253-268-3400Se Habla Español
1803 South Meridian, Puyallup, WA 98371
  • Always
    your best

    & outcomes

  • Always
    your best

    & outcomes

Get Treatment for Spider Veins

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Spider veins, also known as telangiectasias or venulectasias, are small, often clustered groups of tiny blood vessels just beneath the skin’s surface. They generally appear as red, blue or purple veins primarily on the thighs, lower legs and face. Spider veins are most often non-symptomatic, so they are not uncomfortable, do not cause discomfort in your legs and are generally more of a cosmetic concern that do not pose a serious health threat. They can be diagnosed upon visible examination and generally display one of three distinctive patterns:

  • A spider-web or “sunburst” pattern that radiates out from a central point
  • A “tree branch” pattern
  • A linear or “matting” pattern that may appear to simply be a set of thin lines

Spider vein formation can, however, also be a sign of more serious underlying vein reflux disease. If you are considering treatment of your spider veins, it’s important to see a vein specialist for proper examination to determine the nature of your spider veins. If your spider veins are associated with vein reflux disease, their appearance will typically improve upon initial treatment of the vein reflux.

Spider veins are associated with risk factors similar to varicose veins, including: genetics, hormonal changes, obesity, pregnancy, extended periods of standing, trauma to the skin’s surface, and sun exposure. While some patients may see improvement in the appearance of their spider veins simply by making lifestyle changes (i.e. exercise, weight loss, flat shoes, support hose), others may require additional cosmetic treatment. Spider vein therapies may include sclerotherapy injections or surface laser treatment, both of which are done right in our office. Health insurance will not cover the cost of treatment, because spider veins are considered a cosmetic issue.



Sclerotherapy offers an effective, non-surgical approach for the treatment of spider veins and some varicose veins. This is performed for our Tacoma, Puyallup, and Seattle area patients using an FDA-approved solution delivered via a series of injections to eliminate unwanted vessels. A superfine needle will inject the affected area, delivering a special solution that shrinks and collapses the vein lining. This reduces blood flow in these veins and will diminish the appearance of red and blue surface veins. Cosmetic improvement is noted within a few weeks following treatment. Most cases require a series of sessions scheduled a few weeks apart. Sclerotherapy is suitable for all skin types, including darker-skinned patients and anyone looking for visible relief from spider veins. You can resume normal activities immediately following treatment. A consultation will allow us to determine whether sclerotherapy is the best treatment option for your problem area(s). Insurance will not cover the cost of treatment for non-symptomatic spider veins.

Laser Vein Treatment

Our Cynosure MPX Elite laser produces dynamic results on smaller spider veins. The laser delivers sufficient heat to essentially coagulate the tiny vessels upon contact. Over time they will become less visible as they get reabsorbed by the body. Cooling is applied throughout treatment to provide maximum comfort, and the procedure is very well-tolerated. We can easily treat both lighter and darker skin types- anywhere on the body with this state-of-the-art therapy. Laser vein treatment can be performed in our office in under an hour and there’s no down time, so you can continue with your daily routine without interruption. Most patients require a series of treatments, scheduled 6-8 weeks apart, to obtain optimal results. Our doctors will assess each individual’s specific areas of concern and recommend the most appropriate therapy to best address your needs.

Veinwave for Spider Veins

Veinwave is an FDA-approved procedure which uses thermocoagulation (heat) to safely and effectively treat spider veins anywhere on the body, including difficult-to-treat locations such as the face, knees and ankles, and in those with darker skin types. Thermocoagulation heats and closes the spider veins instantly, in a procedure that takes 15-30 minutes and involves no downtime. Several sessions may be required depending on the severity of the condition. Veinwave is not recommended for those with epilepsy, bleeding disorders, pacemakers, who form keloids, or those who are pregnant. Patients need to refrain from self-tanning lotion for 14 days prior, and spray tan or tanning bed exposure for 30 days prior to treatment. Veinwave treatments are considered cosmetic and are not covered by insurance.

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