Spider Vein Treatments
At Schulman Vein and Laser Center, we specialize in spider vein treatments that deliver lasting results. Our TOP vein specialists use state-of-the-art techniques and personalized care to help you achieve smooth, radiant skin. Whether for cosmetic enhancement or relief from discomfort, we are here to guide you every step of the way.
Spider Vein Treatment and Removal
Schulman Vein and Laser Center specializes in spider vein treatment, offering the best expert care to restore your skin’s natural beauty. Often referred to as broken blood vessels, spider veins can be more than just a cosmetic concern—they sometimes stem from underlying issues like “feeder veins” or varicose veins. Using advanced diagnostic tools, including physical exams and Doppler ultrasound, we aim to uncover and address these root causes whenever possible.
Think of spider veins like gray hairs—they’re often a natural part of aging, not a reflection of anything you’ve done. Our dedicated team is here to provide personalized solutions, ensuring you feel confident and cared for every step of the way. Let us help you achieve smooth, flawless skin—schedule your consultation and appointment today!
Our Spider Vein Treatments
Spider Vein Injection Treatment – Sclerotherapy and Foam Sclerotherapy
As the Gold Standard for Spider Vein Care, injection compression sclerotherapy is the globally recognized gold standard for treating spider veins. This minimally invasive procedure involves injecting a mild, FDA-approved solution into the affected veins, causing them to seal and gradually fade. Using the smallest needles available, this treatment is virtually painless and requires no anesthesia.
We customize every treatment by adjusting the solution’s strength based on the location, size, and appearance of the veins, as well as factors like surrounding spider veins, feeder veins, and skin tone. Most patients find the injections entirely pain-free during and after the procedure.
For certain cases, we use foam sclerotherapy—a specialized method where a microfoam solution is prepared just before injection to target stubborn veins more effectively.
All treatments are performed personally by Drs. Schulman in our office, with no downtime required. Patients can drive themselves home immediately after treatment.
Laser Treatment for Spider Vein Removal
While lasers deliver excellent results for treating enlarged varicose veins, they have not proven effective for small spider veins. At Schulman Vein and Laser Center, we prioritize treatments that work. Unfortunately, ‘spider vein lasers’ (such as IPL) often cause significant discomfort, require multiple sessions, and produce inconsistent results with these procedures.
Many patients visit us after disappointing experiences with laser treatments elsewhere. As we often say, “If there were a magic wand for spider vein removal, we’d have it—and we’d be using it!”. Instead, we focus on proven methods like sclerotherapy to ensure reliable, effective results for our patients.
Spider Veins and Electrocautery in the Nose and Face
Spider veins around the nose are often treated with electrocautery, a technique that uses heat (sometimes called VeinGogh). While the procedure may cause temporary discomfort, it delivers excellent results for small facial veins. Mild redness may occur in the treated areas but typically resolves within a few hours, and bruising is rare. In some cases, injection sclerotherapy is also used for facial veins, offering similarly effective results with minimal bruising.
After treatment, we recommend washing your face and surrounding area gently the same evening. By the next day, you can resume your usual skincare routine and apply makeup as needed.
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Frequently Asked Questions about Spider Veins & Treatment
What Are Spider Veins?
Spider veins are small, thin blood vessels visible beneath the skin, often appearing as red, blue, or purple web-like lines, commonly on the legs or face. They occur when weakened vein valves cause blood to pool, making the veins more prominent. While usually harmless, they can sometimes cause mild discomfort, such as itching or burning, and are often treated for cosmetic reasons. Unlike varicose veins, spider veins are smaller, flatter, and less likely to cause significant symptoms.
What Causes Spider Veins?
Spider veins are caused by increased pressure in the blood vessels just beneath the skin, often due to weakened or damaged vein valves. Factors that contribute to their development include genetics, aging, hormonal changes (from pregnancy, menopause, or birth control), prolonged sitting or standing, sun damage, obesity, and previous vein injuries. These factors can disrupt normal blood flow and blood circulation, causing blood to pool and the veins to become visible. While common on the legs and face, spider veins are largely influenced by individual risk factors and lifestyle. Preventing spider veins from occurring does not seem possible. Support stockings may provide some relief, but they will not prevent spider or varicose veins from forming.
What are the Symptoms of Varicose and/or Spider Veins?
Varicose veins are identified by their large, bulging, twisted veins, usually on the legs, that may appear as tortuous or have darkened colors such as blue or purple. They can also be accompanied by symptoms like swelling, aching, burning, itching, cramping, leg heaviness, and skin changes. However, spider veins are smaller, web-like veins closer to the skin’s surface. They are often red or blue and typically appear on the legs or face. While spider veins are usually more of a cosmetic concern, they can occasionally cause discomfort such as aching or burning. Both conditions may cause discomfort and aesthetic issues, but varicose veins are more likely to lead to physical symptoms.
How Can I Prevent Spider Veins?
Preventing spider veins from forming is only minimally within your control. Many factors are uncontrollable facts of life, such as genetics, aging, a history of blood clots, and our standing upright (bipedal) lifestyle. The few possibly controllable factors are pregnancy and obesity. Certain lifestyle changes, such as staying active, can help minimize the likelihood of developing spider veins. No medical study has ever shown that wearing compression stockings or support stockings prevents varicose veins from forming or even slows their formation.
What is the Difference between Spider Veins and Varicose Veins?
Varicose veins are enlarged blood vessels where the vein’s walls are weakened. These can typically appear swollen and above the level of the skin. Spider veins are capillaries that surround the varicose veins and may indicate inflammation at times. These are smaller than varicose veins and appear closer to the surface of the skin.
Learn more about varicose vein treatment & removal here.
What Will Happen On My First Visit To Schulman Vein And Laser Center?
After filling out the preliminary paperwork, you will meet with one of the two doctors. A medical history and examination of the veins to be treated will be performed. In some cases, a Doppler ultrasound of the veins may be done to see which treatment might be most effective for you. A detailed review of vein treatment options or a treatment plan will be discussed, and we encourage you to ask any questions you may still have.
For patients without insurance or who are paying out of pocket, treatment can be started and possibly even completed that first day. If there is a chance a patient’s insurance may cover or partially cover their vein therapy, we would reach out with letters, photos, etc., to the insurance company to verify ways they can process.
All treatment is done in one of our three offices in Manhattan (Park Avenue), Long Island – Manhasset, or Long Island – Commack.
Will I Be Seen Personally by One Of The Vein Doctors?
Absolutely! At our clinic, a history and physical examination and consultation (with a focus on the leg veins) will be initially done by either of the Schulman doctors – who are a father and son medical practice. A detailed explanation of all treatment options will be presented to you, and we encourage you to ask any questions you might have to Dr. Schulman. Experience the difference in our quality care – contact us today or visit one of our locations!
Will I Be Able To Resume Normal Activity After Treatment?
After spider veins or varicose vein injection treatments, you are only asked not to get the legs wet while the cotton bandages we put on the legs are in place. This is for just a few hours. After varicose vein laser treatments or micro-surgery (ambulatory phlebectomy – which is rarely done these days), you will have ace bandage-like wraps on the legs for a few days and are asked not to get them wet.
Since treatments are minimally/noninvasive, recovery time is very quick with side effects or complications rarely happening. All patients are able to drive themselves home right after all the treatments, even if we have treated your right leg or your hands.