Permanent Spider Vein Removal?

Sclerotherapy is still the gold standard for spider veins. If the blood vessels are large enough to inject (sclerotherapy) with a sclerosing agent, that would be my choice. Some people, understandably, simply do not like the idea of injections so laser is also an option. The Nd:YAG 1064 long pulse laser is one of the better laser treatments for spider veins. Good luck.

This can be a very time consuming treatment with a laser, requiring multiple sessions.  Some vessels will go away completely but you may continue to make new vessels (telangiectasias). Overall you should see some improvement with a dye laser or a YAG laser. Injection with a sclerosing agent can also help