Does Laser Vein Removal Really Work?

Does laser vein removal really work?
Laser vein removal, also known as laser therapy, is a non-invasive spider vein treatment. During laser therapy, the physician channels laser energy into the unhealthy spider veins on your skin’s surface. The pigment in the vein walls absorbs the laser energy, making the vein shrink and get absorbed by the body. Over time, the unhealthy spider veins fade away from the skin’s surface. Laser therapy is a non-invasive and safe procedure, but it takes several sessions to see mild results from the treatment.
Laser therapy is a popular procedure because it’s often promoted by medical spas and cosmetic doctors. This procedure can be performed by cosmetic technicians, and it doesn’t necessitate the supervision of skilled vein doctors, so it’s an attractive option for medical spas. However, laser therapy is one of the least invasive treatments for spider veins and varicose veins, so it’s not offered (or rarely offered) by actual vein doctors. Sclerotherapy is a superior alternative to laser therapy for spider veins.
Situations when laser therapy might work
Laser therapy is the preferred spider vein treatment in only a few scenarios. Laser therapy may work on extremely thin and small spider veins on the face and feet. The face and feet are regions with dense artery-vein connections, so sclerotherapy in these areas can be dangerous. Vein doctors are generally hesitant about injecting a sclerosant medicine into the spider veins on the face and feet, so they might rely on laser therapy instead. If you have spider veins on the face or feet, you can opt for laser therapy.
Situations when laser therapy isn’t suitable
Laser therapy isn’t suitable for spider veins on any part of the body other than the face and feet. Sclerotherapy is a far more effective treatment for spider veins in general. Furthermore, laser therapy can’t diagnose or treat chronic venous insufficiency, the root cause of most vein problems, and it’s not suitable for the treatment of varicose veins. Since laser therapy is performed by cosmetic technicians, they don’t have the skills necessary to diagnose underlying vein disease, leading to a high rate of recurrence.

What is the best treatment for spider veins?
Sclerotherapy is widely considered the best treatment for spider veins. Sclerotherapy is a minimally invasive procedure wherein a sclerosant medicine is carefully injected into unhealthy spider veins. The sclerosant medicine irritates the spider veins, turning them into hardened scar tissues eventually absorbed by the body. Over time, the spider veins are metabolized by the body, and they fade away from the skin’s surface. Sclerotherapy concludes within 30 minutes, following which you can resume your normal activities and work without downtime.
Sclerotherapy should only be performed by highly-skilled, talented, and board-certified vein doctors. This procedure can be performed using numerous sclerosant medicines. In the past, sclerotherapy was performed using hypertonic saline, which caused significant pain and discomfort. But over the past couple of years, new companies have come up with safer and more painless sclerosant solutions that offer better results. You must find the best board-certified vein doctors because they’re likely to use the safest and most comfortable sclerosant medicines.
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Benefits of sclerotherapy spider vein treatment:
- Minimally Invasive Procedure: Sclerotherapy is a minimally invasive treatment that involves a few simple injections — no incisions or invasive surgeries.
- Painless/ Comfortable Procedure: Sclerotherapy is a painless and comfortable procedure. You might experience a mild discomfort and cramping sensation when the sclerosant medicine enters your spider veins, but it’s not extremely painful or uncomfortable.
- No Harsh Side Effects: Sclerotherapy doesn’t involve harsh side effects and major complications. You might experience a little discomfort and pain, but the side effects gradually dissipate after a few days. The risk of complications is negligible.
- No Downtime: Sclerotherapy concludes within 30 minutes, following which you can resume your daily activities and work. There is no professional or social downtime. At most, you’ll have to wear compression stockings for a few days.
- Performed by Vein Doctors: Sclerotherapy must be performed by licensed vein doctors. And vein doctors can generally identify and diagnose underlying vein disease, so they’re more likely to treat the root cause of spider veins — not just the symptoms.
- Minimal Risk of Recurrence: Each sclerosant injection seals and removes one spider vein. Once the spider vein is closed, it can’t come back. You can still get new spider veins, especially if you still have underlying vein disease, but the best vein doctors also address the root cause of your vein problems, so spider veins can’t return. As such, sclerotherapy has a negligible risk of recurrence.
Limitations of sclerotherapy spider vein treatment:
- Not for Vein Disease: Sclerotherapy can only treat spider veins on the skin’s surface. It can’t treat chronic venous insufficiency, the root cause of vein disease. If you’re diagnosed with vein disease, the vein doctor will have to perform another procedure before sclerotherapy to remove the diseased vein.
- Not for Varicose Veins: Sclerotherapy can only treat small spider veins on the skin’s surface — not larger varicose veins that bulge out of the skin’s surface. If you have varicose veins, you may need other treatments, such as ambulatory phlebectomy or foam sclerotherapy.
- Not for Face/ Feet: Sclerotherapy can treat spider veins on the legs and most other parts of the body, but it shouldn’t be used for the face and feet. The face and feet contain dense vein-artery connections, and injecting sclerosant into the arteries (accidentally) can be dangerous. If you have spider veins on the face or feet, your vein doctor may recommend laser therapy.
Our centers for spider vein and varicose vein treatment in California specialize in the latest, safest, minimally invasive procedures. We examine your leg veins, discuss your symptoms, review your health history, and curate personalized vein treatment plans that address your unique problems. We provide sclerotherapy for spider veins, and we only offer laser therapy in rare cases when spider veins affect the face or feet. Please schedule an appointment to explore your spider vein treatment options in California.
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