Spider Vein Treatment Resource

Belcourt Aesthetics treats spider veins, varicose veins, and related vascular concerns at its Nashville, Tennessee clinic using sclerotherapy, endovascular venous laser therapy, and IPL-based vascular treatments. This resource is Belcourt's Tennessee vein care resource, covering every vein-related treatment page and specialty vascular content on the site.

Vein treatment modality depends on the vein being addressed. Spider veins (telangiectasias) — the thin red, blue, or purple surface vessels most common on the legs and sometimes on the face — respond well to sclerotherapy, where a sclerosing solution is injected into the target vessel to collapse it, or to IPL and vascular laser treatment for fine surface vessels on the face that are too small to inject. Larger reticular veins and varicose veins — tortuous, rope-like vessels under the skin — generally require endovascular venous laser therapy (EVLT), an in-office procedure that uses a laser fiber threaded through a catheter to heat and close the affected vein from within.

Sclerotherapy has been the gold-standard treatment for leg spider veins for decades and remains the most appropriate first-line approach for most patients. The Belcourt protocol uses a graduated compression schedule post-treatment, typically two weeks of daytime compression stockings, and a series of 2-4 sessions to achieve optimal clearance. Most patients see meaningful improvement after a single session, with a few sessions needed for complete clearance in patients with more extensive involvement.

For varicose veins that represent underlying venous insufficiency (incompetent valves in the saphenous system), endovascular laser therapy addresses the source rather than just the visible surface vessels. Patients with significant symptoms — leg heaviness, aching, swelling, restless legs, skin changes — are evaluated for this kind of underlying pathology before treating the surface spider veins, since surface treatment alone often fails when deeper reflux is driving the presentation.

Vascular lesions elsewhere on the body, including facial telangiectasias and spider angiomas, are addressed at the Midtown Nashville clinic using vascular laser and IPL platforms. Consultations include a vascular assessment and treatment plan before any therapy is initiated.