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Varithena™ microfoam vein treatment

A nearly painless, non-surgical way to treat varicose veins. The gentle microfoam closes the diseased vein. That eases the aching, heaviness, and swelling, and improves how your legs look.

Procedure time

Under 1 hr

In-office, no hospital stay

Access

1–2 sticks

No catheter, no heat

Recovery

Same day

Little to no downtime

Injection pain

Only 4%

of trial patients reported it

Legs with varicose veins from venous reflux, treatable with Varithena

What is Varithena?

Varithena is a prescription microfoam (polidocanol injectable foam) that's injected directly into a diseased vein. The foam fills the vein and prompts it to collapse and seal. Unlike laser or radiofrequency, it uses no heat and no catheter.

Because it's a foam, it conforms to veins of nearly any size and shape, even twisting ones. It can also treat segments above and below the knee. Once the faulty vein is sealed, your body reroutes blood to healthy veins. There's no vein stripping and no general anesthesia.

A microfoam, not a catheter

Polidocanol foam fills the vein directly, so there's no heat and nothing threaded up the leg.

Conforms to the vein

The foam flows into veins of varying size and shape, even winding, branching ones.

A quick, in-office visit

It's performed on an outpatient basis in under an hour, and you go home the same day.

Dr. Rex C. Manayan

Dr. Rex C. Manayan

Board-Certified • Fellowship-Trained Vascular Surgeon

What our doctors think of Varithena

“Some veins are too winding or too widespread for a catheter to reach well. Varithena's foam flows right into them, so we can treat areas other methods miss. Patients are often surprised how gentle it is: just a needle stick or two.”

What sets microfoam apart

Why our physicians reach for it when other methods fall short.

Reaches winding veins

The microfoam flows into twisted, branching veins a straight catheter can't navigate.

No heat, no tumescent anesthesia

Non-thermal, so it skips the many numbing injections heat-based treatments require.

Treats above and below the knee

The great saphenous vein (GSV) runs the length of the leg. Varithena treats the whole system, including segments other procedures can leave behind.

Relief you can see and feel

Improves both how your legs feel and how the varicose veins look.

How Varithena works, step by step

A quick, in-office procedure done through just a needle stick or two.

Map the vein
01

Map the vein

Your specialist uses ultrasound to locate the diseased veins and plan exactly where to treat, so the foam goes only where it's needed.

A small needle stick
02

A small needle stick

The treatment takes as few as one or two needle sticks. No catheter is threaded up the leg and no heat is used.

Deliver the microfoam
03

Deliver the microfoam

The polidocanol microfoam is injected and fills the vein, pushing the blood aside so the foam touches the vein wall evenly. The vein then reacts and collapses.

Compression and walk
04

Compression and walk

A compression stocking goes on and gentle walking is encouraged. Over time your body absorbs the closed vein and blood reroutes to healthy ones.

Varithena (polidocanol injectable foam) canister

The technology

What the microfoam actually does

As the foam enters the vein, it displaces the blood and spreads along the vein wall, making even contact wherever the vein twists or branches. That contact prompts the vein to spasm and collapse. The diseased vein is sealed and gradually absorbed by your body, while healthy circulation carries on as normal.

The results, in numbers

Varithena is an FDA-approved microfoam made to be gentle, fast, and minimally invasive.

4.0%

of patients reported injection-site pain in clinical trials

1 hr

Most Varithena treatments are completed in under an hour

2013

The year Varithena was FDA-approved for varicose veins of the great saphenous vein (GSV)

Source: Boston Scientific, the manufacturer of Varithena™ (polidocanol injectable foam) 1%. Clinical-trial injection-site pain figure and treatment details per the manufacturer's prescribing information. Individual results vary.

See real results

With 5,000+ vein cases treated at Empire Vein & Vascular, here are real outcomes from patients we’ve treated.

A patient's calf with raised, bulging varicose veins before treatmentBefore
The same calf after treatment, with the bulging veins goneAfter
A lower leg with severe, ropey varicose veins before treatmentBefore
The same lower leg after treatment, with the ropey veins flattenedAfter
A calf with raised, twisted varicose veins before treatmentBefore
The same calf after treatment, with the veins clearedAfter
A calf with web-like spider veins before treatmentBefore
The same calf after treatment, with the spider veins fadedAfter
Clusters of dark spider veins behind the knee before treatmentBefore
The same area after treatment, with the clusters clearedAfter
Fine red spider veins across the knee before treatmentBefore
The same area after treatment, with the fine veins fadedAfter

Photos of actual Empire Vein & Vascular patients. Individual results vary.

What recovery actually looks like

Most people are back to everyday life right away. Here's the typical timeline after a Varithena treatment.

A grandfather and granddaughter sitting together on a park bench

Day of

Walk out and go

Most patients return to normal, everyday activity the same day. No hospital stay and no overnight recovery.

A grandfather and grandson standing at the water's edge, fishing

First few days

Wear compression

A compression stocking is typically worn for a short period to support healing while you stay active and keep walking.

A grandmother crouching down to hug her grandchild

First few weeks

Symptoms start to ease

As the treated vein seals and blood reroutes to healthy veins, the aching, heaviness, and swelling typically improve.

An older adult playing pickleball

Over time

Veins fade

Your body gradually absorbs the closed vein, and both the feel and the look of your legs continue to improve.

Every patient heals differently and individual results vary. Your physician will give you aftercare instructions tailored to you.

How to prepare for your visit

Before treatment you'll have an ultrasound mapping exam of the leg, which lets your specialist plan exactly where to place the foam. Come ready to share your medical history and current medications, and mention any vein treatments you've had before or any history of blood clots.

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Wear comfortable clothes

Loose pants or shorts make it easy to access and dress the leg being treated.

Eat and take meds as usual

Unless your doctor says otherwise, keep your normal routine the day of your visit.

Plan a little extra time

The visit itself is short, but the ultrasound and aftercare add a bit of time.

Varithena questions, answered

The things patients ask us most before getting started.

Most patients find Varithena nearly painless. In clinical trials, only 4.0% of patients reported pain at the injection site. Because it's a microfoam, there's no heat, and you skip the series of numbing injections that heat-based treatments require.

See if Varithena is right for you.

Start with a free vein screening: a quick visit, clear answers, and a plan at any of our 6 Southern California offices.

Book a Free Screening
or call us directly (800) 827-4267