Varithena™ Vein Treatment in Georgetown, TX

The only FDA-approved injectable microfoam for treating varicose veins caused by great saphenous vein insufficiency — a non-thermal, non-surgical treatment with little to no downtime.

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What Is Varithena™?

Varithena (polidocanol injectable foam) is an FDA-approved prescription medication and the only FDA-cleared foam specifically indicated for treating varicose veins caused by incompetence of the great saphenous vein (GSV) system. It is manufactured by Boston Scientific and uses a unique, patented low-nitrogen microfoam technology that delivers a precise concentration of polidocanol directly into the diseased vein.

Unlike thermal procedures such as radiofrequency ablation or laser, Varithena is completely non-thermal — no heat is involved. The microfoam displaces blood inside the vein, achieves circumferential contact with the vein wall, and causes the vein to contract and close. The vein is then gradually absorbed by the body over time, improving both symptoms and the appearance of varicose veins.

Varithena is particularly useful for patients with large, tortuous, or previously treated veins where thermal procedures may be less effective. In clinical studies, the majority of patients treated with Varithena experienced meaningful relief in symptoms — including heaviness, achiness, swelling, throbbing, and itching — often after just one treatment session.

Key Benefits of Varithena

FDA-Approved Foam

The only FDA-approved injectable foam specifically indicated for the great saphenous vein system — not a compounded or off-label product.

Non-Thermal Treatment

No heat energy is used, making Varithena an excellent option for patients who prefer or require a non-thermal approach.

Treats Large & Tortuous Veins

Varithena's microfoam can treat large, twisted, and previously treated veins that may be difficult to address with catheter-based thermal procedures.

Delivered in As Few as 1–2 Needle Sticks

The microfoam is delivered through a small number of injection sites, minimizing patient discomfort compared to thermal ablation.

Quick Administration

The Varithena treatment itself takes approximately 10 minutes to administer, making it one of the fastest vein procedures available.

Covered by Most Insurance

Varithena is covered by most Medicare and major commercial insurance plans when medically necessary. Our team will verify your benefits.

What Patients Experience

In clinical trials, the majority of patients treated with Varithena reported significant improvement in varicose vein symptoms — including relief from heaviness, achiness, swelling, throbbing, and itching — as well as visible improvement in the appearance of their veins. Most patients in studies experienced meaningful results after just one treatment session, though additional sessions may be needed depending on the size and extent of the veins.

What to Expect: Step by Step

1

Free Initial Consultation

Dr. Smith will review your symptoms, medical history, and examine your legs to determine if your symptoms are likely vein related and whether Varithena is the right approach for you.

2

Venous Duplex Ultrasound

If determined necessary, this paid medical visit billed to your insurance will map your venous anatomy and identify areas of reflux (backward blood flow). Varithena is administered under ultrasound guidance to ensure precise delivery. A treatment plan will typically be discussed the same day.

3

Insurance Verification

Our team verifies your coverage and obtains prior authorization as needed. We can verify your insurance and provide an estimated cost over the phone before your appointment — no surprises.

4

Varithena Procedure

The leg is positioned and the microfoam is injected under ultrasound guidance into the target vein through one or two needle sticks. The foam fills the vein, causing it to contract and close. The procedure takes approximately 10 minutes to administer.

5

Post-Procedure Care

Compression bandaging and stockings are applied immediately. You will be observed briefly after the procedure. Compression is maintained for approximately 2 weeks following treatment.

6

Return to Normal Activity

Most patients are able to return to normal daily activities promptly. Walking is encouraged immediately after the procedure to promote circulation.

7

Follow-Up

A follow-up appointment is scheduled to confirm successful vein closure and monitor your progress. Additional sessions may be recommended if needed.

Insurance Coverage: Varithena is covered by most Medicare and major commercial insurance plans when medically necessary. Varicose vein treatment is often covered at 100% depending on your carrier. Our team will verify your specific coverage before scheduling. Learn more about insurance →

Frequently Asked Questions

Is Varithena painful? +
Most patients experience minimal discomfort. Varithena is delivered through a small number of needle sticks — in clinical trials, only 4% of patients reported pain at the injection site. You may feel mild pressure or a brief sensation as the foam is injected, but most patients tolerate the procedure very well.
How many treatments will I need? +
Many patients experience meaningful improvement after a single Varithena treatment. However, depending on the size and extent of your veins, additional sessions may be recommended. Dr. Smith will discuss a personalized treatment plan with you during your consultation.
Is Varithena covered by insurance? +
Varithena is covered by most Medicare and major commercial insurance plans when treatment is medically necessary. Our team will verify your specific benefits and provide a cost estimate before scheduling. We can do this over the phone — transparency is important to us.
What is the recovery like after Varithena? +
Most patients return to normal daily activities promptly after treatment. Compression bandaging and stockings are worn for approximately 2 weeks. Walking is encouraged immediately. Strenuous activity should be avoided for a short period as advised by Dr. Smith.
How is Varithena different from regular sclerotherapy? +
Unlike traditional liquid sclerotherapy, Varithena uses a patented low-nitrogen microfoam formulation. This microfoam fills the entire vein lumen for circumferential contact, making it more effective for treating the larger great saphenous vein and its tributaries. It is the only FDA-approved foam for this indication.
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Schedule a free consultation with Dr. Smith at our Georgetown, TX clinic today. Most major insurance accepted.

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