John Zarcone, MD
state-of-the-art varicose vein & spider vein treatment
Spider veins: On the other hand, spider veins are purely a
cosmetic issue and generally pose no threat to a person's
health.  These are small red, purple and blue
veins found on the surface of the skin that may look like fine
“starburst” clusters or a web-like maze.  They are most
common in the legs, however, may also appear elsewhere like
on the face.  While they often do not have symptoms, they may
itch or burn.  They are usually not associated with deeper vein
issues, and therefore, ultrasound tests are not usually
required for routine cases.  However, they may be found in
combination with varicose veins.    The causes of spider veins
are the same as for varicose veins, but also include topical
steroid use, trauma or injury to the skin and exposure to
ultraviolet rays (sun).  These are treated with sclerotherapy
and laser therapy.  Spider veins unfortunately are a lifelong
battle for most patients.  Even after successful treatment, the
body tends to continue producing them.  For this reason, most
patients need intermittent maintenance treatments to keep
their legs vein free.  Since spider vein treatments are done for
cosmetic reasons, they are not covered by most insurance
carriers.  Women develop spider veins 4 times as frequently as
men do.  In fact, about 70% of adult women are afflicted with
spider veins at some time in their lives.
Veins can be divided into 2 categories:

Bulging Varicose Veins or Spider (Telangiectasia) Veins.

Varicose veins: Usually are the result of a malfunction of the
Great Saphenous Vein, an internal vein on the inside of the
thigh.  The great saphenous vein is only visible with an
ultrasound test; therefore, all patients with bulging varicose
veins need ultrasound testing prior to treatment. This
breakdown of the saphenous vein’s one-way valves causes
leakage of blood in the wrong direction.  Blood leaks from the
thigh into the calf and pools inside the calf veins.  This pooling
of pressurized blood causes veins to stretch, bulge and
become varicose.  If left untreated, varicose veins can lead to
dangerous blood clots or large ulcers inside of the ankle.  
Thanks to ever-evolving endovenous technology, both the
saphenous vein and the varicose bulges are easily treated in
the office with local anesthesia.  Because varicose veins are a
medical problem that can lead to complications if left
untreated, the treatments are covered by most insurance