I am concerned about my legs: ugly veins. (photos)

Based on your pictures, you have spider veins which if left untreated could worsen and develop into something more serious. Sclerotherapy would help the cosmetic appearance and keep them from bleeding. 

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. Karamanoukian
Realself100 Surgeon

What you are showing are reticular vein complexes and they can be successfully treated with sclerotherapy. If they are diffuse, as you describe them, meaning all over the legs, you should get evaluated for underlying venous insufficiency. It is important, after you get sclerotherapy to wear compression stockings and to use some topical products to lessen the likelihood of hyperpigmentation. I recommend the use of the post sclerotherapy creams called Sclerovase and Scleroquin plus.Seek treatment from a certified vein specialistHratch L Karamanoukian MD FACS

Thank you for your question! In my practice, I offer sclerotherapy, endovenous laser ablation, Clarivein treatment, and microphlebectomy to treat varicose and spider veins.  I would definitely recommend scheduling an in-person exam to determine the appropriate treatment option but, in all likelihood, you would benefit from a sclerotherapy. It uses a sclerosing solution that causes the vein to shrink. Usually sclerotherapy takes only 1 to 2 sessions to achieve fading of the undesirable veins.  
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and obtain expert medical advice. Best of luck! 

My first recommendation would be to visit a vein specialist to take a look at your veins and assess them by doing a full evaluation including ultrasound imaging of your venous circulatory system of the legs. Contrary to healthy venous circulation, venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart no longer function, causing to pool in the legs and leading to signs and symptoms such as varicose veins, leg or ankle swelling, leg heaviness and fatigue, leg pain, aching or cramping, burning or itching of the skin, restless legs, skin changes or rashes, ulcers, open wounds, or sores. Many factors contribute to the presence of venous reflux including age, gender, family history, heavy lifting, multiple pregnancies, obesity, and prolonged standing. Your physician can help you decide the best treatment or combination of treatments for you according to your ultrasound results and your specific goals.
Best, 

Thank you for your question. Based on your photos you would benefit from Sclerotherapy. The treatment involves an injection of a chemical that will cause your vein to contract and become scarred internally. The vein will disappear from your body after some time. Generally, it takes about 8-10 weeks for the vein to disappear. Please make sure you seek treatment from a board-certified dermatologist.

The posted pictures appear to be spider veins.  The gold standard for spider vein treatment is sclerotherapy.  You should see a vein specialist for a venous evaluation before commencing sclerotherapy .