Medical Treatment
Varithena
A prescription microfoam treatment for selected varicose vein patterns.
Quick Facts
Best For
Selected varicose veins, tortuous veins, and GSV-system varicosities
How It Works
Injectable microfoam closes the target vein
Visit Type
Office-based injection procedure
Downtime
Walking same day; compression often recommended
Insurance
Often covered when medically necessary
Overview
Varithena is a prescription polidocanol injectable foam used to treat selected incompetent veins and visible varicosities in the great saphenous vein system. It may be helpful when veins are twisted, branching, or not ideal for a straight catheter-based treatment.
Unlike EVLT or RFA, Varithena does not use heat. The foam is injected into the target vein under ultrasound guidance, where it contacts the vein wall and helps the vein collapse and close.
What Varithena is used for
- Selected symptomatic varicose veins
- Incompetent great saphenous veins
- Accessory saphenous veins
- Visible varicosities in the great saphenous vein system
- Tortuous or branching veins that may not be ideal for thermal catheter treatment
How the treatment works
The physician uses ultrasound guidance to place the foam in the correct vein. The foam displaces blood, contacts the vein lining, and causes the vein to close. Blood redirects through healthier veins.
What to expect
Varithena is performed in the office. Some patients need more than one session depending on vein anatomy, extent of disease, and treatment goals.
Recovery and aftercare
Walking and compression are commonly recommended. Mild soreness, tenderness, bruising, firmness, or temporary discoloration can occur.
Insurance and medical necessity
Varithena may be covered when symptoms and ultrasound findings support medical necessity. Requirements vary by plan.
Conditions this may help
Varicose Veins
Twisted, bulging veins that often cause aching, heaviness, or swelling and may be linked to venous reflux.
Learn moreRecurrent Veins After Prior Treatment
New or returning varicose or spider veins after a previous procedure — often from a different feeder vein.
Learn moreVenous Reflux Disease
Backward blood flow in leg veins caused by valves that no longer close properly.
Learn moreRelated treatments
Endovenous Laser Treatment (EVLT)
Refluxing saphenous and tributary veins causing varicose veins or symptoms.
Learn moreRadiofrequency Ablation (RFA)
Refluxing saphenous veins driving varicose veins or leg symptoms.
Learn moreVenaSeal
Refluxing saphenous veins — typically without the need for tumescent anesthesia.
Learn moreClariVein
Refluxing saphenous veins, particularly when minimizing heat or anesthesia is preferred.
Learn moreFrequently asked questions
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Individual results vary; results are not guaranteed. If you are experiencing a medical emergency, call 911.
Next step
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Schedule a consultation with Miami Vein Institute to learn whether your symptoms are cosmetic, medical, or both.