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Spider veins are a condition marked by red or blue veins that appear as a “web” on the legs, most commonly behind the knees. Though spider veins aren’t painful like varicose veins, many people prefer to remove spider veins for aesthetic reasons. Men and women of all ages can develop spider veins, though pregnant women and older individuals are more likely to develop spider veins. People in professions that require long hours of standing are also at an increased risk of developing spider veins. Spider veins are most commonly dark red in color, though some people have purple or blue spider veins as well.

Spider veins are a condition caused by increased pressure in the legs' small veins, which contributes to the valves within the veins to become dysfunctional. This causes a backflow of blood that appears as spider veins underneath the skin. Both men and women can develop spider veins, but women experience this condition more commonly. Several additional factors contribute to the development of spider veins. This includes family history, obesity, hormones and birth control, pregnancy, increased abdominal pressure from constipation, tumors, and even shapewear. Working in a profession that requires you to stand for long hours, like being a hairdresser, doctors and nurses, or working at a shop, can also contribute to the development of spider veins.

Though spider veins are a common point of frustration for men and women, there are many different treatment options. From the comfort of his beautiful Upper East Side office, Dr. Schultz will have a discussion with you about which treatment would work best for you. Some of the most common and effective treatments include:

  • Support stockings: these stockings are designed to better support your legs and apply pressure that maintains blood flow.
  • Lifestyle changes: since obesity is a common cause of spider veins, lifestyle changes can help prevent or alleviate spider veins.
  • Sclerotherapy: a treatment that involves injecting a saline solution into the vein. This forces the vein to collapse and stop the blood flow to the vein so that the spider veins fade.
  • Endovenous laser treatment and radiofrequency occlusion: two types of treatments that use a laser fiber or catheter inserted into the vein. Then, pulses of laser light or radiofrequency energy are applied to the vein to cause it to collapse and seal. Like sclerotherapy, once the vein has collapsed, the appearance of spider veins will fade.
  • Laser Treatments: one of the most popular treatments for spider veins, laser treatments use heat energy to destroy spider veins. Many people prefer laser treatments over other options because it does not involve needles. Instead, most people experience the sensation of a rubber band snapping against their skin while the laser does its work.
Depending on your unique circumstances, Dr. Schultz will recommend the treatment that will give you the best results.

As NYC’s top dermatologist, Dr. Schultz takes the time to understand the contributing factors to your spider veins. Through careful examination and a discussion with each patient, Dr. Schultz is able to determine which treatment option would work best. For some individuals, sclerotherapy is the most effective and cost-effective solution. In other cases, laser treatments may be the most appropriate to give you the best aesthetic results from your spider vein removal.

During an appointment for spider veins, you will be welcomed into the comfortable Park Avenue Skin Care office in the Upper East Side to meet with Dr. Schultz. After a physical examination, Dr. Schultz will discuss your condition with you, listen to your concerns, and answer any of your questions. Once he determines the best treatment option, you will be prepped. Before the procedure begins, Dr. Schultz will let you know exactly what to expect from the treatment and during the healing process. Your comfort is our highest priority, so you will be kept comfortable throughout the spider vein removal.

Patient Reviews

Frequently Asked Questions

  • Should I try compression socks first?

    Yes, we recommend that individuals who are predisposed to spider veins to Read More

  • Do spider veins come back after they are removed?

    No, once a spider vein is removed it cannot come back. This Read More

  • Is one treatment option better than the others?

    Depending on your unique case, Dr. Schultz will recommend the right treatment Read More

  • Can I get spider vein removal if I am in my 20s or 30s?

    Yes! People of any age can develop spider veins. The treatments at Read More

Rejuvenate Your Skin

Make your skin care a priority with leading-dermatologist and New York Magazine’s “Top Doctor”: Dr. Neal Schultz.