vein procedure for varicose veins vein stripping versus ambulatory phlebotomyTechnology and treatment for varicose veins have developed significantly over the years. Before, varicose veins were only treated with a procedure called “vein stripping.” It involved surgically removing the veins from the body. Thankfully, vein treatment these days is less invasive.

An Out of Date Vein Treatment

Yes, vein stripping is considered outdated. More recent technology allows physicians to no longer remove a patient’s vein.
Vein Stripping requires general anesthesia and extensive incisions on the affected area. A large varicose vein is usually removed or tied off in the leg. The procedure requires a long recovery period, about 2-4 weeks. But, your recovery time will vary on how many veins are stripped and where they’re located.
Your doctor may recommend varicose vein stripping if you’re experiencing:
  • constant pain, throbbing, and tenderness in the legs
  • skin sores and ulcers
  • blood clots
  • bleeding from the veins

The New, Better Vein Treatment

An Ambulatory Phlebectomy is the removal of bulging leg veins through tiny needle incisions. A phlebectomy is a more recently developed vein procedure and is less invasive. Your doctor will make a smaller incision and remove the varicose vein in several sections.
Local anesthesia is used and recovery time is significantly less than vein stripping. Most patients can return to their regular activities within a day. The results are permanent, allowing you to get rid of those painful and unsightly veins for good!

Out with the Old, In with the New

Ambulatory phlebectomy and vein stripping are similar. Both procedures remove severely swollen veins so blood can circulate elsewhere. But the phlebectomy is the new and improved treatment. Nonfunctioning veins can lead to more problems down the road. Try to get treatment from a certified vein center that uses up-to-date treatment for the best results. 

Delaware State riding a bicycle to healthier veinsAt Delaware Advanced Vein Center, our medical staff has years of experience helping people with their spider and varicose veins. We would love to welcome you to our family of satisfied patients. 

Contact us today to schedule a FREE virtual consultation and vein evaluation.

Filed under: Varicose Veins, Vein TreatmentTagged with: ,

sclerotherapy versus laser therapy vein treatment
Suffering from unsightly and painful varicose veins or pesky spider veins? Then you may be wondering which treatment to get: sclerotherapy or laser? Everyone has different needs, so one treatment may be more appropriate than the other.

Both treatments are effective with minimal side effects, but they do have advantages and disadvantages alike.

Let’s take a look at both methods for treating spider veins:


Sclerotherapy is a non-surgical treatment for spider veins. The doctor injects a chemical, called a sclerosant into a vein, causing it to collapse and dry out. The vein gets reabsorbed by the body and disappears.

Sclerotherapy is best for superficial spider veins on the legs and hands. It’s less expensive, faster, and more effective than laser treatment. Sclerotherapy is also better for people with darker skin. Lasers produce light that can cause discoloration in people with tanned skin.

Laser Treatment

Laser treatment for spider veins is more expensive. and perceived as more painful. But laser treatments are considered the best way to treat spider veins on the face. There are several types of laser treatments: 

IPL: Laser and intense pulsed light (IPL) treatments are non-invasive and chemical-free. It involves directing light at the veins from outside the skin. IPL or surface laser treatments take about 15 to 20 minutes depending on the extent of the area. The most common side effect is a temporary purple skin pigmentation that looks like bruising. There can also be some temporary redness, swelling or blistering.

Surface Laser Therapy: Your doctor can treat small-to-medium varicose veins with a laser through the skin, much like with spider veins. Different kinds of lasers can penetrate the skin and reach the veins. The skin is cooled to avoid burning, but patients still report more pain than sclerotherapy.

Endovenous Laser Therapy: Endovenous laser therapy (EVLT) is an effective treatment for larger varicose veins. A laser probe is inserted directly into the vein. As the probe is withdrawn, the intense heat from the laser cauterizes the vein from the inside, causing it to collapse. A single EVLT procedure is more effective than sclerotherapy, which requires multiple sessions.

sclerotherapy versus laser therapy vein treatment

The Choice is Up to You and Your Vein Doctor

Many patients have both types of vein problems and both types of treatment may be recommended.

