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How to Get Rid of a Lot of Little Spider Veins?

How about if I have A LOT OF LITTLE spider veins all over leg / thigh? I mean a LOT. If I go with sclerotherapy, does it mean that each and every little vein would have to be injected? I assume that would be quite painful?

Asked 44 months ago by Ally
Sort 3 expert answers by:
+3

Covering Spider Veins with Cosmetics is Only Masking a Progressive Problem

Covering spider veins with a cosmetic only covers a problem that is in need of treatment. These telangiectasias, aka spider veins have feeder veins that need to be injected in interupted surgically - in addition to sclerotherapy or laser therapy of the spider veins. Otherwise, over time you will get more spider veins and some will break down, extravasate blood, deposit hemosiderin in your skin and cause permanent bronzing of the skin. It will look bronze brown in color and may never go away... more
Hratch Karamanoukian, MD
Buffalo General Surgeon
+2

Spider Vein Treatment

Hi Ally,   Getting rid of spider veins (even when you have LOTS of them) is a lot easier than you think. That said, I'd choose a physician who has specific experience/training in sclerotherapy (treatment of leg veins through injections) and who can also evaluate you for deeper (perforator or greater saphenous) vein incompetence.   Think of your leg veins as being similar to trees. The spider veins are the leaves of the tree and the underlying... more
Monika Kiripolsky, MD
San Diego Dermatologic Surgeon
+1

Getting rid of a lot of spider veins

When we see patients with lots of spider veins in the legs, it's often part of a bigger circulatory problem. When these small veins are very numerous and very close together it can indicate that the main vein structure is not working as well as it should be. Before performing laser treatments in this situation (we treat only spider veins using only lasers at our facility) we recommend visiting a vascular surgeon for an ultrasound to determine how the main vein structure looks. We suggest... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
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