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It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.Best,Dr. KaramanoukianRealself100 surgeon
The posted pictures look like varicose veins on the buttock area and either spider or reticular veins in the other areas. Spider and reticular veins are treated by sclerotherapy. The buttock veins would need more evaluation before treatment including more history. See a vein specialist.
The larger ones appear to be varicose veins. We most often see these in the legs, but they can form in other areas. There are a few genetic disorders that can cause these to form as well as some vein abnormalities.See a vein specialist who can do a complete work up. Based on this, they should be able to form a treatment plan.Good Luck,Dr. Powell