The choice of treatment often depends on the location of the veins. Sclerotherapy is better for treating larger varicose veins, especially those on the legs, while laser therapy suits thinner veins on other parts of the body. Sometimes it may need a combination approach to get the best results.

Be sure to talk to your vein doctor to choose the treatment that is most effective and most comfortable for you. The best method for you may be different from that of someone else with the same vein problems. That’s why it’s important to choose an experienced vein specialist for medical advice. He or she can take into account your condition and your unique individual needs.



Delaware State riding a bicycle to healthier veinsAt Delaware Advanced Vein Center, our medical staff has years of experience helping people with their spider and varicose veins. We would love to welcome you to our family of satisfied patients. 

Contact us today to schedule a FREE virtual consultation and vein evaluation.

Filed under: Vein TreatmentTagged with: , ,

bulging veins on hands
Our blood moves throughout the body via blood vessels. Sometimes they’ll appear as bulging or popping veins in the hands and feet. These swollen veins can look weird and show off our age. The good news is most bulging veins aren’t really a sign of poor health. But there are instances where they may arise from a serious vascular disease. Either way, we’ll go over what you need to know about bulging veins.

What Causes Bulging Veins in the Hands and Feet?

Aging: As we age, our skin gets thinner and less elastic, making our blood vessels more visible. Your vein valves weaken, which can cause blood to pool in your veins for a longer period of time. This enlarges the vein. It’s all a normal process of getting older.

Genetics: Having family members with bulging veins increases your chances of getting them.

Hot Weather: Heat can make veins more prominent and enlarged. Hot temperatures also make it harder for veins to function properly. They’ll work harder and become more visible.

Hormone Imbalance: Pregnancy or menopause can lead to a hormone imbalance. One of the symptoms is bulging veins. Pregnancy may also put pressure on veins, making it harder for blood flow to get back to the heart.

Exercise: Bulging veins is common in those who do a lot of strength training exercises. Heavy lifting for long periods of time makes the blood flow increase. The muscles harden, causing more visible blood vessels. Over-stretching also plays a major role in making veins pop out.

Thrombophlebitis: Blood clots in the vein can cause it to bulge. These blood clots often form in the leg and can break off. They’ll flow to the lung and cause a condition called pulmonary embolism.

Body Fat Loss: Our skin has a layer of fat that serves as an insulator. When you lose weight, that layer thins and leads and makes veins more visible.

Health Conditions: Underlying heart problems can cause a chronic increase in blood pressure. This weakens the veins and can cause popping.

How to Fix Bulging Veins

Over-the-counter anti-inflammatory drugs can help decrease the swelling of bulging veins. Eating healthy foods with high water content can also help ease vein pressure. There are also procedures that can help remove veins that pop out.

Sclerotherapy injects a chemical solution into targeted veins and makes them close.

Ambulatory phlebectomy is the removal of the targeted veins via small incisions. Vein stripping and ligation close the vein that supplies blood to the targeted vein. While you’re under general anesthesia, your doctor will make an incision, tie off the vein, and remove it. The blood that used to run in the vein is automatically shifted. The closed vein eventually fades away.

Cosmetic or Medical, Bulging Veins Can be Fixed

Bulging hand and feet veins aren’t a serious medical issue for the majority of people. But if you’re concerned that your popping veins are something serious — or you don’t like the way they look — make an appointment with a vein doctor.

If there’s a serious problem, they can recommend treatment. If you want them removed for cosmetic purposes, your doctor will have a suggestion on the best procedure for you. In the unlikely event, your bulging hand and feet veins are a sign of a more serious condition, your doctor will offer specific medical treatment.



Delaware State riding a bicycle to healthier veinsAt Delaware Advanced Vein Center, our medical staff has years of experience helping people with their spider and varicose veins. We would love to welcome you to our family of satisfied patients. 

Contact us today to schedule a FREE virtual consultation and vein evaluation.

