Thread Veins on Legs and Face: Sclerotherapy vs Capillary Removal

Thread veins, also known as spider veins, are small red, purple or blue veins visible just beneath the skin. They are very common and usually harmless, but many people find them frustrating, especially on the legs and face.

What causes thread veins?

Genetics, hormonal changes, pregnancy, prolonged standing, sun exposure and ageing can all contribute. On the face they are often linked to sun damage, rosacea or temperature changes. On the legs they are frequently related to circulation and pressure in the veins.

Sclerotherapy

Sclerotherapy is the go-to treatment for thread veins on the legs. A fine needle is used to inject a solution into the vein, which irritates the vein lining so that it gradually collapses and fades. Most people need two to four sessions. Wearing compression stockings afterwards helps the results. Veins usually fade over several weeks.

Capillary removal

For the face, smaller veins are better treated with capillary removal techniques such as advanced electrolysis or thermocoagulation. A very fine probe delivers controlled heat to the vessel, sealing it so it disappears, often immediately or within days. It is ideal for broken capillaries around the nose, cheeks and chin.

Which is right for you?

In general:

• Legs: sclerotherapy is usually most effective.
• Face: capillary removal is preferred for fine, delicate veins.
• Mixed or unclear cases: a consultation will determine the best approach.

Aftercare and prevention

Protect treated areas from the sun, stay active to support circulation and avoid long periods of standing or sitting where possible.

If thread veins are affecting your confidence, book a consultation with Be Well Today to find the right treatment for your skin.