New
technology in laser treatments can effectively treat spider veins in
the legs. Laser surgery sends very strong bursts of light onto the spider
vein. This can make the spider vein slowly fade and disappear. Lasers
are very direct and accurate. So the proper laser controlled by a skilled
doctor will usually only damage the area being treated. Most skin types
and colors can be safely treated with lasers.
Laser
surgery is more appealing to some patients because it does not use needles
or incisions. Still, when the laser hits the skin, the patient feels
a heat sensation that can be quite painful. Cooling helps reduce the
pain. Laser treatments last for 15 to 20 minutes. Depending on the severity
of the veins, two to five treatments are generally needed to remove
spider veins in the legs. Patients can return to normal activity right
after treatment, just as with sclerotherapy. For spider veins larger
than 3 mm, laser therapy is not very practical.
Possible
side effects of laser surgery include:
- Spider
vein laser treatment causes redness or swelling of the skin right
after the treatment that disappears within a few days.
- Spider
vein laser treatment causes discolored skin that will disappear within
one to two months.
- Spider vein laser treatment rarely
burns and scars result from poorly performed laser surgery. Endovenous
Techniques (radiofrequency and laser) – These methods for treating
the deeper varicose veins of the legs (the saphenous veins) have been
a huge breakthrough. They have replaced surgery for the vast majority
of patients with severe varicose veins. This technique is not very
invasive and can be done in a doctor’s office.
The doctor
puts a very small tube called a catheter into the vein. Once inside,
the catheter sends out radiofrequency or laser energy that shrinks and
seals the vein wall. Healthy veins around the closed vein restore the
normal flow of blood. As this happens, symptoms from the varicose vein
improve. Veins on the surface of the skin that are connected to the
treated varicose vein will also usually shrink after treatment. When
needed, these connected varicose veins can be treated with sclerotherapy
or other techniques.
Possible
side effect is slight bruising.