Laser Spider Vein Removal vs. Sclerotherapy:
Which is Better?
In This Article:● Overview of laser spider vein removal and sclerotherapy injections ● Benefits and drawbacks of laser spider vein removal ● Benefits and drawbacks of sclerotherapy spider vein injections ● Comparison of laser spider vein removal and sclerotherapy vein injections
Laser Spider Vein Removal
Benefits of Laser Spider Vein Removal● Laser/light treatments are recommended for patients who have failed sclerotherapy. ● Laser therapy is most effective for very small spider veins (diameters less than a 27 or 30 gauge needle) that are located superficially near the skin surface. ● Needle-phobic patients and those with allergies to sclerosants may prefer laser over sclerotherapy. ● Laser/light treatment is optimal for spider veins located at or below the ankle region, which is more prone to ulceration with sclerotherapy.
Drawbacks of Laser Spider Vein Removal● Multiple treatments may be necessary to achieve desired results. Treatments must be separated by 4-6 weeks. ● Larger veins >5 mm in diameter do not respond as well to laser treatment. ● Long lasting skin hypopigmentation can result from laser treatment. Nerve injury and skin burns are possible. ● Patients report more pain when treated with laser compared to when they’re treated with sclerotherapy .
Sclerotherapy Spider Vein Injections
Benefits of Sclerotherapy Spider Vein Injections● Sclerotherapy is considered the gold standard for treating the majority of lower extremity spider veins, telangiectasia, and reticular veins . ● Deeper and highly branched or twisted spider veins can be effectively treated with sclerotherapy injections. ● Overall spider vein clearance rate and patient satisfaction favor sclerotherapy over laser treatment [2,3]. ● Spider and reticular vein recurrence is uncommon after sclerotherapy.
Drawbacks of Sclerotherapy Spider Vein Injections● Multiple treatment sessions, with a minimum of 6 weeks in between each session, may be necessary before the vein is fully cleared. ● New spider veins may develop over time. ● Spider veins will lighten in appearance and become less noticeable, but they may not disappear completely. ● Hyperpigmentation can occur after sclerotherapy. Other local, adverse reactions at the site of injection can occur but typically resolve over the course of a few months.
Laser Spider Vein Removal vs. Sclerotherapy: Which is Better?
 Scovell, S. Liquid, foam, and glue sclerotherapy techniques for the treatment of lower extremity veins. UpToDate. Accessed March 2020.  Lupton JR, Alster TS, Romero P. Clinical comparison of sclerotherapy versus long-pulsed Nd:YAG laser treatment for lower extremity telangiectases. Dermatol Surg 2002; 28:694.  Coles CM, Werner RS, Zelickson BD. Comparative pilot study evaluating the treatment of leg veins with a long pulse ND:YAG laser and sclerotherapy. Lasers Surg Med 2002; 30:154.  Scovell, S. Laser and light therapy of lower extremity telangiectasias, reticular veins, and small varicose veins. UpToDate. Accessed March 2020.  Dillavou, E., Kiguchi, M. Comparison of methods for endovenous ablation for chronic venous disease. UptoDate. Accessed March 2020.  Kugler, N. W., & Brown, K. R. (2017). An update on the currently available nonthermal ablative options in the management of superficial venous disease. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 5(3), 422–429.  Parlar, B., Blazek, C., Cazzaniga, S., Naldi, L., Kloetgen, H. W., Borradori, L., & Buettiker, U. (2015). Treatment of lower extremity telangiectasias in women by foam sclerotherapy vs. Nd:YAG laser: A prospective, comparative, randomized, open-label trial. Journal of the European Academy of Dermatology and Venereology, 29(3), 549–554.  Nakano LCU, Cacione DG, Baptista-Silva JCC, Flumignan RLG. Treatment for telangiectasias and reticular veins. Cochrane Database of Systematic Reviews 2017, Issue 7. Art. No.: CD012723.
The Materials available on visaliavips.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients.
Schedule Your Visit
We are currently accepting new patients!
Call us anytime,
Use Our Chat Window
We typically respond
within 3 to 5 minutes
Email us or use this
You can also use this contact form for general inquiries.