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In spite of the best efforts, you can still grow more spider veins because of the relentless effects of your female hormones, especially if you get pregnant. To get the best results, however, you need the best methods available at the outset. Total eradication of the abnormal reticular veins should be one of the goals.
Some women ask if they should defer vein treatment until they are finished having children. The answer depends on your condition. If your spider vein condition is light, it might be all right to let it go for a while. However, if you have hundreds of spider veins, they can get much worse in a hurry. If you get them treated properly, there will be fewer reticular veins left to grow more spider veins during the next pregnancy.
Many women are concerned that they might need these veins for their circulation. Eliminating these abnormal veins can only improve the circulation. This is because vein disorders are typically a proliferative condition (i.e., continues to make new veins and expand). Appropriate treatment trims them back towards normal. Most women who come in for cosmetic reasons find that their legs feel better after treatment. They often report that they can now tolerate standing for prolonged periods of time after their treatment is complete.
How many vein treatment sessions you will require depends on the severity of your condition. We will evaluate you on your first visit and explain what will have to be done for best results. We will begin by treating the worst leg and only start your second leg after you are satisfied with the progress of your first leg.
Side effects and complications are possible as with all medical procedures. For spider veins the most important side effect is the potential for damage to the skin from the medication used. This is where training and experience counts. Damage to the skin is possible if your skin is overly sensitive to the dilute medicine, or if you have very dense spider veins, or it you already have damage to your skin because the veins have deteriorated so much. In these cases the patients can experience some itching dermatitis (inflammation of the skin) and pigmentation (brown stains) of their skin. Caution is usually exercised in treating these cases, but occasionally very normal-looking skin can break down and leave a small scar in spite of the best of intentions. Also, the darker the skin, the more vulnerable it is to inflammatory pigmentation. These cases demand particular attention to the most fastidious methods, and they might still pigment. Usually the higher risk patients prefer to go ahead and try a few non-essential areas as a test site. They may complete the treatment when they see the results of these test areas. But there are no certainties in medicine. On the other hand, the longer you delay treatment the worse it will become, and the more treatment (and cost) it will take.
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