Laser Therapy for Spider Veins: Procedure, Recovery, and Results

Laser/IPL therapy targets hemoglobin in telangiectasias (spider veins) with selective photothermolysis.

Process

1. Consultation: Assess vein size, depth, skin type (Fitzpatrick), medical history.
2. Pre-treatment: Avoid sun, tanning, blood thinners (per provider).
3. Procedure: Eye protection → laser pulses (532 nm, 940 nm, 1064 nm, or IPL) → hemoglobin absorbs energy → vessel coagulation/collapse. Cooling device for comfort.
4. Multiple sessions: Typically 2–6, spaced 4–6 weeks.

Post-Care

• Compression stockings (1–2 weeks) for leg veins.
• Strict sun protection (SPF 30+) to prevent hyperpigmentation.
• Avoid heat, strenuous exercise 24–48 hrs.

Outcomes

• Transient erythema, bruising, swelling (days).
• Gradual fading over weeks–months.
• High satisfaction for facial/leg telangiectasias; less effective for larger varicosities (sclerotherapy preferred).