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.

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