heaviness, or skin changes caused by venous reflux — ultrasound-guided foam sclerotherapy is often covered by insurance, including Medicare. Our team will verify your benefits and help determine coverage before your treatment begins. Purely cosmetic treatment of veins without underlying medical symptoms is generally not covered and may be available as a self-pay option.
Board-certified vein and vascular specialist at Premier Vein & Vascular Center in Houston, TX

Meet Your Specialist

Meet Your Houston Vein Specialist

Syed Raza, MD

Board-Certified Interventional Radiologist & Vein Specialist

Dr. Syed A. Raza is a fellowship-trained interventional radiologist certified by the American Board of Radiology. He has extensive experience in image-guided and minimally invasive vascular procedures, including evaluation and treatment of venous disease.

His background includes academic and hospital leadership roles in interventional radiology. His expertise allows Premier Vein & Vascular Center to combine diagnostic imaging with minimally invasive treatment planning for patients with varicose veins and other vascular conditions, including ultrasound-guided foam sclerotherapy for larger and deeper feeder veins.

Meet Dr. Raza

Getting Started

Your Next Steps

  • Schedule a consultation with one of our vein specialists
  • Receive a duplex ultrasound evaluation of your veins
  • Review your personalized treatment plan, including whether foam or standard sclerotherapy fits your veins
  • Have your insurance benefits verified by our team
  • Begin treatment with little to no interruption to your daily routine

Serving Greater Houston

Serving West Houston, Katy & Surrounding Communities

Premier Vein & Vascular Center is located at 19255 Park Row Dr, Suite 201, Houston, TX 77084.

Call (832) 321-5355
Schedule a Consultation \u2192

Communities We Serve

  • West Houston
  • Katy
  • Energy Corridor
  • Cypress
  • Fulshear
  • Richmond
  • Memorial area
  • Spring Branch

FAQ

Frequently Asked Questions

What is ultrasound-guided foam sclerotherapy?

A minimally invasive vein treatment that uses live duplex ultrasound imaging to guide the precise injection of a foamed sclerosant medication into diseased veins, including larger and deeper veins that standard sclerotherapy can’t always reach.

How is it different from standard sclerotherapy?

Standard sclerotherapy treats small, visible veins with a liquid medication guided by sight and touch. Foam sclerotherapy uses ultrasound imaging and a foamed medication to treat larger, deeper feeder veins with greater precision.

Is the procedure painful?

Most patients feel only a brief pinch or mild stinging during the injections. No anesthesia is typically required.

How long does a session take?

A typical session takes about 30 to 45 minutes, depending on the number and size of veins being treated.

Will I need more than one treatment?

Many patients with larger or more extensive vein networks benefit from a short series of sessions spaced several weeks apart.

Is there any downtime?

No. Most patients return to normal activities, including work, the same day, though compression stockings and some activity restrictions may be recommended for a short period.

Is ultrasound-guided foam sclerotherapy covered by insurance?

When treating symptomatic venous disease, it is often covered by insurance, including Medicare. Our team verifies your benefits before treatment.

Who is a good candidate?

Patients in good general health with larger, deeper, or feeder varicose veins that are difficult to treat with standard sclerotherapy alone are often excellent candidates.

What happens to the treated vein?

The treated vein closes, scars down, and is gradually reabsorbed by the body over the following weeks, while blood reroutes naturally to healthy nearby veins.

How do I know if I need foam sclerotherapy or standard sclerotherapy?

A consultation with ultrasound evaluation lets your physician map your veins and recommend the technique — foam or standard — best suited to your specific vein pattern.

Ready to Treat Larger Varicose Veins With Precision?

Schedule a consultation with Premier Vein & Vascular Center to find out if ultrasound-guided foam sclerotherapy is right for your veins.
Schedule a Consultation
Call (832) 321-5355
This page is provided for general educational purposes only and does not constitute medical advice. Individual results vary. A consultation with a board-certified vein specialist is required to determine candidacy for ultrasound-guided foam sclerotherapy.