Spider Veins

Spider Veins vs. Varicose Veins

Spider veins, also called telangiectasias, are tiny visible vessels within the skin. They develop most commonly on the face and legs. Varicose veins are distended veins beneath the skin. They may appear as bluish bumps and often cause discomfort. Those with unsightly varicose veins and aching pain often choose to have surgery to remove their varicose veins. Because varicose veins are no longer functional, their presence is not missed. Ask your general surgeon about varicose vein treatment. If you have both varicose and spider veins, your varicose veins must be treated first. Treating spider veins first is generally futile because, in the presence of varicose veins, they are bound to return soon.

Treatment Choices for Spider Veins of the Legs

The two options for spider vein treatment are sclerotherapy and laser. They can be employed independently or in combination.

Sclerotherapy (spider vein injection)

Sclerotherapy involves injecting a liquid agent through a tiny needle directly into your spider veins, causing them to contract and collapse. Because this technique relies upon fitting a tiny needle into a tiny vein, it is best suited to medium and large spider veins. The procedure is performed in the office by a plastic surgeon or nurse and is relatively painless. Depending on the number of spider veins, the procedure may require five minutes to one hour. Afterward, you will wear ace bandages or compression hose for three to ten days as recommended by your plastic surgeon. You may resume sedentary activities immediately but should avoid exercise, hot baths, and alcohol for two to three days. You should anticipate 50% improvement in spider veins following each sclerotherapy session. Expect that two to six sclerotherapy sessions at one to two month intervals may be necessary to achieve your desired results. Understand that some spider veins may never be successfully treated through sclerotherapy.

Laser treatment of spider veins

During laser treatment, the laser is applied to the skin over your spider veins. Laser energy causes your spider veins to coagulate and shrink. Laser therapy is most effective for small and medium size spider veins. Large spider veins respond poorly and are best treated with sclerotherapy. Treatments are associated with mild discomfort, not unlike a small rubber band snapping against skin. Treatments usually do not require sedatives, pain medications, or injections of local anesthetic. Immediately following treatment, spider veins will be darker and more visible. Over two to six weeks, your spider veins usually fade. After each treatment, you will see a 70% to 80% improvement in the appearance of face spider veins and 30-40% improvement in leg spider veins. An average of three treatments will be required at three-month intervals. Combination therapy If you have small, medium, and large spider veins, you may benefit from both sclerotherapy and laser therapy. You may wish to start with sclerotherapy, because sometimes all veins will be improved after injecting the larger ones. This may reduce the number of veins that need to be treated by laser, and minimize your overall cost.

Spider Veins of the Face

Laser therapy of facial spider veins is the treatment of choice. Laser treatment may cause minor bruising which usually improves within a week, but often, recovery is immediate. Two to four treatments may be required to achieve your desired result. Immediately following treatment, you may apply makeup and will be presentable.

Ask Your Plastic Surgeon about these Potential Complications:

Matting
Discoloration
Skin Death
Swelling

Cost

Sclerotherapy costs between $100 and $400 per session. Laser treatment costs $300-450 per session. Expect to pay more if your spider veins are extensive or if the treatments are performed by a physician rather than a supervised technician.

Expected Duration of Results

Regardless of treatment, you should anticipate the development of new spider veins over time, just as you would if your spider veins had not been treated. Spider vein therapy treats current spider veins but does not prevent new ones.

Dr. Loftus is the highly acclaimed plastic surgeon who authored The Smart Woman's Guide to Plastic Surgery, which is the #1 Best-selling book on plastic surgery in the United States. She has appeared on CNN, MSNBC, THE TODAY SHOW and THE VIEW, discussing all facets of plastic surgery. People from all over the world travel to Cincinnati to seek her care.

 

Loftus Plastic Surgery Center
Cincinnati, Ohio: 513-793-4000
Northern Kentucky (A suburb of Cincinnati):
859-426-5000

 

The Cincinnati office is located within 45 minutes of Dayton, Ohio
The Kentucky office is located within 45 minutes of Lexington, Kentucky.

 


This web site is for information only.
Do not use the information herein to diagnose or treat your plastic surgery or cosmetic surgery problems. You should contact your plastic surgeon with all questions and concerns.

 


Information for this website is provided by Dr. Jean M. Loftus, a nationally respected female plastic surgeon, who practices cosmetic plastic surgery in the greater Cincinnati, Ohio area.


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