Dr. Hilary L. Reich
Board Certified Dermatologist
Dr. Sue DeCotiis
Internal Medicine &  Skin Care


Spider Vein Treatment

 

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Spider Vein Treatment

What are spider veins and what causes them?

Spider veins are small and thin, red to purplish veins which appear close to the skin surface.  They are typically found on the legs, particularly around the thighs, knees, ankles and feet.  They differ from varicose veins which are larger greenish-blue veins that tend to bulge when in the standing position. 

Spider veins often appear in response to pregnancy or hormonal changes, and are also related to weight gain, some medications and prolonged sitting or standing.  Some people are genetically more likely to get spider veins than others.

 

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Sclerotherapy

Sclerotherapy is a medical procedure used since the 1930’s to treat spider veins and larger varicose veins.  It involves injecting a sclerosing solution, such as saline or sotradecol, directly into the unwanted vein with a very fine needle.  The solution irritates the lining of the vessel, eventually causing its walls to collapse and ultimately disappear. 

Spider veins typically respond to treatment in 3 to 6 weeks.  Larger veins may require a longer recovery time.  Some veins respond more readily to the treatment than others.  Therefore, several treatment sessions are sometimes needed to achieve the desired result.  Occasionally, other methods such as laser are used as adjunctive treatment for spider or varicose veins.


Pre Treatment


1 Month After Treatment


Pre Treatment


4 Months After Treatment


Pre Treatment


3 Months After Treatment

Are There Side-Effects?

The treated areas may appear red and/or bruised. Pain is generally mild. Swelling can occur. Sometimes hair loss can occur in the treated areas. Patients on blood thinners or with serious illness generally are not candidates for treatment. Other contraindications to this procedure include diabetes, bleeding disorders, and photosensitizing medications.

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