We offer Cutera Excel V+ laser for the treatment of telangiectasisa/spider veins.

The Cutera laser treatment is the most advanced aesthetic laser technology, combining two powerfully precise lasers to target and eliminate unwanted leg veins. Treatments are comfortable and fast with most treatments performed in under 10 minutes, however, depending on the areas and concerns being treated, it may take up to 30 minutes. 

The excel V+ is the fast and easy way to treat a broad range of vessels from tiny spider veins to deep blue reticular veins (up to 3.5mm) quickly, safely and effectively.    

The Cutera Laser delivers pulses of light energy which cause the blood within the vein to coagulate, eventually destroying the vessels which are later reabsorbed by the body. It can remove unsightly veins from all parts of the body. 

Laser treatment may feel similar to a quick rubber band snapping against the skin. During laser a cooled treatment tip will be in contact with the skin to protect and provide additional comfort to the areas being treated.

Results are typically seen after 1 to 3 sessions.

Your treatment plan will be customised for your personal requirements by Dr Roger Bell, Vascular Surgeon. 

Please contact North Western Vascular for further information. 

Sclerotherapy for spider veins is a simple, effective and safe method.

This is a very safe method for treating spider veins and minor varicosities. One of the key benefits is that this procedure is done as an outpatient without any disruption to everyday activities.

The procedure involves the injection of a sclerosant, Aethoxysklerol into the vein using a very fine needle. Each injection treats a small area and therefore, depending on the extent of your spider veins, multiple injections may be required in a single session. Sclerotherapy damages the inner wall of the veins, causing them to collapse and shut down. This will cause the veins to gradually fade over the next 8 to 12 weeks.

Sclerotherapy with Aethoxysklerol is very effective and in around 80% of cases. It is important to note that some patients may require additional sessions to obtain the best results. Some cases may not respond effectively to sclerotherapy. This is not a reflection of how the treatment was performed, but merely there are some resistant veins.

Note that it is impossible to eradicate every last vein, but in suitable cases, sclerotherapy should cause the majority of spider veins to fade or disappear.

This treatment does not prevent the future appearance of new spider veins.

sclerotherapy results spider veins

On the day of the procedure

Wear comfortable clothing. Take your regular medications. (Notify Dr Bell if you are taking any blood thinners such as Aspirin).

There is no need to fast. Make sure that you are well hydrated

After the procedure

Walking is recommended for at least 40 minutes each day. Strenuous activity such as jogging and aerobics should be avoided for the first week. Minor bruising, irritation, swelling or tenderness may occur after treatment. This is normal and will resolve within the next two weeks.

Compression stockings will need to be worn for one week, day and night (removed for showering).

Click here to read some common sclerotherapy FAQs!

Possible side-effects

Haemosiderin staining

Brown pigmentation can occur along the course of the injected vein. This is caused by the release of iron pigments from extravasated red blood cells. This is usually temporary and clears naturally over time, although in up to 5% of patient’s pigmentation may continue after 12 months. Laser therapy can be effective in removing this pigmentation in about 50% of people.

Telangiectatic Matting

This is the development of a small network of fine capillaries after treatment. This can occur in up to 30% of patients. The incidence can be reduced to 5% with the wearing of compression after treatment. Telangiectatic matting usually resolves spontaneously over 3-12 months. It may persist longer than 1 year in less than 1% of people.

Deep Vein Thrombosis

This is extremely rare following sclerotherapy, occurring in less than 0.1% of patients, especially if patients follow instructions regarding stockings and walking.

For more information about the treatment of spider veins, contact Northwestern vascular today.

Frequently Asked Questions

What problems can spider veins cause?

Spider veins, also known as telangiectasias, are small, dilated blood vessels that appear close to the surface of the skin. Whilst they are generally harmless and do not usually cause any significant medical problems, they can sometimes be a sign of an underlying venous disease.


In some cases, spider veins can cause discomfort, such as itching, burning, or aching in the affected area. They can also be a cosmetic concern, as they can be unsightly and cause self-consciousness or embarrassment.


Spider veins can also be associated with more serious venous conditions, such as varicose veins, deep vein thrombosis (DVT), or chronic venous insufficiency (CVI). If left untreated, these conditions can cause more severe symptoms, such as swelling, pain, and skin changes, and can even lead to complications like blood clots or skin ulcers.


Therefore, if you have spider veins, it is important to consult a doctor or a vein specialist to determine if they are indicative of an underlying venous condition that requires treatment.

Spider veins can be caused by genetics, age, hormonal changes, obesity, prolonged sitting or standing, and sun exposure. These factors can weaken the blood vessels and make them more visible on the surface of the skin. However, some individuals may develop spider veins without any known risk factors. Consulting a doctor or vein specialist is recommended if you are concerned about spider veins or any other venous condition.

Whether or not you can exercise after a leg vein treatment depends on the type of treatment you received and the recommendations of your doctor. In general, low-impact exercise like walking or light stretching is encouraged after vein treatment to improve blood flow, whilst strenuous exercise may need to be avoided for a few days to a week. It is important to follow your doctor’s instructions to ensure proper healing and avoid complications.