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Spider Veins Treatment in Singapore

Dr Sujit Singh Gill

Dr Sujit Singh Gill

Consultant Vascular & General Surgeon

MBBS (Singapore), MMed (Singapore), FRCS (Edinburgh)

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What Are Spider Veins?

Spider veins, medically known as telangiectasias, are small, dilated blood vessels that appear just beneath the skin’s surface. They often present as red, blue, or purple lines, resembling a spider web or tree branches.

Unlike larger varicose veins, which may protrude, spider veins are usually less than 1 mm in diameter and are primarily a cosmetic concern. Some patients may experience mild symptoms, such as itching, burning, or a sense of heaviness.

Spider veins affect around half of women and become more common with age. Hormonal changes during puberty, pregnancy, or menopause increase their prevalence in women. While generally harmless, spider veins can occasionally indicate underlying venous insufficiency, warranting further evaluation.

Where Do Spider Veins Usually Appear?

Spider veins are visible just beneath the skin's surface, most often found on several areas, such as:

  • Legs and Feet

    – These are the most frequent sites, especially on the thighs, calves, behind the knees, and around the ankles. Factors such as prolonged standing or sitting, obesity, and hormonal changes increase their likelihood in these areas.
  • Face

    – Spider veins may appear on the cheeks, nose, and under the eyes. Conditions like rosacea, sun exposure, and smoking can contribute to their development.
  • Hands

    – Ageing can make veins in the hands more visible due to the loss of fatty tissue and thinning skin.
  • Chest and Back

    – Though less common, spider veins can develop on the chest and back, often due to hormonal changes or other underlying factors.

What Are the Signs & Symptoms of Spider Veins?

The primary sign of spider veins is their visible appearance as thin, web-like patterns on the skin. Most individuals experience no symptoms, but some may notice:

  • Itching or burning around the affected area
  • A feeling of heaviness or fatigue in the legs, especially after prolonged standing or sitting
  • Rarely, mild pain or discomfort

While these symptoms are typically mild, they can impact quality of life, prompting many to seek spider vein treatment for both cosmetic and comfort reasons.

What Are the Common Causes of Spider Veins?

  • Weakened or Damaged Valves in the Veins

    – One-way valves in veins ensure blood flows toward the heart. When these valves weaken, blood can pool, causing veins to dilate and become visible.
  • Poor Circulation

    – Prolonged standing or sitting can impede blood flow, increasing the likelihood of spider veins.
  • Increased Pressure in Leg Veins

    – Conditions such as pregnancy, obesity, or a sedentary lifestyle can elevate pressure in the veins, contributing to their development.

Additional risk factors include:

  • Age – As we get older, the veins naturally lose elasticity, increasing the risk of spider veins.
  • Family History – Genetics play a role, meaning these conditions can run in families.
  • Hormonal Changes – Fluctuations during puberty, pregnancy, menopause, or from hormone therapy can raise the risk, especially for women.
  • Sun Exposure – Ultraviolet (UV) rays can damage the delicate skin on the face, leading to the development of spider veins.

What are the Possible Complications of Spider Veins?

Spider veins themselves rarely cause serious health problems, and complications are generally uncommon. However, when spider veins are associated with more severe venous conditions like varicose veins or chronic venous insufficiency (CVI), several complications can arise:

  • Skin Ulcers and Sores – Persistent venous pressure and poor circulation can lead to painful ulcers, especially near the ankles, which may be slow to heal and prone to infection.
  • Bleeding and Bruising – Fragile capillaries may burst under pressure, causing easy bruising, minor bleeding, and skin discolouration.
  • Blood Clots – While spider veins are superficial, patients with varicose veins or underlying venous insufficiency have a higher risk of developing superficial thrombophlebitis (clots in superficial veins) and deep vein thrombosis (DVT), which is a serious condition that can lead to pulmonary embolism if untreated.
  • Inflammation (Phlebitis) – Vein inflammation can occur, sometimes as a side effect of treatment or due to vein damage.
  • Reduced Mobility and Sedentary Lifestyle – Pain, swelling and leg fatigue can limit physical activity, potentially worsening vein health and circulation.
  • Cosmetic and Psychological Impact – Although not a medical complication, spider veins can cause distress and affect quality of life due to their appearance.

How Are Spider Veins Diagnosed?

Diagnosis generally involves a physical examination and review of your medical history. A healthcare provider will visually inspect affected areas, usually the legs or face, and ask about symptoms, risk factors, and family history.

