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Combating Problematic Veins With Ablation Techniques vs Vein Stripping

Problematic veins, including varicose veins and spider veins, are a cosmetic concern for many individuals that may have you reaching for long pants rather than the skin-baring fashions of summertime and early autumn. 

For some, these veins also cause serious health concerns related to impaired circulation that’s linked to lower extremity swelling, discomfort, skin discoloration, and slow-healing ulcerations/sores.  

Board-certified surgeon Michael Gioscia, MD, is a renowned expert and pioneer in treating issues that affect your circulatory health. He uses innovative therapies that resolve vein problems without extensive surgery or a long, painful recovery.

Dr. Gioscia leads the team here at the Vein Institute of Westchester in White Plains, New York. He is fully committed to providing the most effective and least invasive solutions available for eliminating damaged veins that mar the smooth perfection of your skin while helping restore normal circulatory function in your legs.

Read about the many different treatments Dr. Gioscia offers for resolving problematic veins.   

Vein stripping

Vein stripping is a surgical procedure that’s used to remove or tie off the great saphenous vein in the leg, where varicose veins most often occur. 

Typically performed under general anesthesia, vein stripping normally takes an hour and a half to two hours to complete, requires an overnight hospital stay, and needs several weeks to heal.


Sclerotherapy is an ablation technique that destroys the damaged vein with a chemical agent delivered via injection into the targeted vein. Sclerotherapy is a quick in-office procedure that takes 10-30 minutes to complete. It’s an effective method for eliminating both varicose veins and spider veins.

Varithena™ is a sclerosing agent that’s FDA-approved for use on large varicose veins like the great saphenous vein and provides an effective alternative to surgical vein stripping.  


VenaSeal is an ultrasound-guided procedure that’s typically used to treat large varicosities. 

Dr. Gioscia uses a specialized needle and catheter to deliver a medical adhesive to specific areas of the targeted vein. This seals the damaged vein and eliminates blood flow, which causes it to shrink and die.  

Laser vein treatments

Often combined with sclerotherapy, laser vein treatments utilize carefully controlled laser heat energy to destroy diseased veins without damaging the surrounding skin and other tissue structures. 

The procedure takes about 30 minutes and can be used to treat large and small varicose veins but is especially effective for getting rid of spider veins.

Radiofrequency vein ablation

Radiofrequency vein ablation uses radio waves rather than laser energy to produce enough heat to cauterize and close problematic veins without damaging surrounding tissue. This essentially painless, in-office procedure is fast, taking about 30 minutes, and offers superior results for treatment of varicose veins.


ClariVein is a highly advanced treatment that combines sclerotherapy with mechanical destruction to permanently seal even larger varicose veins with a tiny needle puncture that allows access to the damaged vein. 

ClariVein is an in-office procedure that provides stellar results with little to no downtime and minimal to no discomfort.

Which varicose/spider vein treatment is right for me?

During your initial consultation, Dr. Gioscia takes the time to fully evaluate your leg veins and devise the most effective treatment plan. This isn't a one-fix-for-all practice. Dr. Gioscia has extensive experience in all possible solutions and carefully discusses your options and the expected outcome before scheduling your procedure.

For the most effective solutions available for eliminating the cosmetic effects of varicose and spider veins and helping restore your circulatory health, schedule a visit with Dr. Gioscia at the Vein Institute of Westchester today.

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