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To get rid of vein issues, invasive treatments were the only option before, which gives a significant level of discomfort. Today, various treatments are available for anyone wanting to have their legs or any other treated area look and feel better. The treatments include sclerotherapy, endovenous ablation therapy, endoscopic vein surgery, laser therapy, and more.

Moreover, many patients wonder if their spider veins can be permanently removed. While they worry that removal won’t be permanent and that the spider veins will just come back later, once they have been removed, they don’t come back. They could appear in other places as other veins struggle with sufficient elasticity and blood flow, but the veins removed through spider vein treatment won’t reform or regrow in any way.

What Causes Spider Veins?

Spider veins are more likely to appear based on these factors:

  • Gender. Women develop spider veins more often than men. Pregnant women are also at higher risk of developing varicose veins since more blood must flow through the body while carrying a baby, putting extra stress on the veins.
  • Family history. Up to 90% of people with spider veins also have family members with the condition, suggesting that it runs in families.
  • Age. With age comes the likelihood of developing spider veins increases with age, occurring in over 41% of women over age 50.
  • Activity level. Jobs that require being on the feet for long periods, like waiting tables or nursing, or those sitting for a long time, can increase the likelihood of developing spider veins. Having to only stay in one position for a long time can tighten the veins in the legs, causing them to weaken over time.
  • Obesity. Spider veins and other vein issues are more common in people who are obese. 
  • Sunlight. Sunlight may damage certain tissues in the body that support and keep veins in place.

What Are The Treatments For Spider Vein Removal?

Below are various treatments for spider vein removal:


Sclerotherapy is probably the most popular treatment for spider veins and varicose veins. This treatment injects irritants into the veins that will cause them to collapse. The irritants cause the insides of the veins to scar the inside of the vein.

The blood will then go through another route and flow through healthier veins. When the scarred veins collapse, they will just die out. The body will slowly absorb the defunct tissue of the collapsed veins.  

Slowly, the veins will not be visible on the skin anymore. However, several treatments might be needed for sclerotherapy to work. Each treatment session is spaced four to six weeks apart.

The treatment does not need anesthesia as the only discomfort associated is the sensation of needle pricks from each injection. The patient must wear compression stockings for a few weeks after each session. Sclerotherapy is a permanent solution vein removal treatment.

Endovenous Ablation Therapy

Endovenous ablation therapy uses laser or radio waves to create heat and scar the inside of offending spider veins. The doctor will inject a numbing agent into the treatment site before making a small incision for a catheter. The catheter is a slim tube that emits laser or radio waves to create heat. 

Simultaneously, the heat causes scar tissue to form in the vein, ultimately closing it. This treatment causes no pain but only feels the needle’s sting for the numbing agent injection. After the treatment, a compression bandage must be worn around the treatment site for some time. 

Since endovenous ablation therapy causes the same effect on the veins, it is also a permanent solution. The scarring on the veins will close them and get them absorbed by the surrounding tissues.

Endoscopic Vein Surgery

Endoscopic vein surgery looks like endovenous ablation therapy, but it works differently. Both surgeries use a catheter to get to the insides of the veins. However, their catheters function differently.

In endovenous ablation therapy, a catheter heats the insides of the veins. With endoscopic vein surgery, the catheter only uses a camera and a surgical device. The doctor uses the catheter to move through the vein and close it surgically.

Just like with endovenous ablation therapy, a numbing agent and a small incision on the skin for endoscopic vein surgery will also be needed. Unlike the previous two treatments, the patient will need to take a break from the daily routines for about two weeks after having an endoscopic vein surgery.

In addition, endoscopic vein surgery is another permanent solution. Once this treatment closes a vein, that vein will eventually die, and the surrounding tissues will absorb it.

Laser Therapy

Laser therapy is the ideal option for treating spider veins. Spider veins are smaller versions of varicose veins. The previous vein removal treatments discussed are actually more suited for more prominent veins like varicose veins.

Laser therapy does not need to make incisions to work or use needles. Of all the vein removal treatments, laser therapy is the least invasive. In fact, it is entirely non-invasive, and the doctor will use bursts of high-intensity lights to close the veins. 

The principle is the same with endovenous ablation therapy. The high-intensity lights will heat the veins and cause them to scar. The scarring, in turn, starves the blood flow veins and eventually kills them. 

Laser treatment can make spider veins disappear immediately or just a few hours after the treatment, but it also works on more prominent varicose veins, except for the therapy taking more time to take effect. For varicose veins, laser therapy can take one to three months to take effect. Three or more sessions must be needed to clear the veins away completely. 

Patients can return to their daily routine as soon as the session is over, but they must wear compression stockings for a short while after each session. Also, protecting the skin from the sun for three or four weeks after each session is best to prevent dark spots from forming. Laser therapy is another permanent vein removal solution.

Is There Any Aftercare?

Preventive measures all include encouraging better blood circulation. The best practices include:

  • Regular exercise
  • Elevating the legs – the most common site for spider veins
  • Avoiding being in hot baths for extended periods
  • Don’t sit for 30 minutes straight
  • Not standing for more than 30 minutes at a time

The Bottom Line

A spider vein is a common condition where blood vessels under the skin appear as red, blue, or purple webs or clusters of thin, squiggly lines. CaTara Medical Spa offers Spider Vein treatments, which are very efficient against spider or varicose veins. Ultimately, the treatment is a great way to improve self-esteem and the look and feel of the area where there were previously spider veins.

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