Spider veins are mild abnormal veins. Most of them are asymptomatic but sometimes may cause burning pain.

There are 3 main procedures/options for the treatment of spider veins and small varicose veins:

• Sclerotherapy - Using a tiny needle, the sclerosing agent is injected into the varicose vein and/or spider vein. This will cause the vein to close, become fibrosis, and the patient’s body will absorb it, making it disappear.
  
  
• Ambulatory phlebectomy - Under local anesthesia, a tiny stab wound is made next to the varicose vein. A special hook is used to pull out the varicose vein. This procedure will leave only a tiny scar which is almost invisible.
  
  
• Laser procedure - There are certain limitations to laser treatment. Laser only works when the vein size is 2 mm or smaller. The first choice of treatment for spider veins is sclerotherapy. For very tiny spider veins, unable to be treated by sclerotherapy, laser can be very helpful.