Spider Vein Risk?

What happens if spider veins are not treated?

Doctor Answers 10

Spider veins can proliferate if untreated

Spider and reticular veins can proliferate if untreated and it is best to get an evaluation and undergo treatment with either topical laser or sclerotherapy or both. 

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

No medical risk.

Spider veins are not associated with any medical risks. If left untreated they will worsen with time. Spider veins, however, are often due to an underlying malfunctioning (refluxing) of the valves of the saphenous system. This could be determined by a venous reflux exam. Treating the reflux can help to decrease the amount and recurrence rate of spider veins.

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

Spider vein risk

Spider veins that are not treated have no specific risk associated with them.  Over time, they may increase in number, but it's hard to predict if, when, and to what degree that will happen.  If you feel they are unsightly, you may consider sclerotherapy to treat them cosmetically.  If not, there is no medical need to do anything.

Mennen T. Gallas, MD
Katy Plastic Surgeon
5.0 out of 5 stars 19 reviews

Are Spider Veins necessary to treat

Spider veins are not dangerous and the reason to treat them are for appearances only. That being said they are easily treated by your local dermatologist with a simple procedure called sclerotherapy.

Ted Brezel, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Very little

you will probably just acquire more spider veins with time.  there is no medical necessity to treat these little venous malformations, they are usually just a cosmetic concern although some patients do complain of discomfort in them.  in that situation, we would then treat accordingly.


Craig Crippen, MD
Kelowna Physician

Spider Veins

Spider veins may progress rapidly over a 2 to 5 years period of time or they may change very little over that period of time. Unfortunately, this aspect of spider veins and their progression is difficult to predict. Most people are genetically predisposed to develop more and more spider veins as they age. My estimate is that this would occur 80 percent of the time and only about 20 percent of those people would have either no or slow progression over the aging process.

Deason Dunagan, MD
Huntsville Plastic Surgeon
4.9 out of 5 stars 12 reviews

Spider veins

Spider veins, untreated, may become more numerous but are not medically necessary to treat. Underlying larger veins may need to be treated if they are they cause if their valves are malfunctioning. Those might become painful and need need treatment.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Spider veins are cosmetic and do not need to be treated

Spider veins are great to treat as they are unsightly and many people choose to use sclerotherapy to get rid of tem but they have no health concerns if left untreated.  Even if treated you can still get new veins in the future so treating the veins you have may or may not prevent new ones from forming.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
4.9 out of 5 stars 216 reviews

Spider veins slowly worsen with time.

Spider veins slowly worsen with time and are easy to treat with sclerotherapy injections which don't hurt and run around $350 per session and require 1-3 sessions a month apart.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 42 reviews

Spider veins and natural history

Generally, the caliber of the vessels may slowly enlarge or spreading of the vascularity may occur with time. However, it really depends on the cause (perforators, systemic disease, steroids, etc.)

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 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.