7 doctors weighed in:
What is best treatment for spider veins? Isit permanent?]
7 doctors weighed in

Dr. Ted King
Phlebology
4 doctors agree
In brief: There is no cure
I completely agree with dr. Rosen.
It is important to remember, though, treatment makes veins go away. However, there is no guarantee that you won't get more veins in the future. Varicose veins and spider veins occur primarily because of genetics and no one can change that. That means that you have a tendency toward developing bad veins and you will always have that tendency.

In brief: There is no cure
I completely agree with dr. Rosen.
It is important to remember, though, treatment makes veins go away. However, there is no guarantee that you won't get more veins in the future. Varicose veins and spider veins occur primarily because of genetics and no one can change that. That means that you have a tendency toward developing bad veins and you will always have that tendency.
Dr. Ted King
Dr. Ted King
Thank
Dr. James Isobe
Phlebology
2 doctors agree
In brief: Sclerotherapy
Sclerotherapy using detergents such as polidocanol, sotradecol, morrhuate; glycerine with xylocaine, (lidocaine) and injected using a small bore needle is best treatment method.
This will eliminate sv, but is a process requiring several treatments, depending upon severity. Sv can come back in other sites, and generally touching up every year or two may be necessary.

In brief: Sclerotherapy
Sclerotherapy using detergents such as polidocanol, sotradecol, morrhuate; glycerine with xylocaine, (lidocaine) and injected using a small bore needle is best treatment method.
This will eliminate sv, but is a process requiring several treatments, depending upon severity. Sv can come back in other sites, and generally touching up every year or two may be necessary.
Dr. James Isobe
Dr. James Isobe
Thank
Dr. David Rosen
Phlebology
2 doctors agree
In brief: It depends...
Treatment choice depends on size and location of spider veins.
Sclerotherapy is generally advised for veins big enough to enter with a needle. Surface laser for those too small to inject. Usually results are permanent. Recalcitrance may suggest a deeper source of reflux nearby that needs to be dealt with. See a board-certified phlebologist to assess your needs and tailor your care accordingly.

In brief: It depends...
Treatment choice depends on size and location of spider veins.
Sclerotherapy is generally advised for veins big enough to enter with a needle. Surface laser for those too small to inject. Usually results are permanent. Recalcitrance may suggest a deeper source of reflux nearby that needs to be dealt with. See a board-certified phlebologist to assess your needs and tailor your care accordingly.
Dr. David Rosen
Dr. David Rosen
Thank
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