Filed under: Vein Health, Vein TreatmentTagged with: ,

apple dressed as doctor talking to Delaware patientIf you’re seeking treatment for vein conditions like spider and varicose veins, you’re probably thinking it will all be fixed in just one visit. Alas, that’s just not the case. Veins don’t disappear overnight. They need a lot of TLC. The reality is, you may need more than one treatment to get the best results.

There are several treatment options available like sclerotherapy, ablations, and laser therapy. Most are non-invasive and can be performed in your doctor’s office with little to no downtime. The number of times you’ll need vein treatment varies from patient to patient. Everyone’s veins are different sizes and at different stages. Typically, the more severe your veins are, the more treatments you’ll need. Below, we look at two different vein treatments and estimate how many times you’ll need them. 


What: A common treatment for spider and small varicose veins.

How: Your doctor injects a solution into the vein, which irritates the wall of the vein and makes the veins stick together so the blood can’t flow through it anymore. 

Healing Time: Spider veins usually disappear within 3 to 6 weeks. Varicose veins take 3 to 4 months.

Number of Treatments: In most cases, patients typically need 2 to 5 treatments to completely eliminate the appearance of spider veins, especially if the veins being treated are large or if new veins reappear.

Radio Frequency Ablations (RFA)

What: A treatment for varicose veins and venous insufficiency.

How: RFA procedures use a catheter that is inserted into the vein. It uses a high-frequency radio-frequency current, causing the vein to spasm and collapse. 

Healing Time: Within one week, patients may start to notice a difference in the prominence of their varicose veins, but complete results may take weeks to months.

Number of Treatments: Some patients may require several procedures depending on the severity of their varicose veins or if both legs are being treated.

how spider veins and varicose veins are treated

Follow-Up Appointments Are Important

While it’s necessary to get the proper amount of treatments done to ensure you get the best results, it’s also important to follow-up. These appointments help make sure your treatment is going in the right direction. This is also the time to address any concerns or questions you may have to your vein doctor. 

If you don’t schedule follow-up appointments or receive all of your vein treatments, you may experience the reappearance of veins or even health complications

Skill is the Key to Getting Best Results

The results you will see depend largely on the person performing the vein treatment. So make sure you find a vein specialist that performs vein treatments regularly to get the best results possible.



Delaware State riding a bicycle to healthier veinsAt Delaware Advanced Vein Center, our medical staff has years of experience helping people with their spider and varicose veins. We would love to welcome you to our family of satisfied patients. 

Contact us today to schedule a FREE virtual consultation and vein evaluation.

Filed under: Varicose Veins, Vein TreatmentTagged with: , ,

Orange leaf with leg veins in the fallAt last, Fall is upon us! You dreaded seeing the veins on your legs this summer, and now you can cover them up and forget about them until next summer, right?

WRONG! Fall is the best time to get rid of those unsightly veins once and for all. Here are a few great reasons why now is the time to finally address your veins:


This time of year, you may have met your insurance deductible. Or, if you have a flexible spending account (FSA) or health savings account (HSA), you may be in a position where you need to finish using those funds by the end of the year.

Extra Time for Healing

Vein treatments can take some time and require more than one procedure. These sessions are usually placed a few weeks apart to allow proper healing before the next procedure. In most cases, you won’t see the full results of your vein treatment for a couple of weeks. So if you start your vein treatments in the Fall, you’ll have vein-free (not to mention pain-free) legs by the time spring and summer comes around.

Sun Protection

Whether you choose injectable or laser vein treatment, it’s important to protect the treated area from the sun for a number of weeks. Sun exposure can cause permanent skin discoloration in the treated area, interfering with your desired results. Keeping the treated veins under fall clothing is one of the best ways to ensure the veins are fully protected from the sun’s rays. In turn, you’ll have the best possible outcome from your vein treatment.

Cooler Temperatures

Being active and walking is very important after vein treatment. It encourages blood circulation which helps with the healing process. Cooler temperatures make it enjoyable to go out and do some fun Fall activities with friends and family.

