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Are spider veins more difficult to treat in certain body areas?

This question was asked in Sacramento, California and has 10 answer(s) as of 06/12/2013.
I have spider veins beneath my eyes and on my forehead. Are these areas more difficult to treat than other places on the body? Is there any risk that treatment will do damage to my eyes/skin on my face?


Doctors Answers (10)

Yes, some body areas are more challenging to treat for spider veins. The eyes and face in general usually have very small spider veins compared to the legs. Basically, a vein can be injected as long as the vein is bigger that the tip of the needle. So, for really small veins, injections are not feasible and can result in skin damage from chemical leakage from the treated vein. Laser is a useful tool for small spider veins that are beyond the reach of injections. Yet, like all treatments, laser must be used in the hands of a well trained healthcare provider to limit complications.

Every case is different. Most spider veins of the forehead and the lower eyelids can be treated with sclerotherapy with a tiny needle. Other options include treatment with a single pole radiofrequency device such as the VeinWave or VeinGogh.

Spider veins located beneath the eyes and on the forehead can be treated with one of several different types of lasers and possibly by sclerotherapy for larger spider veins. The eyes should be shielded if using a laser and the risks to the skin can include bruising, pigment changes, irritation of the skin and other complications. Treatment on the face should be conservative as re-treatment is much preferred to the risk of overly aggressive treatment and complications.

Spider veins less than 0.3 mm in diameter are more challenging to treat because the smallest needle available for injection is a 33 Gauge, so trying to insert a needle into a vein of equal size carries the risk of extravasation into the surrounding tissue. Other treatment options are required; a combination of sclerotherapy and/or Laser and/or electrocautery using a needle the size of an eyelash.

Spider veins on the face or telangictasias are typically very easy to treat. I use a Dornier diode laser and have had excellent results. In my experience they usually clear in one or two treatments.

You can treat these with Vein Gogh, Veinwave or laser. The laser can discolor you depending on your skin color. Also you have to wear eye protection with laser. With Vein Gogh and Veinwave you may have scabs or redness for a few weeks but there is no lasting discoloration or complications.

The short answer is no, as long as you see the right doctor.

There are effective treatments for spider veins on your face and even around the eyes. There is a slightly higher risk of complications so be sure to get treatment with someone experienced with treating facial veins.

They are not more difficult, although they require expertise in facial/aesthetic techniques. I would suggest contacting a cosmetic surgeon.

Spider veins on the face are usually the easiest to treat. Laser therapy, intense pulsed light, or broad band light treatments can treat facial spider veins. Special eye glasses are worn during treatment to prevent eye damage. Potential skin damage can include a skin burn, which might result in a red spot or small white scar. Proper laser light settings help prevent this complication. Sclerotherapy is usually not performed on the face. Spider veins on the legs tend to be more resistant to treatment than facial vein. Sclerotherapy is the mainstay of treatment for leg spider veins. Surface laser therapy can also be used.

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