Leg Vein Treatment

Varicose Veins and Spider Veins of the Legs

Treatment options

for women

Targeted medical approaches to treat spider veins and varicose veins — improving the appearance of the legs and, in some cases, relieving associated symptoms.

CMQ-CERTIFIED PHYSICIANS · NATURAL RESULTS · SERVICE IN FRENCH AND ENGLISH

to know

Understanding Spider Veins and Varicose Veins

Spider veins and varicose veins are two distinct forms of common venous conditions, particularly among women. It is important to distinguish between them because they require different treatment approaches.

Spider veins — also called telangiectasias — are small, superficial, dilated veins that are red, blue, or purple, and visible under the skin. They most commonly appear on the legs, thighs, calves, and sometimes around the ankles. They are generally cosmetic in nature, but can be accompanied by a feeling of heaviness or mild discomfort.

Varicose veins are deeper, enlarged veins that are often bulging and twisted, visible through the skin. Beyond their cosmetic impact, they can be associated with functional symptoms — pain, leg heaviness, swelling, fatigue — and require a thorough medical evaluation to rule out underlying venous insufficiency.

A medical evaluation, often completed with a Doppler ultrasound, is essential to distinguish between the two conditions and direct the appropriate treatment.

Aggravating Factors

Treatment options

Treatment options for Spider Veins and Varicose Veins

Two complementary medical approaches, each adapted to a specific type of vein and severity.

Sclerotherapy

TREATMENT OF SPIDER VEINS AND SMALL SUPERFICIAL VEINS

Sclerotherapy involves injecting a sclerosing solution directly into the targeted vein. This solution causes the vein to gradually close, which is then naturally reabsorbed by the body — improving the aesthetic appearance of the legs.

Endovenous Laser Ablation (EVLA)

TREATMENT OF MORE SIGNIFICANT VARICOSE VEINS

EVLA is a minimally invasive technique that uses laser energy to close a diseased larger-caliber vein under ultrasound guidance — indicated for symptomatic varicose veins and deeper venous insufficiency.

Our Recommendation

Choosing the most appropriate approach

The choice between sclerotherapy and EVLA depends on several factors that our doctors will evaluate during your medical consultation:

THE TYPE OF VEIN CONCERNED (SUPERFICIAL OR DEEP)

THE SIZE AND DIAMETER OF THE VEINS

THE SEVERITY OF VENOUS INSUFFICIENCY

PRESENT SYMPTOMS (COSMETIC OR FUNCTIONAL)

YOUR COSMETIC AND MEDICAL GOALS

Sclerotherapy is generally indicated for spider veins and small superficial veins, while EVLA is reserved for larger-caliber varicose veins or cases of deeper venous insufficiency. In some cases, both approaches can be combined sequentially. A medical consultation with a venous evaluation — often completed with a Doppler ultrasound — is required to determine the most appropriate option.

Results

Before & After

Real patient results from Medispa Physimed.

These photos are provided for informational purposes only and do not constitute a guarantee of results

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Targeted resurfacing with moderate recovery

Fractional CO 2 Laser

Surface and deep fractionated action

How it works

Treats the skin via targeted micro-zones while leaving surrounding tissue intact for rapid healing.

Stimulates collagen production and renews the skin surface.

Tailored intensity, adjusted to your goals during the medical consultation.

Key information


What to expect

Numbing cream applied beforehand. 30 to 60 min session.

Redness, warmth and peeling for 3 to 7 days (depending on the intensity).

Strict sun protection is essential during healing.

Several sessions are possible depending on your goals.

Ideal for

Results

Progression over a few weeks to months (the time it takes for collagen to form).

Improved skin texture, reduced fine lines, diminished acne scars, and a more even complexion.