Does Laser Treatments to Vericose/spider Veins to Legs Really Work?

Does laser treatments to vericose/spider veins to legs really work? If so, is it temporary?

Doctor Answers 6

Depends on the laser

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Endovascular or lasers that treat from the inside of the vein have a 98% vein closure rate. External laser treatment is only good for the spider veins and even then in my opinion is not much better than sclerotherapy. Some lasers in 1064 wave lengths and high do get better results. 

Virginia Beach Plastic Surgeon
4.9 out of 5 stars 60 reviews

Vein Treatment

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Great question, the larger veins of the leg, greater and lesser saphenous can be best treated with a minimally invasive laser treatment called EVLA, this is often covered by insurance, but for cosmetic concerns on smaller more superficial veins, sclero therapy is still the gold standard.

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 93 reviews


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Endovenous (inside the vein) laser treatment for varicose veins does work and is the gold standard of care as opposed to topical laser treatment which does not work on varicose veins.  Topical laser also does not work well on leg spider veins but it may work on facial spiders.  Sclerotherapy works the best for leg spider veins.  The chance of recurrence following laser treatment of varicose veins is about 2%.  No treatment is 100%.

John Landi, MD
Naples General Surgeon

Laser Treatment for Vericose (Varicose) Spider Veins

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Yes, it really works.  Laser therapy has become the mainstay of treatment for varicose veins, almost completely replacing traditional vein stripping.  The varicose vein laser treatment is known as EVLT, which stands for EndoVenous Laser Treatment.  It has 98% effectiveness in curing patients of venous reflux, the cause of varicose veins.  It leads to a dramatic response for the vast majority of patients.  For spider veins, surface laser treatment is also very effective.  Sclerotherapy is a more common method of treating spider veins for several reasons, but laser therapy is also extremely effective.  I utilize surface laser for particular spider veins that would not respond well to sclerotherapy, including spider veins of the nose or face, spider veins of the ankle or feet, or very small spider veins that would be difficult to treat with sclerotherapy.

Endovenous therapy for venous reflux is highly successful - EVLT, EVLA, VNUS and ClariVein - Buffalo Niagara, NY

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Endovenous ablation using laser (EVLT or EVLA), radiofrequency (VNUS Closure or Venefit Procedure), mechanochemical technique (ClariVein) is highly successful in treating symptoms related to venous insufficiency.

The new FDA approved procedure (Varithena) uses Polidochanol foam and has not been around long enough to determine its long term efficacy.

These are not 'varicose vein or spider vein' procedures, but rather, procedures to stop venous blood pooling in order to improve symptoms - aching and pain in the legs, heaviness or tired feeling in the legs, cramping and throbbing, and also leg swelling. 

Does Laser Treatments to Vericose/spider Veins to Legs Really Work?

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Thank you for your question. Yes, laser leg vein therapy works, but it does not address the underlying problem of likely deep vein issues.  An appointment with a vascular surgeon is good to have the vascular network evaluated. I hope this helps.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

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