Enjoy Beautiful Legs Again!

Vascular issues, like spider veins and varicose veins, can be unsightly and uncomfortable. At Hotchandani Laser, Vein & Cosmetic Surgery, we offer several treatments to help rid you of spider and varicose veins so you can love your legs again.

Woman Examining Her Leg Veins


What Causes Spider and Varicose Veins?

Spider veins are tiny, visible veins that most often appear on the face or legs and are blue, purple, or red in color. When these small blood vessels are damaged, blood flow is slowed or interrupted, causing the veins to become visible on the skin. You can develop spider veins if you have circulatory issues, work a job where you sit or stand for long periods of time, take hormonal birth control, or are genetically predisposed to the condition.


Varicose veins are larger than spider veins and usually appear on the legs as bulging blue or purple veins. This condition is caused by factors that are similar to spider veins. Varicose veins bulge because valves in the blood vessel become weakened, causing the blood to pool in the lower extremities. 

What Can I Use to Treat Spider Veins?

The easiest way to address spider veins is to undergo laser treatment. At our practice, we use the excel V™ laser. This device uses two different light wavelengths to heat the spider veins, which causes them to collapse. The damaged vessels are then absorbed by your body over time. 


Sclerotherapy can also be used to treat spider veins. This procedure involves the injection of a sclerosing agent into the target veins. The solution irritates the lining of the vein, which then collapses. The body will also absorb veins that have been treated with sclerotherapy.


Both of these treatments require minimal downtime. Most patients can return to their regular activities in about a day. 

Which Treatment Is Best for Varicose Veins?

If you wish to treat visible varicose veins, there are two options available. Endovenous laser ablation (EVLA) uses a small laser fiber that is inserted into the vein, which heats it and causes it to collapse. There is minimal risk of scarring, as the incision made to insert the fiber is very small. After EVLA, you may return to your regular activities immediately but should avoid strenuous exercise for about two weeks.

Endovenous Laser Ablation Treatment

As a complement to EVLA is phlebectomy. Phlebectomy is done also when there is no indication for EVLA.  During a phlebectomy treatment, small incisions are made, and a tool known as a “phlebectomy hook” is used to remove the affected vein. Local anesthetic is used for patient comfort, and you can return to your normal activities in about four days. 


If you have spider or varicose veins and want to learn more about your treatment options, fill out our online contact form.