Spider veins, telangiectasias


Many women with this condition are uncomfortable wearing dresses as they are embarrassed by their legs. Yet it is possible to completely and permanently eliminate varicose veins, even on affected area with high concentration of veins.

While generally only a cosmetic problem, spider veins can be a sign of a patients predisposition to vein disease. So patients should consult their doctors about life style choices to prevent progression of disease. In the era of modern aesthetic phlebology, an individual approach can be tailored for each patient, which incorporates the patients’ wishes and lifestyle. Doctors are able to identify the root cause of the disease through the use of an ultrasound scan or vein illuminator. Various types therapies can be employed including: sclerotherapy (microsclerotherapy, foam sclerotherapy, sclerotherapy controlled by duplex ultrasound), miniflebectomy or laser procedures all of which are performed without pain, hospitalization and are surgical techniques which are minimally invasive.

The most satisfying aspect of my job is receiving messages from former patients with pictures of them in dresses and swimming suits informing me “after many years I can wear my dress or swimsuit without being ashamed of my legs. ” or simply stating “I feel beautiful again”.

Additional information for patients
What are the causes of spider veins (telangiectasia)?

Spider veins occur due to the malfunctioning of dilated venous vessels — called the reticular vein that feeds blood to visible varicose veins. “Spiders” are similar to branches of a tree, growing from a trunk. It is not always possible to see these feeder veins with the naked eye. When the reticular vein dilates, blood is retained in it and an edema occurs. This will cause veins in the skin to expand from being overloaded and they subsequently become visible.

The reticular vein can be detected with an ultrasound scan or a vein illuminator. Once found, treatment can be undertaken to eliminate the reticular vein which starves the spider veins of blood thereby simultaneously ridding the patient of both of them.

Are spider veins bad for your health?

The short answer is no. Spider veins are akin to wrinkles on your face: you can live with them if they do not irritate you. As modern aesthetic phlebology makes it easy to remove spider veins, successful treatment can improve a patients self confidence and esteem, reduce psychological pressure associated with the embarrassment of the condition, subsequently improving ones’ quality of life.

While Varix is the cause of the spiders veins, they can also be a harbinger of more serious conditions, and possible complications. Select studies have shown that in 26% of all patients, spider veins were a precursor of more dangerous varicose veins.

Do we need these veins?

Despite the fact that dilated veins carry blood, they are not critical for the circulatory system’s proper functioning. The body has alternate circulatory pathways to return blood to the heart via more efficient blood vessels. Therefore, treatment in addition to eliminating unsightly veins also improves blood circulation.

Additionally it is worth remembering that spider veins generally are fed by larger and deeper reticular veins, which if left untreated can lead to future complications.

Methods of treatment of a spider veins

In order to treat reticular veins on the lower limbs (which are also called varicose spider veins, thread veins or telangiectasias) and varicose veins (varices), the best phlebologists of the world use microsclerotherapy method. It is suitable for the most demanding patients seeking to have perfect legs.

Ultrasound guided Sclerotherapy

Despite the fact that a lot of people still hope for the successful treatment of varicose veins at home with folk remedies, evidence-based medicine (in particular phlebology) is rapidly developing and uses an effective sclerotherapy method controlled by duplex ultrasound. It allows permanently to get rid of varicose veins on the legs.

Foam sclerotherapy

Foam sclerotherapy is the most popular treatment for varicose veins. It allows effectively get rid of both small spider veins, and large varicosities. It is used as an independent method of treatment, and in combination with other methods of treatment — microsclerotherapy, sclerotherapy controlled by duplex ultrasound, EVLA or treatment with bioglue.


Sclerotherapy is considered to be the gold standard to eliminate varicose veins (also referred to as spider veins, thread veins, telangiectasis and varices) located on the lower limbs. Leading phlebologists use this method, as the least invasive and most effective treatment to eliminate vascular spiders on a patients legs once and for all.