Fine red-to-purple vascular networks on the legs or prominent capillaries on the face are among the most common aesthetic concerns. As of 2026, laser technologies offer highly effective and minimally invasive solutions for treating these vascular problems.
What Are Spider Veins?
Spider veins (telangiectasias), are dilated capillaries just beneath the skin surface, measuring 0.5–1 mm in diameter. They can appear red, purple, or blue and display branching patterns resembling a spider's web. They are most commonly found on the legs and face.
Risk Factors:
- Genetic predisposition
- Prolonged standing
- Hormonal changes and pregnancy
- Sun damage (particularly on the face)
- Ageing
- Obesity
Varicose Veins and Laser Treatment
Varicose veins are larger in diameter than spider veins and typically appear raised and twisted. Laser treatment is a suitable option especially for superficial and moderate varicose veins as well as reticular veins (2–4 mm in diameter). However, larger varicose veins may require different approaches such as endovenous laser ablation (EVLA).
Laser Technologies Used
Nd:YAG Laser (1064 nm): This is the most widely used laser type for vein treatment. Its long wavelength penetrates deep into the skin and is absorbed by haemoglobin. It is ideal for blue-to-purple spider veins and reticular veins on the legs and can be safely used on darker skin tones.
KTP Laser (532 nm): Preferred for superficial red vessels and facial telangiectasias. Its shorter wavelength provides an advantage in targeting surface-level vessels.
IPL (Intense Pulsed Light): While not technically a laser, IPL can be used to treat superficial vessels over large areas. Its ability to emit multiple wavelengths simultaneously allows it to target vessels at different depths at the same time.
How Does the Treatment Process Work?
Laser energy is selectively absorbed by the haemoglobin inside the vessel. This energy converts to heat, causing thermal damage to the vessel wall. The damaged vessel gradually shrinks, closes, and is naturally absorbed by the body over time.
Session Details:
- Each session lasts an average of 15–45 minutes
- Typically 2–4 sessions are sufficient
- A 4–6 week interval is observed between sessions
- Topical anaesthesia may be applied, though most patients tolerate treatment without it
What to Expect After Treatment
Treated vessels do not disappear immediately after laser treatment. They may actually appear more prominent in the first few days. Small spider veins begin to fade within 2–4 weeks, while thicker vessels may fully disappear within 2–3 months.
Possible Side Effects:
- Temporary redness and swelling
- Mild bruising (usually resolves within 1–2 weeks)
- Temporary hyperpigmentation
- Crusting in rare cases
Laser vs Sclerotherapy
Sclerotherapy (injection of a sclerosing agent directly into the vessel) remains an effective method for medium-sized leg veins. However, for facial vessels and very fine capillaries, laser treatment is more appropriate and safer. In 2026 practice, both methods are frequently combined to achieve optimal outcomes.
Conclusion
Laser vein treatment is a safe, effective, and minimally invasive method for eliminating spider veins and superficial varicose veins. At Virtuana Clinic, we assess vascular structure using Doppler ultrasonography and provide each patient with the most suitable treatment plan. Early treatment is important both aesthetically and for overall vascular health. Please contact us for pricing information.
This article is for informational purposes only. Please consult a qualified physician for treatment decisions.