Are there new topical creams available inthe market that will work for spider veins? As far as I can remember, I don't think any topicals will treat this. Patient seeks consult after claiming that it got worst after laser treatment, insists that she doesn't want anything invasive.

When it comes to treating spider veins, Sclero Therapy remains as the treatment of choice to eliminate spider veins. There are no topicals that can permanently erase this condition. Re-assess your patient's hx, she may have an underlying disease.

There is no topical treatment for spider veins. I find sclerotherapy (injections) work best for leg spider veins. I have never been very happy with the results of lasers for spider veins.

Sclerotherapy can do more than what lasers can do. Sclero is time-efficient, affordable and less painful. It can also treat any size of leg veins.

With enough patience and experience, you can treat any size leg veins(surface) with sclero. Sclerotherapy is more time-efficient, and certainly less painful than a 1064 laser and less costly to patients.

We limit the treatments to 1.5 mm and smaller veins but get excellent results with patients that have rejected sclero for one reason or another. Long pulsed tag lasers like the Lascope Lyra are the only type of laser we find effective for this treatment. If you were using IPL, Pulsed Dye Lasers or anything else besides the 1064 it would usually yield unsatisfying results.

No topicals work. If there is blood pooling that can be released, it is worth a try with gentle expression. Sometime it takes 6-12 months to heal then clean up with sclerotherapy.

I can treat most patients with all their veins in 30 minutes. Usually one treatment with compression with very good results. i have been doing this for 27 years. No need for an expensive laser that is also painful to the patient. no need for multiple visits. It's sad. patients think a laser is a painless light but it actually hurts more than the ones I did with sclero. I did these on my employees so I had good follow up. All preferred the sclero to these laser treatments.I appreciate your comments.

Some of the best physicians say that if you can put a needle in it, Sclero Therapy remains superior and is the treatment of choice to eliminate spider veins and Sclero is superior to any laser treatments

I am sure a lot of people are very proficient with lasers and obtain great result with lasers for leg veins. With enough patience and experience, you can treat any size leg veins with sclero. Sclerotherapy is more time-efficient, and certainly less painful than a 1064 laser and less costly to patients. At the end, it is really what you are comfortable with. If you obatin good results with both, just choose your favorite. (BTW, I have 2 LP-Yag lasers and one vascular laser) I do use laser for leg veins but very rarely. I would highly recommend learning to do sclerotherapy before learning to use a laser.