Additional tests may also be performed, such as:

  • Duplex Ultrasonography

    A painless, noninvasive ultrasound that assesses vein valve function, blood flow, vein structure, and detects blood clots. This helps map the venous system and guides treatment planning.

  • Imaging Tests

    In rare or complex cases, contrast venography or magnetic resonance venography may be used to further assess venous anatomy and function.

Can Spider Veins Be Prevented?

Spider veins can often be prevented or their progression slowed by adopting several lifestyle habits and protective measures:

  • Regular Exercise to Improve Circulation

    – Physical activity promotes healthy blood flow and strengthens leg muscles, reducing blood pooling in veins. If you commonly sit or stand for long periods, take breaks to move or stretch to improve circulation.
  • Elevating Legs When Resting

    – Raising your legs above heart level helps blood flow back to the heart and decreases pressure in leg veins, preventing vein dilation.
  • Wearing Compression Stockings

    – If you are prone to vein issues, consider wearing compression socks or stockings. They apply graduated pressure to your legs, which can improve venous return and reduce swelling and vein visibility.
  • Maintaining a Healthy Weight

    – Excess weight increases pressure on leg veins, contributing to spider vein formation. Keeping a healthy weight reduces this strain.
  • Using Sunscreen

    – Daily use of sunscreen protects delicate facial veins and skin from UV damage.
  • Avoiding Tight Clothing

    – Tight garments around the waist and legs can restrict blood flow and increase venous pressure, promoting spider veins.

What Are the Treatments We Provide?

At The Vascular and General Surgery Centre, we offer advanced, minimally invasive treatments tailored to each patient’s needs. Our spider vein treatments in Singapore include:

  • Laser Therapy

    This non-invasive treatment directs a focused beam of light onto small spider veins, especially those on the face or feet. The light is absorbed by the blood within the veins, causing them to collapse and gradually be reabsorbed by the body over 4–6 weeks. The procedure is quick, minimally uncomfortable, and patients can usually return to their normal activities immediately.
  • Radiofrequency Ablation (RFA)

    Used primarily for varicose veins, RFA is also effective for larger spider or reticular veins. Radiofrequency energy heats and collapses the vein, redirecting blood to healthier veins, which are eventually absorbed by the body.
  • Clarivein

    Combining mechanical and chemical ablation, Clarivein uses a rotating catheter tip to disrupt the vein wall while delivering a sclerosant solution. It effectively treats larger spider and varicose veins with minimal discomfort and no need for general anaesthesia.
Effective Varicose & Spider Veins Treatment Singapore - Laser & RFA Therapies
Call +65 6736 2302 to Schedule an Appointment

Why Choose Our Spider Vein Clinic

Our clinic is led by Dr Sujit Singh Gill, an experienced varicose veins and vascular surgeon. As the Medical Director and Consultant Surgeon at The Vascular and General Surgery Centre in Singapore, Dr Gill specialises in minimally invasive vascular treatments, and providing expert care for both cosmetic and medical concerns.

Frequently Asked Questions

What happens if spider veins burst?

Spider veins are superficial and rarely burst. If a rupture occurs, it may cause minor bleeding, which can typically be controlled with pressure. However, this is uncommon, and any unusual symptoms should prompt a consultation with a healthcare provider to rule out underlying issues.

Will spider veins return after treatment?

Spider veins may return after treatment if the underlying cause is not addressed. Lifestyle changes and proper skin care can help prevent the recurrence of spider veins. Regular follow-ups with a vein specialist can also help monitor any potential recurrence and provide timely treatment.

What’s the difference between spider veins and varicose veins?

Varicose veins are larger, bulging, and may cause pain or swelling, while spider veins are smaller and typically flat. Both involve poor vein function.

Can spider veins go away on their own?

No, spider veins do not disappear without treatment. However, lifestyle changes can help prevent new ones from forming.

Hernia surgeon in Singapore Dr Sujit Singh Gill

Our Specialist in Vascular and General Surgery

Dr Sujit Singh Gill

Hernia surgeon Dr Sujit Singh Gill

QUALIFICATIONS

  • MBBS (Singapore)

  • MMed (Singapore)

  • FRCS (Edinburgh)

Dr Sujit Singh Gill is the medical director and consultant surgeon at The Vascular and General Surgery Centre, providing dedicated and evidence-based care for patients with various vascular and other conditions in Singapore. His expertise lies in peripheral arterial disease, varicose veins, diabetic vascular complications, hernia repair, gastroscopy, and colonoscopy. With his advanced training and a patient-focused approach, Dr Gill ensures that his patients receive effective, tailored treatments for better outcomes.

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