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Medical spas often suggest blue-light therapy for spider veins because it does not have to be performed by a physician. After several costly sessions, some fading may appear. The most effective and lasting option is sclerotherapy, discussed below.
Before comparing blue-light therapy with sclerotherapy, it helps to understand what creates spider veins.
Spider veins, medically termed telangiectasias, are tiny networks of surface blood vessels visible through the skin. Their reddish, web-like pattern inspires the common name.
They usually arise on the legs, feet, thighs, or face and can produce mild aching or discomfort.
Spider veins are harmless in themselves, yet they sometimes signal underlying venous disease.
Chronic venous insufficiency develops when vein valves fail to keep blood moving toward the heart. Blood then pools in the lower limbs, raising pressure and producing spider or varicose veins.
If the deeper disease progresses, possible complications include bleeding, skin infection, or leg ulcers. In severe cases, deep vein thrombosis may occur; a clot that migrates to the lungs can cause pulmonary embolism.
Blue-light therapy delivers non-UV photons that gently heat the targeted vessel. Over time the irritated vein may shrink and fade.
Blue light is sometimes preferred for veins on the face or foot, areas rich in arterial-venous connections. Injecting sclerosant there carries higher risk, so physicians may favor surface light treatment in these locations.
Sclerotherapy is a minimally invasive procedure in which a sclerosant solution is injected into the unwanted vein. The agent irritates the vessel wall, causing it to seal and gradually be reabsorbed while blood reroutes through healthier veins.
Benefits can include:
Mayo Clinic: Varicose and spider vein causes PMC overview of sclerotherapy techniques
