Spider Veins Guide

Spider Vein Patient Before and After
Spider Vein Patient Before and After

Actual patient. Single treatment. 4 months later. Unretouched photo.

Spider veins are small (usually less than 1 mm) veins in the skin which may be red, blue, or purple. Nearly 100% of people will have at least some spider veins by the time they are 40 years old. The severity of spider veins is typically genetic though they can progress more quickly with pregnancy, excess weight, and prolonged standing.

Spider Vein Symptoms

Though sometimes associated with aching or itching, spider veins are usually asymptomatic and not associated with circulation issues. If your spider veins might be a sign of a deeper circulation problem like venous insufficiency, Dr. Malvehy, a top-rated vein doctor in the East Bay, will perform an ultrasound examination during your first visit before proceeding to spider vein treatment.

Spider Vein Treatments

Where many offices still treat patients with saline or salt water injections, Dr. Malvehy exclusively uses Asclera, the only brand name, FDA approved medication for spider veins, as part of a customized treatment plan. By identifying the root cause of spider veins using ultrasound, refractive light, and years of experience, and then applying the latest treatment techniques – including foam sclerotherapy and ultrasound-guided sclerotherapy – Dr. Malvehy is often able to definitively treat large or resistant spider vein complexes.  Because there is no single best sclerotherapy, a combination of approaches is required to deliver the best spider vein treatment results. Cosmetic treatments can be initiated on the day of consultation so spider vein treatment for patients from the East Bay or greater San Francisco Bay Area can be performed in as little as a single visit.

Our office is consistently rated one of the best vein clinics in the East Bay and San Francisco Bay Area.

Additional Spider Vein Reading

Spider Veins During Pregnancy: When Should You Worry?

Spider Veins vs Varicose Veins: Understanding The Key Differences


Amazing results! I never write reviews, but I am so grateful for Dr. Malvehy and his vein treatments, that I want to share my story in the hopes of helping anyone else who suffers with ugly and painful veins. I developed huge veins all over my left leg, from my foot all the way up to my groin, when I was pregnant 18 years ago. After two more pregnancies, the veins continued to get larger, and more rope-like, especially behind my knee. I went to doctors all over the state, who tried all different procedures, techniques, and even surgery, to help my vein problem. Nothing worked at all! I decided that I would just live with it. I would have to deal with the uncomfortable leg pressure and wear pants for the rest of my life….Until 8 months ago when I went to see Dr. Malvehy. I walked into his office just to show him one large bubble like vein that bothered me the most. When he saw my leg, he confidently felt that he could help the whole thing! His confidence, kindness and gentle manner, made me decide to give this vein thing one more try. After a few treatments, and a few months, I can honestly say that my veins are almost completely gone! The big rope like ones were the first to go, followed by the small cosmetic ones. I can wear shorts now, and I have no more pressure in my left leg. I really felt like I needed to say all of this, because no one should have to walk around like I did, with painful and ugly veins when treatments with Dr. Malvehy exist.
Jess M.

Spider Veins

Contact Information

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East Bay Vein Specialists