Sclerotherapy is the “gold standard” in spider vein treatment and involves injecting a sclerosant into a vein to collapse it. The procedure is minimally invasive and virtually painless. Within four to six weeks, you will notice a 50-70% improvement with just one session of sclerotherapy or laser ablation. Laser ablation works by aiming laser energy at the blood vessels, which causes the affected veins to collapse.
Most spider veins will require two or more sessions of treatment for complete elimination. Over time, new spider veins may develop close to previously treated areas. You may think the treated spider veins came back, but they are likely new ones. It is a good idea to follow up with your vein specialist after treatment to make sure any new spider veins are seen and treated early. That promotes effective, long term results. The tendency for spider veins to recur is linked to heredity. Predisposition to leaky veins is genetic and can cause both varicose and spider veins. After your initial treatment, you may seek “touch ups” to maintain healthy, smooth legs.
Many types of doctors, including dermatologists and general practitioners treat spider veins at medical spas or clinics. However, not all doctors are vein specialists. Seek a board-certified surgeon who specializes in venous and vascular disorders, as well as a facility that focuses exclusively on circulation conditions.