Spider veins are a common cosmetic concern for both women and men and are characterized by the appearance of small red, blue, or purple veins that twist and turn. Although they most commonly occur on the face and legs, spider veins can appear nearly anywhere on your body. In some cases, spider veins are heredity, and in others, they can be caused by external factors such as obesity, hormonal fluctuations, trauma to the skin or other injuries, and standing for long periods of time.

If you’re bothered by the appearance of spider veins anywhere on your body, know that there are a number of cosmetic treatment options that can help to minimize or even eliminate them, thus restoring a smoother and more even skin tone and texture. Dr. Jessica Krant of Art of Dermatology in New York City would be happy to provide an individualized assessment of your needs and offer her professional advice regarding the most appropriate vein treatment options for you.

Spider Vein Treatment Options


Sclerotherapy is a popular treatment option for unsightly spider veins. This procedure involves the use of a safe and effective saline solution that is injected into the affected veins. This causes the vein to gradually diminish, revealing a smoother look and feel.

For men and women with larger or painful varicose veins are typically referred to a vascular surgeon for an in-depth evaluation.

Who Is a Candidate for Sclerotherapy?

Sclerotherapy can offer excellent results for many women and men who do not have a medical or family history of blood clotting disorders or some other conditions. Prior to treatment, Dr. Krant will provide a thorough physical examination, as well as discuss your medical history with you, to determine if you are a good candidate for this procedure. For pregnant women, Dr. Krant may suggest an alternative spider vein treatment option such as laser treatment.

The Sclerotherapy Procedure

Sclerotherapy is performed by Dr. Krant at her NYC office without anesthesia and is separated into multiple 20-minute sessions for optimal results.

First, the area is thoroughly cleansed and a fine needle containing a special  solution is injected into the vein. Most women and men report feeling a mild stinging sensation during the injection process.

After injection, you can expect to return to your normal daily activities, although you will be asked to wear compression stockings for the first few weeks after your procedure. This helps to support the treated blood vessels.

Sclerotherapy Results

Over the next several weeks, you will notice the appearance of your spider veins gradually fading away. Most people see very noticeable results within three to six weeks after sclerotherapy, although more severely affected areas may require additional treatment sessions to maximize your smooth, even results.

Vascular Laser

Irregular blood vessel formations or angiomas are common vascular abnormalities that can be addressed with specialized laser treatment. The most commonly affected areas are the neck, face, chest and lower extremities including the feet, ankles or legs.

The Cutera excel Laser effectively and safely treats small to medium unsightly veins and blood vessels. The device’s advanced technology allows for independent control of fluency, pulse duration, and repetition rates, enabling Dr. Krant to custom-tailor each treatment session to meet your unique needs and goals for maximum safety and effectiveness.

The Vascular Laser Procedure

During your vascular laser procedure, laser light penetrates the outer layers of skin, reaching the blood vessels below. Targeted blood vessels absorb this  light and are effectively destroyed by brief bursts of laser energy. Your body will then remove the damaged tissue through its natural healing process, resulting in a dramatic improvement in the appearance of unsightly spider veins.

Most women and men report that the vascular laser produces two sensations at the same time: the feeling of a snapping rubber band, combined with a cool, wet spray sensation. No anesthesia is required, and the procedure only takes about 15 minutes. Some patients, especially those with rosacea, may experience a mild sunburn sensation, but this is temporary.

While most people require one to three treatment sessions for full results, this can depend on your unique needs. Following your initial consultation with Dr. Krant, you should have an accurate idea of how many sessions may be necessary to meet your goals.

Vascular Laser Recovery

While no anesthesia is generally required, you may experience some swelling, bruising or mild discomfort following your procedure. The size of the area treated will influence the rate at while your body recovers, but in most cases, you can expect to return to your normal daily activities within the next few days, provided you avoid sun exposure until you’ve fully recovered.

During your consultation, Dr. Krant will go over the timeline of recovery that you can expect following your vascular laser procedure.

Vascular Laser Results

Most women and men enjoy long-lasting results that appear virtually immediately following vascular laser treatment, although some swelling, bruising, or redness may still be present for several days. These symptoms, however, should diminish on their own, revealing your even, beautiful skin tone and texture. For maximum results, Dr. Krant may suggest additional laser treatment sessions, depending on the severity of your condition.