A member asked:

Spider veins how to eliminate or reduce?

24 doctors weighed in across 10 answers
Dr. Francisco Agullo answered

Specializes in Plastic Surgery

NdYag laser: Ndyag laser is very effective in removal of spider veins. Will typically need 4-6 treatments.

Answered 9/28/2016

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Dr. Todd Sisto answered

Specializes in Plastic Surgery

Must treat large...: ...Valve problems if present first or spider veins will quickly recur. Sclerotherapy is injection of chemicals thru a tiny needle then add laser for vessels too small or squiggly to get a needle in.

Answered 7/25/2015

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Dr. Steven Zimmet answered

Specializes in Aesthetic Medicine

Can be treated: I disagree that a total vascular examination must be performed. In selected cases where there is suspicion of underying veins (significant symptoms, presence varicose veins or swelling, certain patterns of spider veins), then an ultrasound should be done. Otherwise, many patients with spider veins can simply be treated, generally with sclerotherapy. See a vein specialist/phlebologist.

Answered 12/31/2014

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Laser or sclera: These are usually treated with either sclerotherapy or laser or both. Larger veins may also need to be treated.

Answered 8/25/2013

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2 options: Either laser or sclerotherapy( injections), both will require multiple treatments.

Answered 10/16/2015

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Sclero or laser: Scleeotherapy or laser ablation are reasonable and acceptable treatment options.

Answered 3/26/2013

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Sclerotherapy: Sclerotherapy or laser are easy solutions for treating spider veins.

Answered 6/12/2013

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Dr. Ted King answered

Spider vein tx: Spider veins on the legs are probably best treated with sclerotherapy. Sometimes a combination of both laser and sclerotherapy is used on the legs, but sclerotherapy can treat veins of any size in the legs and laser is often not needed.

Answered 5/30/2015

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Dr. John Landi answered

Specializes in Phlebology

Sclero or laser.: Spider veins get their name because they look like spider legs. The short answer is that topical laser or sclerotherapy usually works well. The longer answer is that if you have many spider veins and/or combinations of spiders, reticulars and varicose veins then you should first have a venous reflux exam. You should see a vein specialist.

Answered 11/13/2017

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Indeed,: If one has spider veins, and there is no history of a deep vein clot, no visible varicose veins one does not need ultrasound examination. Even if they would com up with some minimal degree of reversed flow it would be insignificant. Many heart murmurs are insignificant. All it is done do get more money and to suggest ablative not needed treatments also for financial gains only. Caveat emptor!

Answered 11/13/2017

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