Spider veins are small blue or red veins that can be seen on the surface of the skin. They may look like trees or spider webs (thus the name) and can appear in only a small area or may span your entire leg.
They are most often found on the legs and in the face. They may occur due to venous insufficiency which means their valves become weak and begin to leak. This allows the blood to flow in the reverse direction and begin to pool inside the veins of the legs.
The spider type may also be a result of hormone changes that accompany puberty, pregnancy, menopause, or the taking of medications such as birth control. Sun exposure to fair skinned people may be the reason for appearance and in others it is simply genetic. Whatever the cause, this is a problem that about half of all men and women experience and unfortunately, it doesn't subside.
These blood vessels generally do not cause pain or discomfort and rarely is it medically necessary to treat them. But if a patient greatly desires to improve the appearance of their legs or other body parts which have been affected, fortunately, there are options available.
Sclerotherapy is the most common option. It is usually performed at the plastic surgeon's office and no anesthesia is needed. A solution is injected into the veins causing them to swell, stick together, and close for good. The patient will be given approximately one injection per inch of spider vein. They will fade and disappear in just a few weeks.
This does not adversely affect blood flow because their deeper larger counterparts will take over the blood flow back to the heart. This kind of surgery is very effective but may be required multiple times.
Laser therapy is also becoming more popular. During this procedure a laser is used to shoot bright and intense light directly at the vein, reducing the vein to nothing. Over time, the spider veins will fade and cease to be. Lasers are very accurate, quick, and effective; however the treatment may be painful. A couple of laser therapy sessions may be needed for treatment.
Sclerotherapy or laser surgeries may be used exclusively or in combination with each other and other treatment options. It is important that each patient consult with their board certified plastic surgeon to determine the best treatment plan for them.
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