Why Choose Sclerotherapy over Laser for Spider Veins

Sclerotherapy and laser light therapy have been used over the last 20 years as permanent treatment options for spider veins. Spider veins are the result of the smaller surface veins that become unable to move blood appropriately. They appear as red or violet colored areas, that are present most commonly on the legs and face. Although most of the time they are only considered a nuisance due to their cosmetic appearance, some people may experience swelling and pain in these areas. 

What is the difference between sclerotherapy and laser therapy in the treatment of spider veins? Is one procedure preferred over the other and why?

Sclerotherapy vs. Laser Light Therapy

- Sclerotherapy Treatment for Spider Veins

Sclerotherapy is a procedure using a scarring material, called a sclerosant, that is injected into the spider veins with a needle. The sclerosing agent, through a series of events, causes the spider vein to close off, no longer allowing blood flow through the vein, and then the body absorbs the scarred vein.

  • Pros: 
    • Minimally invasive office procedure.
    • Minimal pain.
  • Cons:
    • Possible allergy or sensitivity to the sclerosant.
To book a consultation click here or call 239-235-0787.

- Laser Light Therapy for Spider Veins

Laser light therapy is a procedure that uses a laser or light source, which heats the vein from the skin surface. The heat causes coagulation of the blood in the veins, which then causes the vein to close off to be absorbed by the body.

  • Pros:
    • Minimally invasive office procedure.
    • Needle free procedure.
    • No concern for allergies or sensitivities.
    • Works best on smaller veins, particularly on the face.
  • Cons:
    • More treatments necessary for permanent benefits.
    • Increased pain due to heat from the laser.
    • Staining of the skin on those with darker skin.
    • Not as effective for deeper or larger veins.


Overall, both procedures can provide permanent relief from the cosmetic appearance or pain associated with spider veins. Sclerotherapy has been proven to be the best option for the treatment of spider veins. If you finally want to address your varicose veins, visit with your doctor to see if sclerotherapy is right for you. 

To book a consultation click here or call 239-235-0787.

Talk to a Vein Specialist

Speak with Dr. Julian Javier, a board certified interventional cardiologist and endovascular specialist in Naples, Florida. He will discuss your medical history, perform a thorough exam, and if you are experiencing spider veins in your legs, he will explain what treatment options are available and right for you to help you get rid of those veins and your symptoms!

To book a consultation click here or call 239-235-0787.