Spider Vein Removal in Los Angeles & Walnut
Spider veins are among the most common vascular concerns affecting both men and women, and while they are usually harmless, they can sometimes indicate an underlying circulation problem that deserves professional evaluation. At Vein Care Medical Center in Los Angeles & Walnut, Dr. Michael D. Landau is an expert in the diagnosis and treatment of spider veins and related vein conditions. He provides the most advanced, minimally invasive treatments available to eliminate problem veins and restore confidence — without surgery and without significant downtime.
Request an AppointmentWhat Are Spider Veins?
Spider veins are small, superficial blood vessels that appear just beneath the skin’s surface in a web-like or branching pattern of red, blue, or purple lines. They most commonly develop on the legs, ankles, and face and can range from barely noticeable to quite prominent in appearance. Unlike varicose veins — which are larger, rope-like vessels that bulge above the skin — spider veins are typically flat and do not protrude.
Although spider veins are most often a cosmetic concern, they can cause symptoms including localized itching, burning, or mild aching — particularly when they develop over areas of underlying venous insufficiency. It is always worth having a vein specialist evaluate them to rule out a treatable underlying condition.
Common Causes of Spider Veins
Spider veins develop when small blood vessel walls weaken and dilate. Contributing factors include:
- Heredity — a family history of spider or varicose veins is the strongest predictor
- Hormonal influences — pregnancy, birth control, and hormone replacement therapy
- Sun damage, especially for facial spider veins
- Prolonged standing or a sedentary lifestyle
- Advancing age
- Elevated venous pressure from underlying venous insufficiency
Expert Spider Vein Treatment at Vein Care Medical Center
Dr. Landau offers proven, evidence-based spider vein treatments that deliver reliable results:
Sclerotherapy / Direct Vision Sclerotherapy
The most widely used and effective treatment for leg spider veins. Dr. Landau injects a precise amount of FDA-approved sclerosant (Sotradecol® or Asclera®) directly into each targeted vein. The chemical damages the vessel wall and causes it to close and eventually be absorbed by the body. Foam sclerotherapy is frequently used for better efficacy with reticular and larger spider veins.
Excel V™ Laser Treatment
The Cutera® Excel V™ laser is ideal for very fine spider veins and facial telangiectasia that are too small for needle injection. The laser energy is selectively absorbed by the blood within the vessel, causing it to coagulate and fade over time — with no needles required.
ClariVein® / Varithena®
For spider veins that arise as a downstream consequence of larger venous insufficiency, Dr. Landau may address the root cause with minimally invasive procedures such as ClariVein® or Varithena® before treating the residual surface veins.
Get Spider Vein Treatment in Los Angeles or Walnut
You do not have to live with spider veins. Call (323) 934-9191 to schedule a consultation at Vein Care Medical Center. Dr. Landau will evaluate your veins, determine whether any underlying venous disease is present, and recommend the most effective treatment approach for your specific situation.
Spider Vein Removal — Frequently Asked Questions
Do spider veins need to be treated, or can I leave them alone?
Spider veins that are purely cosmetic do not require treatment if you are not bothered by their appearance. However, if they are causing symptoms such as itching, aching, or burning, or if they are associated with signs of venous insufficiency such as leg swelling or ankle discoloration, treatment is worth considering. Dr. Landau recommends at least one evaluation to confirm whether any underlying vein disease is present.
How do I know if my spider veins are related to venous insufficiency?
If your spider veins are accompanied by varicose veins, persistent leg heaviness or aching, leg swelling, or ankle discoloration, there is a meaningful chance that venous insufficiency is a contributing factor. A duplex ultrasound examination performed by Dr. Landau can definitively assess your venous anatomy and determine whether the deeper vessels are functioning properly.
What is the most effective treatment for spider veins on the legs?
Sclerotherapy — particularly foam sclerotherapy with FDA-approved agents — is the most effective treatment for leg spider veins. It has a long track record of safety and efficacy and can address multiple veins in a single session. Dr. Landau may combine sclerotherapy with Excel V™ laser for optimal results in some patients.
Is spider vein treatment safe?
Yes — sclerotherapy and laser treatments for spider veins are well-established, FDA-accepted procedures with excellent safety profiles when performed by a trained specialist. Dr. Landau uses only FDA-approved sclerosants and advanced laser technology at Vein Care Medical Center, and every treatment is carefully tailored to the individual patient.
How long do spider vein treatments take?
A typical sclerotherapy session at Vein Care Medical Center takes approximately 30 to 45 minutes depending on the number of veins being treated. Excel V™ laser sessions are often shorter. Both are performed in-office with no sedation, and you can leave and resume normal activities immediately afterward.
Is there any downtime after spider vein treatment?
There is no significant downtime after sclerotherapy or laser spider vein treatment. You can walk immediately and return to work or daily activities the same day. You will be instructed to wear compression stockings following sclerotherapy and to avoid vigorous exercise and prolonged sun exposure for a short period.
Where can I get spider vein treatment near Los Angeles or in the San Gabriel Valley?
Vein Care Medical Center has two convenient locations — 6221 Wilshire Boulevard, Suite 612 in Los Angeles, and 18710 Amar Road, Suite A in Walnut, CA. Dr. Landau serves patients throughout the greater Los Angeles area and San Gabriel Valley. Call (323) 934-9191 to schedule your consultation.