Dr. Galili Eliminates Venous Problems in Minutes and Forever with Ultrasound-Guided Sclerotherapy
The method is painless, does not require anesthesia, and there is no need for recovery or hospital stay.
For 21 years, Israeli vascular surgeon and specialist in the technique, Dr. Galili, has been helping patients with venous problems by eliminating pain, discomfort, and unsightly lumps on the legs.
Dr. Galili also treats patients in Bulgaria at the "Doris Clinics" medical center, visiting every two months. To date, over 10,000 Bulgarians have benefited from this gentle treatment.
The method was created in 1996 by Spanish doctor Juan Cabrera. It was later refined, with Dr. Galili himself making several improvements, especially when dealing with larger veins. This significantly increased the procedure's effectiveness.
Today, the therapy is recognized as the most successful and least risky.
In ultrasound-guided sclerotherapy, a foam form of the sclerosing agent polidocanol is injected. Prior to this, an echodoppler diagnosis is used to determine the problem vein, its size, and branches. After the diagnosis, under the control of the echodoppler, the doctor performs the injection. The echodoppler device is the tool that allows the precise execution of the gentle procedure.
If pigmentation appears after the procedure, it gradually fades over a few months. In addition to its therapeutic benefits, the method also improves the aesthetic appearance of the legs—the veins, which often resemble ropes, disappear, and the leg takes on a smooth and healthy look. In more severe cases, a follow-up examination may be required after three months, and there may be a need for further treatment to complete the healing. Sometimes, up to three to five procedures are necessary, but this applies to very severe cases. "It’s good for the sclerosing foam to be distributed in two to three places along the vein," explains Dr. Galili. "The key is finding the most appropriate spot for injecting the polidocanol to achieve the desired effect. This is done with the ultrasound device, which locates the damaged valve in just 20-30 seconds. It’s important for the specialist to have sufficient experience. The cause is usually in an area that is not externally visible."
"I track the vein and how the blood moves through it, checking if there’s any blockage. This is done by gently pressing, and if the blood starts to move downward, that indicates a problem. The downward flow shouldn’t be too fast if the valves are working properly. I work under ultrasound control throughout the entire procedure."
Dr. Galili is adamant that over 85% of skin changes on the legs—color changes, including ulcers—are related to venous problems, not diabetes, which damages arteries rather than veins. Diabetics can undergo ultrasound-guided sclerotherapy without issue. The method has no serious contraindications and is only unsuitable in the presence of deep vein thrombosis.
Venous problems are not spared by age. Many young people suffer from chronic venous insufficiency, whether due to genetic or other reasons.
Timely, highly specialized echo doppler examinations, usually performed by experienced angiologists, are the only way to catch the disease at an early stage and to remove the problematic vein before it causes more serious complications. Such screening tests, including for arteries, are also carried out by other experienced Bulgarian specialists at "Doris Clinics," in addition to Dr. Galili.
Photos before and after. A photo of Dr. Galili performing the procedure.
Based on material by Feodorina Lyaskova from Dr. Galili's latest interview for the newspaper "Golden Age."
(Before)
(After)
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