Laser Spider Vein Removal

Show of those great legs again and enjoy life without make-up with laser spider vein removal!

Before and after photos of laser spider vein removal patients

It’s simpler than you think to remove those unsightly spider veins and broken capillaries. Our advanced laser spider vein removal treatment can give you vein-free skin, quickly and comfortably!

Watch the video : What is laser spider vein removal?

Treating vascular skin lesions such as spider veins and broken capillaries with lasers is surprisingly quick, comfortable and effective.

The laser energy targets the hemoglobin in red blood cells, vaporizing the blood and instantly collapsing and destroying the unwanted vein. Over the course of a few weeks, your body simply dissolves any remaining fragments of the destroyed veins, resulting in beautiful, spider vein-free skin.

The laser treatments are remarkably comfortable.  For facial veins, patients report barely feeling anything at all to a prickly or slight stinging sensation.  For leg veins the sensation will vary from a slight tingling to a stinging sensation that lasts for a split second depending on how large and how deep the vein is. 

Laser Spider Vein Removal for Facial Veins

Lasers are very effective at removing spider veins on the face

Lasers are very effective at removing spider veins on the face

Easily targeted, visible spider veins and broken capillaries are usually completely eliminated with only 1-2 laser spider vein removal treatments, leaving your skin with no evidence that they were ever there.

After the Treatment

Occasionally, facial veins may turn slightly purple for a few days before completely disappearing.

In the case of larger, more prominent spider veins, a tiny indentation may appear where the vein collapsed, though this is rare. With time, skin usually fills in this indentation with beautiful new tissue.

Multiple Treatments May be Needed

Some more complex and multi-layered facial vascular conditions, (such as rosacea and matted broken capillaries), are also significantly improved with one spider vein removal treatment.

However, more complex broken capillaries and spider veins often require 2-4 follow-up treatments in order to dramatically reduce or completely eliminate them.

Laser Spider Vein Removal for Leg Veins

With laser treatment, spider veins on the legs often completely disappear after 2-4 sessions, but usually leave a residual “reddish shadow” that typically requires 8-12 weeks to completely resolve (disappear). 

Watch the video : An in-depth look at leg vein laser treatment

After the Treatment

Dr. Pien using a laser to remove spider veins from a patient's leg

Dr. Pien using a laser to remove spider veins from a patient’s leg

A temporary “cat scratch” swelling may appear and persist for 2-3 days. In some cases, this area may become crusted and flake off.

In the case of larger, blue leg veins, some bruising may occur and occasionally, after a few days, scabs may appear at the surface – much like the healing of any deeper scratch or cut. These scabs will simply crust off, revealing beautiful new vein-free skin underneath. In the case of smaller spider veins and broken capillaries, the healing is much less visible.

All these conditions are normal inflammatory responses necessary for dissolving vein fragments and healing tissue surrounding the unwanted vein. Depending on the size and depth of the treated vein, as well as the responsiveness of the patient’s skin, the degree that a patient experiences these conditions varies. In all cases, experiencing these conditions is an indication of a successful spider vein removal.

Laser Spider Vein Removal FAQs

A. Broken capillaries and spider veins that have surfaced in your skin are very easy to remove with lasers. If the blood vessels are not layered, 1-2 laser treatments are usually sufficient. If the blood vessels are layered, more treatments may be needed to completely remove the veins.

A. We want to ensure the the veins that were shut down, remain shut down. So it is best that you do NOT engage in any activities such as exercise, or sitting in a sauna or hot tub, for 3-4 days after treatment as these activities will encourage blood to flow to the skin.  Wearing an appropriate compression garment will also help those veins remain closed.

A. Spider veins and broken capillaries on the cheeks and nose are very common and are easily removed with laser treatments. Typically, one to two laser vein removal treatments are all that are needed to completely get rid of them.

The results are permanent, however, as we age, new spider veins and broken capillaries may appear. In regards to pain, a lidocaine cream will be applied to the area prior to treatment with the laser. This will numb the area and help to make the treatment very tolerable and comfortable for the patient.

A. Treatment from the outside with a laser will not work for a true varicose vein as the vein is too large. True varicose veins can be treated from the inside with a laser. There are many lasers that are inserted into the varicose vein to shut the vein down and remove it.

A. The KTP Laser (532 nano-meter wavelength) is far and away the best laser to use to remove common facial spiders veins and and broken capillaries. Other lasers may also be more well suited depending on the size and depth of the vein and whereabouts on the body it is located (if other than the face). However, the secret to broken capillary and spider vein removal is not in the technology, rather it is found in:

  • Which combinations of technologies are used
  • The customized protocol developed for that particular patient
  • The skill of the doctor that is performing the laser treatment

The interaction between the patient’s physiology and the physics of the laser is not a simple “paint by number” proposition. In addition to having a in-depth and thorough understanding of the science behind laser medicine, the art of customizing the perfect laser vein removal protocol for each individual patient takes years to master.

A. First and foremost, the make and model of the laser is not nearly as important as the experience and expertise of the doctor using it. Secondly, when you are looking for a clinic to perform laser spider vein removal find out how many different laser technologies they use for this type of treatment. The more experience and expertise the doctor has with multiple different laser technologies the better.

We do not promote a particular make or model of laser for these type of spider vein removal treatments like many other medical practices do. When it comes to human physiology, “a rose by any other name would smell as sweet”, is simply not the case. No two spider veins or broken capillaries are alike and they will also differ from patient to patient. Even on a single patient their spider veins or broken capillaries will be different depending where on the body they are. And… there is not one type of laser device that is best suited for all the different variations of spider veins and broken capillaries on all the different areas of the body. Depending on the location, shape, size and depth of the spider vein or broken capillary, plus the patients skin type, different lasers will produce different results in their ability to effectively treat the vein.

We have over 25 different laser devices to choose from in order to produce the appropriate frequency of energy needed to effectively treat all the different variations of veins that a patient may have. In order to achieve the best possible results, we will often use multiple different laser technologies during a single laser broken capillary and spider vein removal session.

A. The most effective lasers for removing spider veins emit the following frequencies (wave length) of energy: 532 nm, 585 nm, 1064 nm. Depending on the size and depth of the veins being removed, a skill doctor will choose the most appropriate laser therefore it is best if you find a doctor with all of these frequencies available to them.b

A. Sclerotherapy is an arduous procedure because every single vein has to be injected with exquisite accuracy. Mistakes are not uncommon, and can leave permanent unsightly lesions. On the other hand, laser treatments for spider veins provide fast and consistent results.

A. The gel is an ultrasound gel. For lasers that contact the skin directly, a gel is used so that the laser glides over the skin smoothly.

Authored by Dr. Asher Milgrom | Reviewed by Dr. Alice Pien | Last updated:  

Page originally published on October 27, 2014. Last reviewed on March 10, 2022 by Alice Pien, MD and Asher Milgrom, PhD.