Vein procedures


Varithena is an injectable microfoam that is used to treat the symptoms of superficial venous reflux disease, and likewise help remove the appearance of varicose veins.

Varithena injectable foam for Varicose Veins

Varicose veins are swollen, enlarged, bulging veins often appearing blue or dark purple. New technologies have produced a revolution in primary varicose vein treatments, often eliminating the need for more invasive methods. Dr. Donna D’Alessio, board certified veins specialist at Bellava MedAesthetics & Plastic Surgery Center, regularly delivers Varithena alone and combined with other vein therapies such as sclerotherapy, radiofrequency ablation or VenaSeal to effectively handle a variety of vein conditions and return your legs to their original beauty.

Request a consultation with Dr. D’Alessio today.

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Regain Your Confidence with Varithena treatments

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Varithena (polidocanol injectable foam) is a prescription medicine used to treat varicose veins caused by problems with the great saphenous vein (GSV) and other related veins in the leg’s GSV system. Varithena not only improves the symptoms related to or caused by varicose veins, but also the appearance of varicose veins. Varithena is administered by the doctor into the malfunctioning veins. The minimally invasive, nonsurgical treatment doesn’t require incisions. The doctor usually numbs the injection site, but no additional anesthesia is required.

Varithena Benefits

  • Safe
  • Little discomfort
  • See results in as little as one treatment
  • Minimally invasive, no surgery
  • Procedure takes less than an hour
  • Combinable with other vein procedures for maximum results

Varithena Treats the Following Conditions

spider veins Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Spider Veins

Spider veins are small veins that are red, purple or blue and resemble spider webs.

What causes spider veins?

Spider veins are caused by venous insufficiency, which translates as failure of the veins to adequately circulate the blood. Hereditary factors, a job that involves a lot of standing, obesity, pregnancy, and/or a history of blood clots are all factors that can cause to spider veins.

Are spider veins different from varicose veins?

Spider veins may be a sign of an underlying problem known as venous insufficiency. When left untreated this could lead to the development of varicose veins or skin ulcers.

How are spider veins diagnosed?

Spider veins are typically located on the superficial surface of a patient’s skin and are therefore they are easy to diagnose by a trusted and experienced physician such as Dr. Donna D’Alessio.

What are the spider vein treatment options?

Sclerotherapy is used to treat the appearance of spider veins. Treatments for venous disease include radiofrequency ablations, sclerotherapy and VenaSeal.

Varicose veins Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Varicose Veins

Varicose veins are twisted, enlarged veins. Any veins in the body may become varicose, but the veins most commonly affected are those in your legs and feet.

What causes varicose veins?

Age is a factor since your veins can lose elasticity. In addition, heredity, pregnancy, or obesity can cause varicose veins.

Are varicose veins dangerous?

Each case of varicose veins is different. In some cases, they are just a cosmetic nuisance, whereas in others they be signs of an underlying issue.

How are varicose veins diagnosed?

To diagnose varicose veins, Dr. Donna D’Alessio will perform a physical exam. You also may need a diagnostic ultrasound test to see if the valves in your veins are functioning normally or if there is evidence of any blood clots.

Can I do anything to prevent varicose veins?

You can’t prevent varicose veins from forming. You can prevent the ones you have from getting worse. Exercise, avoiding standing to long, not smoking all can help prevent varicose veins from getting worse.

chronic vein insufficiency Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Chronic Vein Insufficiency

Chronic vein insufficiency occurs the valves in the veins are not working properly. In healthy situations, veins move blood towards the heart, and they have valves that keep the blood from leaking the opposite way. When the valves are leaking, venous insufficiency occurs.

What causes chronic venous insufficiency?

Genetics, pregnancy, and obesity are the most common causes. Leg trauma, and blood clots are can also cause chronic venous insufficiency. Other causes may include smoking, high blood pressure, lack of exercise, and phlebitis.

Is chronic vein insufficiency dangerous?

If chronic venous insufficiency is left untreated, pain, inflammation, swelling, and leg ulcers may occur.

What are the treatment options for chronic vein insufficiency?

Radiofrequency ablation and sclerotherapy.

Can I do anything to prevent chronic vein insufficiency?

Maintain a healthy body weight, exercise, avoid standing or sitting for long periods of time, and do not smoke.

leg pain Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Leg Pain

Sometimes venous insufficiency can lead to leg swelling, pain and cramping (also known as restless leg syndrome). Without treatment, these issues can get worse and lead to chronic venous insufficiency (CVI), which may contribute to leg ulcers or other skin issues.

How common are leg pain symptoms?

Leg swelling, leg pain, and cramping (also restless leg syndrome) are very common symptoms for venous insufficiency.

How can the causes be diagnosed?

The causes can be diagnosed by coming into a medical office for a physical examination. Swelling can be visible, and a venous ultrasound can be conducted to confirm whether or not these symptoms are caused by varicose veins, and venous insufficiency.

