Can Spider Veins Come Back After Treatment?

Woman looking at the spider veins on her legs in Portland, OR

Spider vein treatments are highly effective at reducing the appearance of visible veins, but a common question is whether spider veins can recur after treatment. The short answer is: treated veins typically do not return, but new ones can develop over time. Here’s why this happens and a guide to long-term vein health.

At Inovia Vein Specialty Centers, patients seeking long-term spider vein treatment benefit from minimally invasive, outpatient care delivered in a comfortable, office-based setting, making high-quality vein care more accessible and affordable than hospital-based treatment. The Pacific Northwest’s largest vein-focused practice, Inovia Vein is known for its patient-centered approach, board-certified specialists, and commitment to innovative, proven vein treatments.

Why Treated Spider Veins Don’t Usually Return

Advanced spider vein treatments, such as sclerotherapy and laser therapy, work by closing or collapsing the targeted vein. Once a spider vein is successfully treated, the body gradually absorbs it, and blood is rerouted to healthier veins. Because the vein is no longer functioning, it does not reopen or “come back.”

Why New Spider Veins May Appear

Although treated veins don’t return, new spider veins can form due to ongoing risk factors. These may include:

  • Genetics and family history
  • Aging and natural changes in vein elasticity
  • Hormonal fluctuations (pregnancy, menopause, or birth control)
  • Prolonged sitting or standing
  • Weight changes
  • Underlying vein disease

If these factors persist, the circulatory system may continue to form new spider veins in other areas.

How Long Do Results Typically Last?

Many patients enjoy long-lasting results after spider vein treatment, often for years. Some may choose periodic “maintenance” treatments to address new veins as they appear. This is especially common for individuals with strong genetic predispositions or lifestyle-related risks.

Can You Prevent Spider Veins From Returning?

While spider veins can’t always be prevented, certain steps may help reduce your risk:

  • Stay physically active to support healthy circulation
  • Avoid prolonged periods of sitting or standing
  • Maintain a healthy weight
  • Elevate your legs when resting
  • Wear compression stockings if recommended by a provider

Enjoy Lasting Clear, Healthy Skin with Spider Vein Treatment in Portland, OR

If you notice new spider veins developing after treatment, a vein specialist can evaluate whether they’re purely cosmetic or a sign of deeper vein issues. In some cases, you may need imaging to rule out underlying venous insufficiency. Spider vein treatment is highly effective with lasting results. Call us today at 800-834-6362 to schedule a consultation.

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