The gold standard for removing spider veins and tiny reticular leg veins is sclerotherapy. The irregular red, blue or purple spider veins of the involved leg are injected with several injections of a sclerosing agent. Injecting the unwanted veins with the sclerosing solution causes the target vein to shrink instantly, and then disappear over a period of weeks when the treated vein is gradually reabsorbed by the body. -click for more info The sclerosing agent, polidocanol, was recently approved by the FDA for the treatment of spider veins. It is painless to administer this medicine and it has a clear safety profile.
To guarantee a good result, prescription compression stockings should be worn for one week after treatment. During that time, patients are advised to exercise at least thirty minutes per day. In order to substantially enhance the appearance of their legs, the patient typically needs at least 2-3 therapy sessions separated by several weeks.
Are side effects present?
Treatment side effects can include discomfort and swelling of the leg for a couple of days after the injection. Brown discoloration over the vein or scarring can rarely happen. The development of small, new blood vessels in the treated area may occur within one month after treatment in women taking estrogen-containing medications, but this normally resolves spontaneously by 6 months. To treat these tiny vessels, cosmetic lasers can be used.
Could spider veins be treated with lasers?
For smaller spiders, with excellent results, laser therapy can be used. With little to no darkening of the skin, the Nd YAG lasers will erase these veins, and compression stockings are not needed to be worn after the treatment. To totally clear your veins, more than one treatment session might be required.
Are my spider veins going to return?
The treated veins normally do not recover. However if you suffer from underlying venous hypertension or varicose veins, after effective treatment, new spider veins can open up in the same areas. If this happens, you can see a venous disease doctor, who can use duplex ultrasound to test your legs. If your deeper veins are involved can be determined by this examination. If they are, these smaller veins can be removed by corrections to the underlying issue.