What are the treatment options?

Treatment options are compression stockings, exercise, antibiotics, radiofrequency ablations, sclerotherapy, and phlebectomy.

Varithena Treatment FAQs

How does Varithena work?

Varithena is administered into your malfunctioning vein through a small catheter or by direct injection. It allows the foam fills the desired section of the vein. Once diseased vein collapses, foam is deactivated and blood flow shifts to healthier veins nearby. Clinical Trials have shown that Varithena reduces patients varicose vein symptoms such as: heaviness, swelling, achiness, throbbing, skin irritation and itching. According to the clinical data Varithena also improved vein appearance in assessments by both patients and doctors.

How long does treatment take?

Varithena treatment is the same day clinical procedure that usually takes less than an hour. Once Varithena is administered patients can go home the same day.

How many treatments might I need?

Some patients may see results with as little as single treatment. Additional treatment may be required, depending on the number and size of the varicose veins. Treatments are typically separated by a minimum of 5 days.

How soon can I get back to normal activities?

It is very important to understand and follow your doctor’s post-treatment care recommendations and instructions:

  • you may resume some light activities the same day as your treatments
  • avoid heavy activities and workouts immediately after your procedure
  • keep walking at least 10 – 30 minutes a day and for entire month after the procedure
  • avoid long periods of inactivity
  • continue to keep your post-treatment bandages dry and in place for 48 hours and to wear compression stockings on your treated leg for 2 weeks

How long do I have to wear my compression stockings after the procedure?

Post-treatment compression is required for the first 48 hours followed by a 2-week course of gradient compression stockings. Once your compression is applied post-procedure, your doctor will be ask you to walk for at least 10 minutes under his supervision. You should continue to walk at least 30 minutes daily and avoid long periods of inactivity and any weight-lifting activities for the next month. No heavy exercise is recommended during the first week after treatment.

Are there any side effects?

There are several most common side effects seen with Varithena, including:

  • leg pain or discomfort that typically goes away within one week
  • bruising, swelling at the injection site
  • Skin discolouration such as brown staining of the skin where the vein has been treated
  • skin irritation, including rash, itching and/or red patches of skin; muscle spasms; and sore joints

Varithena can cause blood clots in the deep veins. When it happens your doctor will monitor you for signs of deep vein thrombosis, typically pain, swelling and blueness of the treated leg. If these symptoms develop after your treatment, contact our center immediately. Very rarely, Varithena causes a life-threatening allergic reaction, however always inform your doctor about any side effect that bothers you or that does not go away.

Does insurance cover the treatment?

We will help you to understand your coverage and contact your insurance provider to determine if you are eligible for treatment. Coverage may depend on the severity of your varicose veins and your symptoms.
Dr. Donna D'Alessio, board-certified plastic surgeon Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Meet Our Board-Certified Veins Specialist, Dr. Donna D’Alessio

Donna D’Alessio is the Owner, Operating Physician and Medical Director of Bellava MedAesthetics & Plastic Surgery Center, where she personally delivers the most advanced, nonsurgical cosmetic medical vein procedures to improve the appearance of spider veins and varicose veins.

Read More About Dr. D'Alessio's Superior Background in Pain Management and Aesthetic Medicine

She graduated from The College of New Jersey before completing her medical degree at St. George’s University School of Medicine in the West Indies. Dr. D’Alessio carried out an internship in internal medicine as at SUNY Downstate Medical Center at Long Island College Hospital in Brooklyn, New York. She then went to complete her residency training in Physical Medicine & Rehabilitation at Mount Sinai Hospital in New York City. In her final year of residency training she was appointed and served as Chief Resident.

Board certified in Physical Medicine & Rehabilitation, she is a leading nonsurgical interventional pain management physician in New York and New Jersey. She helps patients find relief from all sorts of pain, including chronic vein insufficiency (CVI) and leg pain.

To help her patients reach their individual goals, Dr. D’Alessio also offers multiple cosmetic rejuvenation services such as injectables, body contouring and laser treatments to restore youthful beauty and vitality.

Dr. D’Alessio is now accepting new cosmetic vein patients in the Westchester and the surrounding areas. Call or schedule an appointment online today.

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For more information or to schedule an appointment, call (914) 867-4442 today!

Bellava MedAesthetics and Plastic Surgery Center in Bedford Hills, NY

Bellava MedAesthetics and Plastic Surgery Center
182 Rte 117 Bypass Road
Bedford Hills, NY 10507




(914) 864-0377


Monday - Wednesday
9:00 AM - 5:00 PM

9:00 AM - 7:00 PM

9:00 AM - 4:00 PM

9:00 AM - 3:00 PM

† Individual Results May Vary.

Models photography used unless specified as a before & after photo.