Laser to Remove Small Spider Veins in Legs?

Small spider veins in legs. Had injections. Had a yag laser treatment. My skin/veins are worse now! What can I do?

Doctor Answers 4

Unsuccessful cosmetic laser vein treatments require a thorough evaluation by a vein specialist

Unsuccessful cosmetic laser vein treatments require a thorough evaluation by a vein specialist.

This is a very important thing to do as lack of success means that there are sources of venous insufficiency that may not have been treated during sclerotherapy such as "feeder veins" or truncal reflux at the saphenofemoral or saphenopopliteal junctions or segments of superficial veins (segmental reflux).

Evaluation of the perforator veins in the thighs and legs is also warranted. 

See a physician certified by the American Board of Venous and Lymphatic Medicine. 

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Need venous evaluation.

Most commonly, spider vein treatments, whether they be injection sclerotherapy or laser, usually require several cycles of treatments (2-3) 4-6 weeks apart and the veins tend to look worse before looking better.  If you have been through this process and your veins are worse then there are several options-increase the concentration or change the injecting solution, try a different laser, obtain a 2nd vein opinion or obtain a full venous evaluation with a venous reflux exam by a vein specialist.  It could be that there is an underlying reason (valvular reflux) for your veins failing to respond to standard therapy.

John Landi, MD
Naples General Surgeon
5.0 out of 5 stars 5 reviews

Leg veins worse after treatment


It's difficult to say exactly what to do with the vessels you have remaining or the new ones that may have come after treatment without seeing them first. Leg vein treatments, regardless of type, require multiple treatments and can definitely go through phases of uglier before they are prettier. If you are unhappy with your treatment thus far, perhaps try a different office or practitioner...they are not all created alike.

Don't give up.

Good luck~

Dr. Grant Stevens    

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews

Laser to remove spider veins

Unsightly leg veins can be treated with precise bursts of laser light, minimizing damage to the skin. The light energy is absorbed by the vein, clogging it, after which it is absorbed back into the body, disappearing from the surface of the skin. You can eliminate spider veins and varicose veins with VersaPulse® Laser. Immediately after treatment, the vein will actually appear darker, but shortly thereafter the vein will fade. Laser treatment of leg veins usually requires several visits.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.