Phlebology Questions Spider Veins

Can I get rid of spider veins without surgery?

Do spider veins always require surgery? I noticed that I had them on my legs awhile back, and while I'm not in too much pain, I do want to get rid of them. Is there another way to get rid of spider veins?

9 Answers

There are laser treatments that can improve the appearance of spider veins, as well as injection sclerotherapy which is another non-surgical treatment.
Spider veins are generally treated with injection of solution that displaces blood within them and reroutes blood to other veins. This results in decompressing them and making them appear less obvious.
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The treatment is not surgery, it is a minor procedure done with a small needle. It doesn't require any sedation.
Schlerotherapy is a possibility but still involves injections
The only way to get rid of spider veins once they occur is either with a topical laser or injections called sclerotherapy.
Spider telangiectasias (commonly known as spider veins) can be treated in nonsurgical ways including injection sclerotherapy or laser therapy. Both procedures are nonsurgical. Injection sclerotherapy uses a medicine directly administered into the culprit tiny veins with a very small needle. The medicine causes the vein to collapse and become a thread through which blood can no longer flow. Laser used light energy to "zap" the blood cells in the veins and cause a similar process to occur. Both types of treatment will almost certainly require multiple sessions. Look for a vein specialist who is certified by the American Board of Venous and Lymphatic Medicine to perform your treatments or an IAC accredited Vein Center for the most expertise.
Spider veins can be eliminated by either laser or sclerotherapy which uses injections of a sclerosant.
Generally, you have veins throughout your skin. When the pressure in the venous system increases over time the veins in the skin dilate  until they can be seen by the naked eye. They will gradually get bigger but the only symptom associated with this is usually itching. Spider veins are not treated by removing them surgically. They are treated with sclerotherapy. This is a procedure where a solution is injected into the spider vein. This causes the inside lining of the vein to scar down and eventually they will disappear. If you have underlying venous insufficiency you may develop more spider veins in other parts of your legs. If you have other symptoms like heaviness, swelling, fatigue or cramps in your legs at night, you more than likely have superficial venous insufficiency. If you just treat the spider veins, your legs will look better but they won't feel any better.
Spider veins require a simple procedure (performed in the office) where medicine is injected into the tiny vein with a very small needle. Healing does take some people days - weeks.