Total Vein Care



Spider Veins

Spider veins or telangiectasias are small varicose veins located just beneath the skin.  They are a problem for millions of people - and most want to rid themselves of these painful and unsightly veins.  They may be inherited and may worsen with weight gain, pregnancy or for no known reason.

In many cases, spider veins are of a cosmetic concern only.  In other cases, they may be related to a medical problem known as venous reflux (or insufficiency) which causes the backwards flow of blood in the veins.  In either situation, symptoms associated with spider veins range from itching of a dull ache to throbbing pain and bleeding.

Dr. Hopkins will develop a treatment plan for your individual case. Many spider and varicose veins can be successfully treated with injection sclerotherapy.  Sclerotherapy has been a well accepted method to treat varicose veins for decades.  In fact, if the vein is large enough to allow a small needle, this is the best treatment - even better than VeinwaveTM treatment.  If the vein is too small for needle cannulation (typically those veins less than .3 mm), VeinwaveTM is then the optimal treatment.

An FDA-approved medication called sotradecol is injected into the veins using very tiny needles. This solution causes irritation to the inner lining of the veins resulting in closure of the veins. These veins then stop carrying blood and therefore visibly disappears.  As depicted above, a specialized fiberoptic lighting system is used to tranilluminate the skin to allow for improved visualization of the veins being treated.  This lighting system is called the Veinlite-II.

Treatment differs from patient to patient, depending on the extent of the varicosities (size and number). An average of three to four treatments is required in most cases to achieve a 70%-80% clearing. A 100% clearance of veins is not a realistic goal. The treatment sessions last approximately 30-60 minutes and are done at four to six week intervals to achieve optimal results.

After completion of the initial series of recommended treatments, successfully treated veins are either gone or are much less noticeable. However, patients with a history of spider veins tend to develop new ones (with or without treatment) and a yearly touch up may become necessary. If you have leaking valves in your deep veins, you will likely continue to develop spider veins if the underlying cause is not treated.  Sclerotherapy is a treatment for spider veins, not a cure.

Frequently, sclerotherapy is combined with VeinwaveTM Treatment, depending on the size of the veins involved.


Our goal is to eliminate the symptoms and poor cosmetic appearance of spider and varicose veins - all with minimal pain and complications