SPIDER VEINS on LEGS

Visible spider veins on your legs are not necessary only a cosmetic issue. Depending on location, color diameter and shape they can be a result of venous insufficiency.

Bluish or reddish telangiectasias in a fan-shape pattern, blanching under pressure, are sign of troubled vein below the skin
Spider veins in inner ankle areas are called Corona Phlebectatica and represent Stage 4 of venous insufficiency disease ( see CEAP ladder)

Clusters of reddish spider vein above knee, inner thigh areas are most likely related to refluxing axial veins like GSV or AAGSV

When it comes to treatment of cosmetic spider veins, there are two options to choose from:

Each method has its own advantages and disadvantages.

BEFORE TREATMENT of SPIDER VEINS

If you have throbbing pains, dull aches in your leg, swelling of ankles, family history of varicose veins, or spider veins on your inner ankle areas, your spider veins might be a result of venous insufficiency. Treatment of spider veins in presence of refluxing veins might result in short term results ( 3-6 months or less) and/or, appearance of new clusters of telangiectasis, telangiectatic matting requiring additional treatments, permanent hyperpigmentation, other complications. In order to avoid frustration and assure lasting results, possibility of underlying venous insufficiency should to be excluded.

PHOTO GALLERY: VARICOSE VEINS BEFORE AND AFTER

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Disclaimer: Every patient is a unique, and cosmetic results can vary between patients. No two sclerotherapy or laser treatments will get same results – even if performed by the same physician on patients with similar conditions