If visible leg veins or facial veins are impacting your confidence, sclerotherapy and laser vein treatment offer highly effective, minimally invasive solutions. At DermSurgery Associates, we provide advanced vein treatments for patients in Houston and Greater Houston TX, helping reduce the appearance of spider and small varicose veins with precision and care. Whether you’re dealing with cosmetic concerns or discomfort from vein-related issues, our board-certified dermatologists tailor each treatment plan to restore smoother, clearer skin.
What Are Varicose Veins?
Varicose veins are areas of blood pooling in the legs due to the valves not working properly. This makes it more difficult for the blood to go upward in the legs, so it pools and causes bulging, twisting, or a webbing effect of the veins.
There are common causes for varicose veins which can include:
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Heredity
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Standing for long periods of time
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Obesity
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Menopause
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Pregnancy
You can make changes in your life to prevent veins from becoming worse, including avoiding standing for long periods of time, exercising for improved circulation, using compression stockings, and maintaining a healthy weight.
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What Are Spider Veins?
Spider veins are tiny red, purple, or blue vessels that usually appear in webs or clusters. Both types of veins twist and turn and both are caused by a type of venous insufficiency when the vessels become weaker and damaged.
There are many factors that contribute to spider veins but no real known cause. Many issues, however, can contribute to development of spider veins such as:
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Trauma
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Obesity
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Pregnancy
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Aging
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Sun damage
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Heredity
Many times, spider veins are not symptomatic; however, there are cases in which patients complain of pain, tingling, and even numbness in the affected areas.
How Can Sclerotherapy Treat Spider or Leg Veins?
Effective for small, superficial blood vessels on the legs, sclerotherapy (also known as “injection therapy”) involves injecting a small amount of sclerosing solution into the affected veins, causing the vessel walls to collapse and ultimately go away.
This treatment is performed in the office by the doctor injecting a solution into the vein. The solution closes the vein which will cause the flow of blood to go through more healthy veins. This procedure usually takes 15 minutes to an hour with no anesthesia. The patient will wear bandages or compression stockings afterward. This may require multiple treatments for desired results.
How Can Lasers Treat Spider or Leg Veins?
We use the state-of-the-art pulsed dye Sclerolaser to treat a variety of vascular lesions. The pulsed dye Sclerolaser treats facial spider veins, leg veins, rosacea, scars, and stretch marks, as well as more complex problems such as port wine stains and hemangiomas.
This procedure is noninvasive and usually performed by a laser technician, dermatologist, or aesthetician. This procedure uses pulses of light waves applied directly to the spider vein. These areas are normally ones that are too small for sclerotherapy. This takes more than one treatment under most circumstances.
To learn more about sclerotherapy, please call one of our specialists at a location near you.
Frequently Asked Questions
The best treatment depends on the size, location, and type of veins being treated. Sclerotherapy is typically used for larger spider veins and small varicose veins on the legs, while laser treatments are often preferred for smaller or more delicate veins, especially on the face. A consultation with a dermatologist helps determine the most effective option based on your specific condition.

Most patients require more than one session to achieve optimal results. The number of treatments depends on the extent of the veins, the body’s response, and the treatment method used. Sclerotherapy and laser treatments both work gradually, so a series of sessions spaced over time is often recommended for the most consistent improvement.
Treated veins are typically eliminated and do not return. However, new veins may develop over time due to underlying factors such as genetics, lifestyle, or circulation issues. Maintenance treatments may be recommended to address new areas and help preserve results.
Most patients tolerate both treatments well. Sclerotherapy involves small injections that may cause mild, brief discomfort, while laser treatments use pulses of light that can create a warming or snapping sensation. These procedures are generally quick and do not require anesthesia, making them convenient options for many patients.
Results develop gradually as your body absorbs the treated veins. You may begin to notice improvement within a few weeks, while full results may take several weeks to months, depending on the size and number of veins treated. Consistency with follow-up treatments can help enhance overall outcomes.
Yes, you can return to normal daily activities shortly after treatment. Walking is encouraged to support your circulation, but temporarily avoid prolonged standing or strenuous exercise. Our team will give specific post-treatment instructions to support healing and results.
While many patients seek treatment to improve the appearance of visible veins, some also experience symptoms such as aching, heaviness, or discomfort. Treating these veins may help improve both appearance and overall comfort, depending on the underlying condition.
Sclerotherapy is most commonly used for leg veins, while laser treatments can address both leg veins and facial veins. The pulsed dye laser may also be used for other vascular concerns, allowing our providers to treat multiple areas with a targeted approach.
In many cases, spider veins and varicose veins may gradually become more noticeable if left unaddressed. While some veins remain stable, others can expand, darken, or spread due to ongoing pressure within the vessels. For some patients, symptoms such as aching, heaviness, or swelling can also develop or worsen over time.
Why Choose DermSurgery Associates for Vein Treatment
Patients throughout Houston and Greater Houston TX choose DermSurgery Associates for:
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Board-certified Thoracic surgeon experienced in vascular skin treatments
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Both sclerotherapy and laser options for personalized care
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Safe, medically supervised procedures with minimal downtime
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A professional setting focused on comfort and lasting results
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Comprehensive cosmetic and medical dermatology in one practice
If you’re ready to smooth wrinkles and restore a more youthful look, contact DermSurgery Associates today to schedule your BOTOX Cosmetic consultation.
