IPL : Ipl is partially effective in that it will cause coagulation of the small telangiectasias in the most superficial layers of the dermis. The problem arises in that the recticuar feeding veins in the dermal and subdermal subcutaneous fat are generally too deep to be effected without running the risk of significant thermal damage. Secondly, a full venous duplex ultrasound exam, done in the standing position, is really needed to uncover if there is underlying venous insufficiency from an incompetent varicose vein (usually great saphenous, small saphenous, anterior or posterior accessory saphenous or a thigh or calf muscle perforator vein) which is really the root of the problem because the spider complex will reform with in the next 2 or 3 months unless the more proximal cause of the venous insufficiency is correctly addressed.
Answered 10/3/2016
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Maybe: Ipl might not be your best choice. If you have larger varicose veins in your legs, in addition to the spider veins, then ipl probably won't be helpful until after the larger veins are treated. For the larger veins, ipl isn't likely to be effective. See a phlebologist (vein specialist) for an evaluation and treatment recommendation.
Answered 3/31/2013
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