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What Causes Spider Veins?

Do you have small veins that look like webs on your face or legs? These spider veins have many causes, but you can take steps to avoid them. Dr. Dohner and your New York Skin & Vein Center team offer several treatment options for eliminating these unsightly veins. 

What are Spider Veins?

Spider veins are small, harmless veins that have become stretched and damaged. They often spread out under the skin like tree branches. Types of spider veins include thread-like red veins (telangiectasias) or flatter, dark blue ones (blue reticular veins). Spider veins are not a health problem but can be aesthetically undesirable. 

What Causes Spider Veins?

Spider veins have many different causes. Some are avoidable, while others you cannot change. Knowing your risk factors can help you take steps to prevent spider veins from occurring or coming back. Underlying causes of spider veins include:

  • Hormonal changes
  • Genetics
  • Pregnancy
  • Long periods of sitting or standing
  • Obesity
  • Smoking
  • Alcohol use
  • Heavy sun exposure

Leading a healthy lifestyle and avoiding factors like alcohol and smoking can help prevent spider veins. However, those with strong hormonal or genetic factors may develop them anyway. Spider veins often run in families, and this type can be difficult to avoid. Fortunately, they are easy to treat and eliminate. 

How are Spider Veins Treated?

Spider vein treatments target the problem veins using several different methods. Dr. Dohner will choose the best one for you or may recommend a combination of treatments. He will develop an individualized treatment plan to help you achieve clear, even skin. 


Sclerotherapy is the treatment of choice for spider veins on your legs. Sclerotherapy uses an advanced foam solution injected into the problem vein. This foam causes the vein walls to collapse, stopping blood flow. Your body absorbs these nonfunctional veins, and blood flows through healthier ones. 


Spider veins on the nose and ankles respond especially well to VeinGogh™. This treatment uses a thin fiber placed underneath the skin next to the spider vein. It uses a pulse of energy to collapse the vein without affecting the surrounding tissues. 

532 KTP and 1064 Nd:Yag Lasers

These lasers treat small spider veins and those that do not respond to sclerotherapy. The laser energy targets the pigments inside the damaged blood vessels. The pigments absorb heat and damage the vein walls, causing them to seal shut. 

Consultations Available Now

The first step is to schedule an in-person consultation with one of our highly trained providers at New York Skin & Vein Center located in Oneonta, NY, serving the surrounding New York City areas with additional offices in Norwich, Binghamton, and Cobleskill.

Simply fill out the form on this page and we will reach out to you promptly to schedule your appointment. Your journey to a healthier, happier you can start today.

Is There Any Downtime After Spider Vein Treatment?

Spider vein treatments have little to no downtime. You can usually return to your usual activities immediately. Depending on the treatment, you may experience minor sensitivity, bruising, or itching. Dr. Dohner will discuss what you can expect after each treatment. Avoid sun exposure after spider vein treatment.


*Individual Results May Vary

Dr. Dohner and his team strive to provide the best experience for everyone who chooses their practice for their aesthetic and vein needs. Read why our patients love their results & experience with Dr. Dohner and his team of expert providers at New York Skin & Vein Center in New York.

Take the Next Step

To schedule your in-person spider vein consultation, call New York Skin & Vein Center at (607) 224-9648 or simply fill out the form on this page. We look forward to working with you. 

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