Spider Veins Specialist

Continental Medical

Philip LoPresti, MD

Vascular Surgeon located in Forest Hills, NY

Spider veins occur in up to 41% of women and 15% of men. If you’re unsatisfied with how your legs look or have discomfort as a result of spider veins please, contact Dr. Philip LoPresti at Continental Medical. Serving the community of Forest Hills, New York, Dr. LoPresti is a Board Certified surgeon who treats spider veins and other vein-related conditions. To schedule a personalized consultation, call the office today or book an appointment online.

Spider Veins Q & A

What are spider veins?

Spider veins, also known as telangiectasias or testicular veins, are broken capillaries that become visible underneath the skin. Spider veins tend to show up mostly on the legs or face in a variety of arrangements. They are especially common on the thighs, and they can appear in a scattered pattern or in patches.

While they are mainly a cosmetic problem, spider veins can sometimes cause discomfort. They are usually red or blue, and most spider veins measure 1-4 millimeters and typically do not cause symptoms. Reticular veins are larger, typically 4-6 millimeters and present as a more substantial spider vein with blue coloration.

What causes spider veins?

Spider veins can develop due to a backup of blood, hormone changes, inherited factors, and sun exposure. In many cases, they’re caused by an increase in pressure on the veins, which can happen during pregnancy or from prolonged standing or inactivity.

You may be more likely to develop spider veins if you’re overweight or have been on your feet a great deal, and they become more common with age.

How are spider veins treated?

At Continental Medical, Dr. LoPresti treats spider veins with sclerotherapy, both injection and laser therapy.


Injection is the traditional method of sclerotherapy treatment. Dr. LoPresti delivers an FDA approved solution called Sotradechol into the vein that causes direct damage to its inner lining. The body then absorbs the damaged vein. Most patients see results in a few weeks, however, this process can take up to several months in a small percentage of patients.

You might see dark blue spots afterward.  This is common and is a result of trapped blood within the vein and actually is a sign of successful treatment. Dr. LoPresti removes this trapped blood at your next visit allowing for more rapid clearing of the spider veins. Side effects of sclerotherapy injections, such as allergic reactions, are extremely rare.

Laser sclerotherapy

This is a newer technology and the preferred method of treatment at Continental Medical. The absorption process for laser sclerotherapy is often faster and produces less staining than injectable sclerotherapy. In addition, using laser makes injection sclerotherapy more effective.

Dr. LoPresti uses a new, versatile Cutera Excel V laser effective for treating spider veins that are 1-4 millimeters, as well as reticular veins. This laser has a cooling effect which minimizes discomfort and is capable of treating most skin types with.

Schedule a consultation for your spider veins by booking online or call Continental Medical today.