Vein Removal

Thread veins and spider veins are superficial cosmetic concerns. Varicose veins involve deeper, larger vessels with valve failure and are a medical rather than cosmetic issue.

Thread veins are fine, superficial vessels close to the skin surface, visible as red, purple or blue lines. Spider veins are clusters of small dilated vessels in a branching pattern, most commonly on the legs. Reticular veins are slightly deeper blue-green feeder vessels that often supply spider vein clusters. Varicose veins are a separate category entirely, involving larger vessels with faulty valves and usually requiring ultrasound assessment and a surgical or endovenous pathway. The treatments offered at LRC address thread veins, spider veins and selected reticular veins only.

Laser is the appropriate first choice for facial thread veins. Sclerotherapy, in which a solution is injected directly into the vessel, is the clinically established standard for leg veins.

For facial thread veins, laser energy is absorbed by blood in the vessel, heating and closing it without injections or needles. The Cynosure Elite+ is precise and well tolerated on the delicate skin of the face. For leg veins, laser is less effective at the vessel sizes and depths typically present. Sclerotherapy, in which a prescribed sclerosing solution is injected directly into each target vessel, is the established clinical approach for spider veins, thread veins and reticular veins on the legs. Dr Shahe Boghossian prescribes and delivers all sclerotherapy at the clinic.

Treated vessels are permanently closed. New vessels can develop over time, particularly with hormonal change, pregnancy or prolonged standing.

Once a vessel is closed by laser or sclerotherapy, it does not reopen. However, the underlying tendency to form new superficial vessels remains. Factors including genetics, hormonal change and prolonged periods of standing or sitting influence how many new vessels develop over time. Occasional maintenance treatment is reasonable for most clients. If varicose veins are identified at consultation, Dr Shahe will discuss appropriate next steps, which may involve referral for ultrasound-guided assessment.