Ask a Surgeon - Laser Surgery - I noticed that you do not list laser spider vein treatment as one of the...

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I noticed that you do not list laser spider vein treatment as one of the procedures...

Q:

I noticed that you do not list laser spider vein treatment as one of the procedures on your website. What is the position of the Society on this procedure? Is it a viable option as opposed to scelerotherapy?

A:

There have been some promising advances in the laser treatment of leg veins. I personally use the laser to treat vessels up to 3mm in size and then use a combination of injections and laser for larger vessels. Either way I tell patients they may need at least 2 sessions to eliminate the vessels of concern. Presently the 1064nm laser is the most exciting technology; doctors are seeing nice improvement in elimination of the vessels. You must remember that the treatment for leg veins may vary from physician to physician with regard to lasers versus injections. The important thing is that you go to a board-certified plastic surgeon who has experience in treating leg telangectasias.