Patient Guide

Spider Vein Treatment in Melbourne

Fine red or purple spider veins on the surface of your legs are highly treatable. Our minimally invasive approach delivers visible results in weeks, not months.

Spider veins on legs
80%
of women will develop spider or varicose veins
20-30
minutes for a typical treatment session
4-8
weeks to see visible improvement
Close-up of spider veins
Definition

What are spider veins?

Spider veins are fine, delicate veins on the surface of your skin that resemble a spider web or bruise. They are the smallest of the leg vein types we treat. They're one of the most common cosmetic complaints we treat, and they're highly responsive to modern minimally invasive procedures.

Red spider veins Telangiectasia: the tiniest veins, often bright red, typically on the thighs or calves.
Blue spider veins Venulectasia: slightly larger than telangiectasia, usually blue or purple in colour.
Clustered veins Venular flare: a concentrated group of spider veins that can resemble a bruise.
Risk Factors

What causes spider veins?

Spider veins develop when tiny valves inside skin surface veins weaken, allowing blood to pool. Our guide to how leg veins work explains the valve system in more detail. Genetics play the strongest role, but hormones, standing for long periods, and age all contribute.

Most common Genetics: If your parents have spider veins, your risk is significantly higher. The tendency runs in families.
Hormonal Pregnancy & hormones: Oral contraceptives and pregnancy increase risk due to hormonal changes and increased blood volume.
Lifestyle Standing & age: Prolonged standing and age increase spider vein risk. Sun exposure on legs also plays a role.
Risk factors for spider veins
Symptoms

Do spider veins cause symptoms?

While most spider veins are purely cosmetic concerns, some patients report mild symptoms. Symptoms are often worse during or before menstruation or after prolonged standing.

Most patients seek treatment for:

1
Appearance

Self-consciousness about visible veins, especially on thighs, calves, or ankles where they're most noticeable.

2
Mild discomfort

Occasional aching, heaviness, or itching in the affected area, especially in warm weather.

3
Confidence

Wanting to wear skirts, shorts, or swimwear without feeling self-conscious about their legs.

Before and after spider vein treatment
Treatment

How we treat spider veins

Three highly effective treatment options exist for spider veins. Which one is best depends on the size, colour, and location of your veins, as well as your personal preferences.

Surface Sclerotherapy

Our first-line treatment. A fine needle injects sclerosant directly into each spider vein, causing it to harden and fade over four to eight weeks. No anaesthetic needed. Also called microsclerotherapy or direct vision sclerotherapy.

Duration: 20-30 min
Sessions: 2-4 typical

Surface Laser Vein Treatment

For the finest, reddest spider veins. A Cutera Excel V laser beam seals the vessel from outside the skin. Ideal for needle-phobic patients or those allergic to sclerosant.

Duration: 15-30 min
Sessions: 2-4 typical

VEINGOGH Radiofrequency

VEINGOGH uses controlled radiofrequency energy delivered through a hair-fine probe to collapse spider veins. Works particularly well on the smallest, finest veins.

Duration: 15-20 min
Sessions: 2-4 typical

Compare all six treatments or see fees and Medicare rebates.

Important: Underlying varicose veins

If you have both spider and varicose veins in the same area, treating the varicose veins first produces better long term results. Larger veins should always be treated before smaller surface spider veins.

Outcomes

What results can you expect?

Most patients see significant improvement within 4-8 weeks. Treated veins don't return, though new spider veins may develop over time if you're genetically predisposed.

Timeline after treatment

1
Days 1-14

Mild bruising or temporary darkening is normal. Avoid sun exposure and heat for 2 weeks.

2
Weeks 2-4

Treated veins begin to fade. You may notice them turning from dark blue to light purple.

3
Weeks 4-8

Veins continue fading. Most veins are largely resolved. Results continue to improve for 12 weeks.

Treatment results timeline
Questions

Common questions about spider vein treatment

Clear answers to help you feel informed and confident about your treatment options.

Are spider vein treatments painful?

Most patients report minimal discomfort. Sclerotherapy uses a fine needle, and laser and radiofrequency treatments feel like a light snapping sensation. No anaesthetic is required.

How many treatments will I need?

Most patients need 2-4 sessions, spaced 4-6 weeks apart. The exact number depends on the size, colour, and extent of your spider veins. We'll give you a realistic estimate at your consultation.

Can I return to normal activities?

Yes. Most patients walk out and return to work the same day. Avoid vigorous exercise, saunas, and direct sun exposure on treated areas for 2 weeks.

Will my spider veins come back?

Treated veins don't return. However, if you're genetically predisposed, new spider veins may develop over time. Long-term follow-up helps us catch and treat any new veins early.

Can I have treatment during pregnancy?

We recommend waiting until after pregnancy and breastfeeding. Many spider veins improve on their own postpartum. We can advise on management options during pregnancy.

What if I'm needle phobic?

Laser or radiofrequency treatments are excellent alternatives for needle-phobic patients. Both treatments have excellent results for spider veins without needles.

Take action today

Ready to treat your spider veins?

Fine spider veins don't have to be a permanent feature of your appearance. Our minimally invasive treatments deliver visible results in weeks. Take the first step toward leg confidence today.

No waiting lists. Elite medical standards. Your privacy is our priority.

Not ready to book yet? Ask us first.

Send us a question about your veins, the treatments, or what a consultation involves. Your enquiry is confidential, and a member of our Melbourne team will reply within one business day.

Our Location

Suite 14/45 Collins St, Melbourne VIC 3000

Direct Line
(03) 9654 5806

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