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Varithena®: Treat Varicose Veins with Polidocanol Injectable Foam

Varithena (polidocanol injectable foam) is an FDA-approved, non-surgical treatment for varicose veins. The microfoam fills and seals diseased veins in a single in-office visit — no general anesthesia, no incisions, minimal downtime.

What Is Varithena?

Varithena is an FDA-approved polidocanol injectable foam used to treat varicose veins caused by malfunctions with the great saphenous vein and other venous problems. Unlike liquid sclerotherapy, Varithena's microfoam consistency — similar to shaving cream — ensures it fills the entire vein and reaches the vein walls for more effective sealing.

Under ultrasound guidance, your vein specialist carefully injects small amounts of Varithena directly into the refluxing vein. The polidocanol solution causes the vein walls to contract and seal shut. The treated vein scars and eventually fades into local tissues, while blood reroutes to healthier veins.

America's Vein Doctors offers foam sclerotherapy with Varithena performed by board-certified vein specialists. The procedure typically takes less than an hour and requires no incisions or general anesthesia.

Benefits of Varithena

  • Gentle — no surgery, no general anesthesia
  • Minimal downtime — return to activities same day
  • Quick procedure — typically under one hour
  • Usually one treatment session is sufficient
  • No incisions required
  • Ultrasound-guided for precision and safety
  • Effective for great saphenous vein reflux
  • May be covered by insurance

What to Expect: Your Varithena Treatment

Before

Consultation & Preparation

Your vein specialist will perform a thorough leg screening including imaging tests and physical examination to confirm your candidacy for Varithena. Review any medications you're taking — some, like blood thinners, may require temporary adjustment before the procedure.

During

The Procedure

You'll lie on your back with legs slightly elevated. After cleaning the treatment area, a duplex ultrasound guides the injection of small amounts of Varithena into the diseased vein. The foam fills the vein, treats the walls, and prompts it to seal off. A compression pad is applied to the injection site.

After

Recovery & Follow-Up

Our team observes you for about 10 minutes post-procedure. Compression bandages are applied and worn for 2 weeks. Walk at least 10 minutes daily, avoid strenuous exercise, and avoid long periods of inactivity. A follow-up visit at 2 weeks assesses results and determines if any additional treatment is needed.

Varithena Foam vs. Liquid Sclerotherapy

FeatureVarithena (Foam)Liquid Sclerotherapy
ConsistencyFoam (microfoam)Liquid
Vein Wall ContactFull — fills entire veinPartial — can be diluted by blood
Dose RequiredSmaller dose effectiveLarger volume needed
Ultrasound GuidanceYesSometimes
Best ForLarger varicose veins / GSV refluxSpider veins / small varicosities
Procedure TimeUnder 1 hour30–45 minutes
DowntimeMinimal — same day returnMinimal — same day return
Insurance CoverageMay be coveredCosmetic — usually not covered

Experience Pain-Free, Vein-Free Days

Book a free vein screening to find out if Varithena is right for you. Our specialists will review your insurance and recommend the best treatment option.

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Frequently Asked Questions

What is Varithena (Polidocanol Injectable Foam)?
Varithena is an FDA-approved injectable foam treatment (polidocanol) for varicose veins caused by problems with the great saphenous vein and other venous issues. The microfoam is injected directly into the refluxing vein under ultrasound guidance, where it fills the vein and causes it to seal shut. The body then reabsorbs the treated vein over time.
How is Varithena different from regular sclerotherapy?
Varithena is a foam sclerosant, while traditional sclerotherapy uses a liquid solution. Because of its foam consistency — similar to shaving cream — Varithena fills the entire vein and reaches the vein walls more effectively. Liquid sclerotherapy can be diluted by blood, reducing its effectiveness. Varithena's foam consistency ensures thorough contact with the vein wall even at smaller doses.
Is Varithena covered by insurance?
Varithena may be covered by insurance depending on the severity of your vein condition and symptoms. Coverage requires documentation of venous reflux and medical necessity. Our team will verify your specific insurance coverage before your procedure and handle all prior authorization.
Does Varithena hurt?
Varithena is a gentle, non-surgical treatment. Topical anesthesia or numbing cream can be applied to reduce any discomfort at the injection site. Most patients experience minimal discomfort during the procedure. Unlike thermal treatments, Varithena does not require tumescent anesthesia injections along the length of the vein.
How effective is Varithena?
Varithena has demonstrated strong clinical results for treating varicose veins caused by great saphenous vein reflux. Its microfoam consistency ensures thorough vein wall contact, producing effective closure. Most patients require only one treatment session, though a follow-up visit at 2 weeks is recommended to assess results.
What is recovery like after Varithena?
Recovery is minimal. After the procedure, our team will observe you for about 10 minutes and apply compression bandages, which should be worn for 2 weeks. You should walk at least 10 minutes daily, avoid strenuous exercise, and avoid long periods of inactivity. Most patients return to normal daily activities the same day.

Ready to Treat Your Varicose Veins with Varithena?

Schedule a free vein screening and find out if Varithena (polidocanol injectable foam) is the right choice for you.