Spider veins (medically known as telangiectasias) are small (1-2mm) surface veins that look like spider webs on the skin. Patients may have isolated surface spider veins, but the presence of spider veins in some patients may indicate underlying vein issues. While spider veins do not bulge or cause pain like larger varicose veins, they are still unsightly and cause concern for many people. If you have spider veins, you can have them examined by a vein specialist to find any underlying venous diseases.

Spider veins are thin, web-like veins that run just under the skin’s surface and are the least severe type of venous disease. Family history, age, extended standing, pregnancy, hormonal changes related to ovulation or menopause, or an underlying vein disease are the most common causes of spider veins. Spider veins can appear to be a cosmetic problem, but they could also be a sign of underlying venous diseases.

Spider veins are generally regarded as a cosmetic issue because they do not cause any significant symptoms. Itching or burning at the site of spider veins may be experienced by some patients. Most patients should only have isolated spider veins with no underlying venous disease, but spider veins can be a sign of potential venous disease in the legs. If you have any of the following symptoms, you might have additional problems with the larger veins in your legs. If you have all of these signs, a doctor will perform a leg ultrasound to determine if you have an additional larger vein reflux that needs to be addressed.

Sclerotherapy (injecting a small dose of an irritant into the vein to help it close) or surface laser therapy are used to treat spider veins. Treatment sessions last about 30 minutes, but complete removal of these veins normally requires 2 or 3 sessions. Spider veins are usually a cosmetic concern that is not covered by insurance.

Spider veins can be removed by laser treatment or sclerotherapy. Both treatments provide excellent results and patients typically can resume physical activity the next day.

After spider vein treatment, most people see an immediate reduction in the number of spider veins on their legs and will see them disappear completely in three to six weeks.

Yes, with treatment spider veins may be cured or disappear completely. Spider veins usually disappear in 3 to 6 weeks after treatment.

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