I've been getting spider vein treatment now almost 2 months. They have gotten a little better. But now I see a lot little red veins. Why?

Answers from doctors (5)


Mid-Atlantic Institute of Venous and Lymphatic Medicine

Published on May 08, 2018

The little red veins can be part of normal recovery which takes time. It depends on when your last treatment session was and where you see the lot little red veins. Another problem called angiogenesis, which is a known complication of the procedure, can cause little red veins. Appropriate precautions need to be taken during treatment to inject under low pressure and lowest volume at each site with lowest effective concentration of sclerosant to prevent this problem.

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Answered by Mid-Atlantic Institute of Venous and Lymphatic Medicine

The little red veins can be part of normal recovery which takes time. It depends on when your last treatment session was and where you see the lot little red veins. Another problem called angiogenesis, which is a known complication of the procedure, can cause little red veins. Appropriate precautions need to be taken during treatment to inject under low pressure and lowest volume at each site with lowest effective concentration of sclerosant to prevent this problem.

Published on Jul 11, 2012


More About Doctor Allure Medical

Published on May 07, 2018

The little red veins are common after treatment. At 2 months I wouldn't be alarmed, as they may go away. If not, I suggest you consult with your doctor again to see if you are still a candidate for cosmetic spider vein treatments. Some people have veins that are hidden that will make it hard to treat spider veins.

Answered by Allure Medical (View Profile)

The little red veins are common after treatment. At 2 months I wouldn't be alarmed, as they may go away. If not, I suggest you consult with your doctor again to see if you are still a candidate for cosmetic spider vein treatments. Some people have veins that are hidden that will make it hard to treat spider veins.

Published on Jul 11, 2012


Normand Miller, MD, FACS, RPVI, RVT

Published on May 03, 2018

What you describe sounds like "matting". Matting after sclerotherapy or laser treatment is usually the result of high pressure in your veins from "untreated" feeder veins. These feeder veins can be seen better using a technique called "transillumination" with a system like Veinlite. If the treatment of those feeder veins does not solve the problem, you might need an ultrasound to determine if your main superficial veins (saphenous vein- great and small) are functioning properly, since a refluxing saphenous vein may be the cause of poor results or of matting following sclerotherapy.

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Answered by Normand Miller, MD, FACS, RPVI, RVT

What you describe sounds like "matting". Matting after sclerotherapy or laser treatment is usually the result of high pressure in your veins from "untreated" feeder veins. These feeder veins can be seen better using a technique called "transillumination" with a system like Veinlite. If the treatment of those feeder veins does not solve the problem, you might need an ultrasound to determine if your main superficial veins (saphenous vein- great and small) are functioning properly, since a refluxing saphenous vein may be the cause of poor results or of matting following sclerotherapy.

Published on Jul 11, 2012


Advanced Vein Institute of Arizona

Published on May 02, 2018

Veins have to be viewed as a vast network which communicates throughout the legs. The spider veins are smaller veins that can be injected or treated with a surface laser, but there are even smaller veins which can appear red. Their technical name is telangiectasia. When you receive vein therapy, the network of veins compensates for that closure by shunting the blood to other veins. Sometimes, this compensation is in the form of other superficial veins. Although one can hope for ultimate success with treatment such as sclerotherapy, sometimes the results are not optimal. Additionally, one typically develops other visually displeasing veins over time so usually, treatment is more about maintenance than a one and done type of situation.

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Answered by Advanced Vein Institute of Arizona

Veins have to be viewed as a vast network which communicates throughout the legs. The spider veins are smaller veins that can be injected or treated with a surface laser, but there are even smaller veins which can appear red. Their technical name is telangiectasia. When you receive vein therapy, the network of veins compensates for that closure by shunting the blood to other veins. Sometimes, this compensation is in the form of other superficial veins. Although one can hope for ultimate success with treatment such as sclerotherapy, sometimes the results are not optimal. Additionally, one typically develops other visually displeasing veins over time so usually, treatment is more about maintenance than a one and done type of situation.

Published on Jul 11, 2012


Desert Vein Institute

Published on May 02, 2018

It takes time to see the final result. You have to realize that those veins didn't happen overnight and you need to give it some time for the blood to redirect into veins that are working properly.

Plus you need to make sure that there are no underlying cause for the spider veins. That would need to be treated first, otherwise you will continue to see them.

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Answered by Desert Vein Institute

It takes time to see the final result. You have to realize that those veins didn't happen overnight and you need to give it some time for the blood to redirect into veins that are working properly.

Plus you need to make sure that there are no underlying cause for the spider veins. That would need to be treated first, otherwise you will continue to see them.

Published on Jul 11, 2012


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