What can a doctor do for spider veins on my face?

Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
A doctor can treat spider veins in several ways, including:
  • laser therapy, which heats the vessels and eliminates them
  • photodynamic therapy, which uses intense pulses of light to destroy the vein; this may require several sessions
  • sclerotherapy, in which saline or another solution is injected into the vein to make it collapse, scar over, and eventually disappear
Spider veins develop when blood vessels close to the skin dilate and become visible. They are not usually a health problem, but people can feel uncomfortable with their appearance, especially when the spider veins occur on the face. Talk to a dermatologist or dermatological surgeon if you have concerns about spider veins.
Dr. Ellen Marmur, MD

Removal is tricky because these tiny branches are attached to a larger, forceful artery. Because of the high blood flow, they can be very resistant. For me, the gold standard of treatment for spider veins on the face is the Vbeam pulsed dye laser. It heats up the blood inside the vessel, and when that heat dissipates it fries the vessel wall. Then scavenger cells called macrophages come in and gobble up the dead vein like garbage. (Since there are plenty of working veins a little bit deeper in the skin, it's completely safe to destroy the superficial ones.) The procedure takes about twenty minutes, and three to five laser treatments are usually necessary to weaken the vessels enough without exploding them and causing a bruise. Because these veins are connected to a large artery, it's hard to get them to disappear forever. Think of laser treatments as upkeep that you may need to repeat every couple years.

Simple Skin Beauty: Every Woman's Guide to a Lifetime of Healthy, Gorgeous Skin

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Simple Skin Beauty: Every Woman's Guide to a Lifetime of Healthy, Gorgeous Skin

What if a leading dermatologist just happened to be your best friend and you could ask her anything? DR. ELLEN MARMUR, a world-renowned New York City dermatologist, answers all your questions with...

Continue Learning about Spider Veins and Varicose Veins

Spider Veins and Varicose Veins

Large twisted blue or purplish veins visible at the skins surface are known as varicose veins. Any vein in your body can become varicose but it usually occurs in the legs and feet due to the pressure the lower body endures to keep ...

your body upright. It is caused by the weakening of the valves and veins in your legs. Varicose veins are usually hereditary. We are also more prone to get varicose veins as we age. Symptoms include itching, burning, throbbing or cramping in the legs and around the veins. Self-care measures such as exercising, elevating your legs, and wearing compression stockings are used to ease the pain and prevent varicose veins from getting worse. If these measures dont work, see your doctor to discuss medical treatments that are available to close or remove varicose veins.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.