Easy Appointment Scheduling

Fall and Winter are generally slower at vein clinics because patients go back to work and care for their children. This means scheduling an appointment is much easier, with more openings and time slots. Workaround your calendar to find a day during the week that works best for you. Vein treatment takes around 15 – 30 minutes with no downtime, so you’ll be up and back to work in no time!

Treat Your Veins Today!

If you or a loved one suffer from leg swelling, rashes or ulcers, see a vein specialist as soon as you can. If you don’t have symptoms but do have the risk factors for varicose veins, see a doctor. A simple ultrasound test will determine whether you have varicose veins or not.

Remember, untreated varicose veins can lead to serious health problems. Don’t wait. With your varicose veins treated, you’ll feel better — and you’ll live a longer, healthier life with fewer complications.


Orange leaf after vein treatment playing tennis

At Delaware Advanced Vein Center, our medical staff has years of experience helping people with their spider and varicose veins. We would love to welcome you to our family of satisfied patients. 

Contact us today to schedule a free virtual consultation and vein evaluation.

Filed under: Spider Veins, Varicose Veins, Vein TreatmentTagged with: , ,

legs with compression stockings for varicose veinsYou may have heard people who swear by these stockings when they fly, sit, or stand at work for long periods of time. They come with many benefits like soothing pain, but they are not a cure for underlying health conditions. 

We ask ourselves: Are compression stockings even worth it? The verdict is still out. Studies suggest that compression stockings can improve some symptoms of varicose veins, but little evidence supports the idea that stockings alone will eliminate them.

What are Compression Stockings?

Compression stockings are supportive, snug-fitting socks that typically come up to the top of your calf and encourage the healthy circulation of blood from your ankles back up to your heart. Compression socks are typically worn during the day and taken off during bedtime. They can be worn on one or both legs depending on the condition and recommendations by your doctor. 

Types of Compression Stockings

Compression stockings come in various forms including graduated, anti-embolism, and non-medical. Each can be very useful for patients at risk of blood clots and venous ulcers.

Benefits of Compression Stockings

While compression socks alone won’t make your spider or varicose veins go away, they have many benefits:

  • Improve blood circulation in the legs
  • Prevent blood from pooling in your leg veins
  • Reduce leg swelling
  • Prevent ulcers
  • Prevent blood clots in the veins of the legs
  • Reduce pain 

How to Use Compression Socks

Consult with your doctor first, before using compression stockings. They come in various lengths and sizes, and they need to fit properly based on measurements of the patient’s legs. Different types of stockings exert different amounts of pressure. A doctor or nurse should assess the right size or else you won’t get any results. 

Uses for Compression Stockings

Compression stockings may be used in the following condiments of the lower limbs:

What’s the Downside to Compression Stockings?

  • Irritation: If compression stockings are worn for too long, new areas of irritation can occur. You should remove stockings every day and check the legs and feet for signs of damage or irritation.
  • Bad Fit: When compression stockings don’t fit properly, they won’t help! Non-fitting compression socks may increase the risk of blood clots or circulation issues. So it’s important to discuss with your doctor the right type for your specific condition.
  • Uncomfortable: First time wearing compression stockings can be uncomfortable, especially when they need to be worn during the warmer season.

    delaware state wearing compression stockings for veins

Compression Stockings After Vein Treatment

We encourage patients to walk as soon as possible after vein removal treatment. It’s also common for doctors to recommend compression stockings after vein treatment, but we find that they don’t make much a difference. If you receive the proper number of vein treatments, your legs will look and feel better without ever having to wear compression socks.  

Compression stockings may or may not make sense for you, so it’s best to discuss this with your doctor which will address your concerns and determine if they are the right choice for you.


At Delaware Advanced Vein Center, our medical staff has years of experience helping people with their spider and varicose veins. We would love to welcome you to our family of satisfied patients. 

Contact us today to schedule a free virtual consultation and vein evaluation.

Filed under: Varicose Veins, Vein TreatmentTagged with: , , ,