Spiders or "broken capillaries" are common on the legs, cheeks and nose. They are red, blue or purple. Normally these blood vessels are invisible, but with some people they expand and become visible through the skin. There are several causes: exposure to the sun, pregnancy, hormonal treatment and especially heredity. During the menopause, the skin becomes thinner and loses some of its collagen, making the small veins more visible.

The most common treatments are laser and sclerotherapy, or a combination of both. Laser is the best treatment for facial spiders (rosacea, thread veins). For spiders on the legs, sclerotherapy, possibly in combination with laser, is preferred. Due to the evolution in laser equipment and the expansion of the blood vessels that can be treated with it, laser treatment is becoming more and more important, and many blood vessels that could only be sclerosed can now also be lasered directly.



Aesthetically disturbing veins or veins that will evolve into larger varicose veins can be treated with injections at the consultation. This treatment can therefore be both medical and purely aesthetic. With a fine needle, a product is injected that irritates the inner wall of the veins. By taping it with cotton wool and wearing support stocking, the walls will stick together, so that the treated veins become invisible.

This technique, which has proved quite worthwhile in the past, is now somewhat neglected due to the important evolution in laser therapy, where blood vessels from less than 1 mm to about 1 cm in diameter can now simply be lasered, with no bruising, clearly less risk of pigmentation, and no need to wear compression stockings for days on end.

Laser treatment

We offer the opportunity to use the latest laser equipment at the consultation to treat numerous malformations of blood vessels such as marring veins on face and legs. Moreover, with the most advanced technology, a wide variety of benign pigment disorders in men and women with any skin tone can be treated safely and effectively. After some time, the vessels are no longer visible. Several treatments may be necessary to achieve the desired result. After the treatment, the existing veins largely or completely disappear.


Thermocoagulation or fulguration of spiders

Thermocoagulation or fulguration of spiders is another option, the results of the laser treatment on the legs and little veins in the face are comparable. After thermocoagulation a very small crust appears on the treated area. This treatment technique is time consuming, sometimes little scars remain under the small crusts. This technique is no longer used at our surgery.